• Grievance Specialist - Health

    BayCare Health System (Clearwater, FL)
    …member be working remotely? Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Grievance Specialist - Health Plan **Location** ... members to resolve disagreements, and ensuring adherence to regulatory requirements. + Triage, plan , and execute intake of Appeals and Grievance submissions. +… more
    BayCare Health System (10/24/24)
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  • Specialist , Grievance and Appeals

    VNS Health (Manhattan, NY)
    …analyzes and solves problems. Consults with the member, family, providers and health plan departments as necessary. Identifies and communicates key points ... Entities and Quality Improvement Organizations. + Collaborates with professionals, health plan departments such as Claims and...Fair Hearings. Attends Fair Hearings in person with the Grievance and Appeals' RN Specialist and presents… more
    VNS Health (10/25/24)
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  • Customer Solution Center Appeals and Grievances…

    LA Care Health Plan (Los Angeles, CA)
    …overall coordination of the Appeals & Grievance (A&G) program for LA Care Health Plan members under the direct supervision and management of the A&G Nurse ... Customer Solution Center Appeals and Grievances Nurse Specialist LVN II Job Category: Clinical Department: CSC...(Mid.) - $107,498.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency… more
    LA Care Health Plan (11/20/24)
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  • Labor Relations Specialist | Grand Blanc…

    Henry Ford Health System (Grand Blanc, MI)
    …emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans ... as needed. As a strategic partner, the Labor Relations Specialist provides HR and Labor Relations support to leaders...within their designated areas, on behalf of Henry Ford Health at multiple sites. This support will include alignment… more
    Henry Ford Health System (11/19/24)
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  • Recovery Services Peer Support Specialist

    Cumberland River Behavioral Health, Inc. (Middlesboro, KY)
    Job Title: Recovery Services Peer Support Specialist Must have good oral and written communication skills. The peer specialist , who is or has been a recipient of ... competent, and continuous supports and services. It is essential the peer specialist have skills and competence to establish supportive trusting relationships with… more
    Cumberland River Behavioral Health, Inc. (11/13/24)
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  • Product Solutions Specialist II

    LA Care Health Plan (Los Angeles, CA)
    …$77,265.00 (Min.) - $100,445.00 (Mid.) - $123,625.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million...initiative. Evaluate and support the remediation efforts of member grievance or plan partners. Perform other duties… more
    LA Care Health Plan (11/09/24)
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  • Customer Solution Center Appeals and Grievances…

    LA Care Health Plan (Los Angeles, CA)
    …Friday, 8 am to 5 pm PST, with rotating holidays. Established in 1997, LA Care Health Plan is an independent public agency created by the state of California to ... Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC...County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million… more
    LA Care Health Plan (11/20/24)
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  • Customer Solution Center Appeals and Grievances…

    LA Care Health Plan (Los Angeles, CA)
    …Range: $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC...County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million… more
    LA Care Health Plan (10/31/24)
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  • CDOC - Employee Relations Specialist

    State of Colorado (CO)
    CDOC - Employee Relations Specialist / Staff ADA Coordinator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4739353) Apply  CDOC - Employee ... Relations Specialist / Staff ADA Coordinator Salary $4,809.00 - $7,695.00...secure, yet flexible retirement benefits including PERA Defined Benefit Plan or PERA Defined Contribution Plan plus… more
    State of Colorado (11/26/24)
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  • Project Manager Analytics Specialist II

    City of Detroit (Detroit, MI)
    Project Manager Analytics Specialist II Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/4571901) Apply  Project Manager Analytics Specialist ... Benefits Description OCCUPATIONAL INFORMATION The Project Manager & Analytics Specialist is responsible for supporting initiatives established by the… more
    City of Detroit (11/22/24)
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  • Behavior Specialist

