- Health First (Melbourne, FL)
- …(Health Insurance)* **Organization:** **HF Administrative Plan Inc* **Title:** * Manager Complaints , Grievances , and Appeals * **Location:** *Florida - ... *POSITION SUMMARY* Manage the formal complaints and appeals process in a...internal operational issues that may cause increase to member appeals / grievances volumes and drive operational efficiencies. 10.… more
- Apex Health Solutions (Houston, TX)
- …processing of customer and provider Medicare and Commercial appeals and grievances . This associate may screen incoming complaints , process medical necessity, ... Summary: The Appeals and Grievances coordinator, Senior position,...TPA Staff as may be necessary to effectively resolve appeals , complaints and quality of care or… more
- Elevance Health (Atlanta, GA)
- …and written complaints . + Ensures appropriate resolution to inquiries, grievances and appeals within specified timeframes established by either ... Appeals Coordinator** is responsible for investigating and reviewing customer grievances and appeals . Triages clinical and non-clinical inquiries, … more
- CareFirst (Baltimore, MD)
- …activities of assigned staff, ensuring appropriate and complete resolution of appeals and reconsiderations, including Regulatory complaints and External review ... goal of providing and ensuring appropriate and timely response to Regulatory complaints and appeals . + Coordinates and/or conducts research, summarizes medical… more
- National Gallery of Art (Washington, DC)
- …on rights and procedural requirements for responding to proposals and for filing complaints , grievances , and appeals . Draft, finalize, and process medical ... findings and recommendations for management consideration and action. Process negotiated grievances , unfair labor practice complaints , and other labor relations… more
- State of Colorado (Colorado Springs, CO)
- …department. Creates and maintains files for all labor relation actions, disputes/ grievances , redactions, State Personnel Board appeals , director's reviews, ... Develops and utilizes a tracking database system to record all requests, grievances , inquiries and complaints received including electronic documents, paper… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- …verification and resolution of facts and issues in matters affecting disciplinary actions, grievances , appeals , and complaints , refers complex matters to HR ... Employee Relations Specialist or Senior Manager of Employee Relations as required + Participates in...generalist work with 75+% time committed to handling employee complaints , grievances , interactive processes, and disciplinary actions.… more
- Veterans Affairs, Veterans Health Administration (Asheville, NC)
- …not limited to coordinating and participating in disciplinary actions and responding to appeals and grievances . He/she attends hearings when requested. This may ... program activities and effectiveness. Final authority rests with the Clinical Program Manager in conjunction with the Chief of PM&RS. The incumbent will arrange… more
- Veterans Benefits Administration (Philadelphia, PA)
- …union representatives/officials to discuss and resolve employee performance issues, complaints or grievances . Requirements Conditions of Employment ... Philadelphia Regional Office, Philadelphia, PA. The Assistant Pension Management Center Manager is responsible for the administration and management of the Pension… more