- Point32Health (TX)
- …direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations ... for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual… more
- CVS Health (Columbus, OH)
- …under close supervision. **Required Qualifications** Compliance experience Audit Experience Grievance and Appeals Experience **Education** High School Diploma ... matter and independently coaches others on matters regarding complaints and appeals , ensuring compliance with federal and/or state regulations. Ensures compliance… more
- Point32Health (MA)
- …the general direction of the Senior Manager of Appeals and Grievances the Appeals and Grievance Supervisor, through the use of general knowledge of Plan ... requirements, will coordinate and provide leadership for the daily operations of the Appeals and Grievances department. The Supervisor represents the Appeals and… more
- City of Long Beach (Long Beach, CA)
- PERSONNEL ANALYST I-IV Print (https://www.governmentjobs.com/careers/longbeach/jobs/newprint/4856563) Apply PERSONNEL ANALYST I-IV Salary $35.93 - $61.39 ... and disciplinary investigations; develops recommendations for resolution of inquiries, appeals , and/or complaints to both internal organization and external… more
- Corewell Health (Grand Rapids, MI)
- …experience Extensive knowledge of CMS regulations and process + Previous experience with grievance and appeals processes About Corewell Health As a team member ... according to timeline requirements. + Complete investigation of Medicare Pharmacy appeals , including formulate action steps, gather information, ensure benefits are… more
- City and County of San Francisco (San Francisco, CA)
- …the City in state and federal civil litigation (through trial and appeals ), in administrative proceedings involving labor and employment matters, and provides ... 30 unions that represent City employees, including collective bargaining, labor grievance arbitrations, and defending unfair labor practice and other administrative… more
- City and County of San Francisco (San Francisco, CA)
- …the City in state and federal civil litigation (through trial and appeals ) and administrative proceedings involving labor and employment matters and provides ... 30 unions that represent City employees, including collective bargaining, labor grievance arbitrations, and defending unfair labor practice and other administrative… more