    Urbandale Community School District (Urbandale, IA)
    JOB TITLE: Behavior Specialist CLASSIFICATION: Classified FLSA STATUS: Exempt IMMEDIATE SUPERVISOR: Coordinator of Special Education RECEIVES GUIDANCE FROM: ... severe behaviors that require intensive support and intervention. The behavior specialist will build capacity of staff through training, coaching, and modeling… more
    Urbandale Community School District (11/19/24)
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  • Union Labor Relations Specialist

    Hoffman Construction Company (Portland, OR)
    Position Summary: The Union Labor Relations Specialist will work with the Operations Team and will report to the Executive VP of Operations. This position serves a ... affiliate companies with represented employees. The Union Labor Relations Specialist is responsible for interpreting, managing, and facilitating union collective… more
    Hoffman Construction Company (09/26/24)
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  • Public Notice for Human Resources…

    Federal Aviation Administration (Duty, AR)
    Summary This is a public notice for FAA authorized Human Resources Specialist (0201) positions open to US Citizens. Positions may be announced for FV-F through K or ... and Jobs Act 2021. Responsibilities Serves as a Human Resources Specialist performing basic to progressively more difficult assignments. Applies fundamental HR… more
    Federal Aviation Administration (10/16/24)
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  • Provider Account Specialist - SHP…

    Sharp HealthCare (San Diego, CA)
    **Facility:** Health Plan **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Driver's ... provider communications, as needed.Recommends and/or drafts provider communications relative to health plan policies and procedures.Develops a communication … more
    Sharp HealthCare (11/29/24)
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  • HR Specialist

    Louisiana Department of State Civil Service (New Orleans, LA)
    HR Specialist Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4738150) Apply  HR Specialist Salary $3,904.00 - $7,658.00 Monthly Location ... ten Local Governing Entities (LGE) serving persons with Mental Health Disorders, Addictive Disorders and Intellectual/Developmental Disabilities in Louisiana.… more
    Louisiana Department of State Civil Service (11/21/24)
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  • Retirement Benefits Specialist (Multiple…

    Commonwealth of Pennsylvania (PA)
    Retirement Benefits Specialist (Multiple Positions) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4742759) Apply  Retirement Benefits ... Specialist (Multiple Positions) Salary $50,836.00 - $77,321.00 Annually Location...value of your benefits package by exploring ourbenefits calculator. Health & Wellness We offer multiple health more
    Commonwealth of Pennsylvania (11/28/24)
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  • MTSS Specialist

    Sioux City Community School District (Sioux City, IA)
    EXECUTIVE SUMMARY The MTSS Specialist will assist in assessing and implementing high quality behavioral programs, interventions, and support for at-risk student ... practices throughout their assigned building. Overall, the job of the MTSS Support Specialist is to build the capacity of the school and its teachers to… more
    Sioux City Community School District (11/26/24)
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  • Labor Relations Specialist

    System One (Mclean, VA)
    ALTA IT has a Contract position open for a Labor Relations Support Specialist . US Citizen REMOTE Seeking a Labor Relations Support Specialist . The Labor ... and coordination of labor relations activities, including performance monitoring, grievance resolutions, and coordination with the ACF Labor Employee Relations… more
    System One (11/06/24)
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  • Prevention Specialist

    WestCare Foundation (Key West, FL)
    Prevention Specialist Job Details Job Location Key West - 1205 4th - Key West, FL Position Type Full Time Education Level 4 Year Degree Salary Range $21.22 - $21.22 ... Job Category Nonprofit - Social Services Description osition Summary: The Prevention Specialist acts as the primary client advocate, keeps abreast of progress, and… more
    WestCare Foundation (11/07/24)
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  • Clinical Appeals Specialist

    CDPHP (Albany, NY)
    …Established in 1984, CDPHP is a physician-founded, member-focused, and community-based not-for-profit health plan that offers high-quality affordable health ... and invites you to be a part of that experience. The Clinical Appeals Specialist is responsible for adhering to a member/provider appeal and grievance process… more
    CDPHP (10/26/24)
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