- Apex Health Solutions (Houston, TX)
- Summary: The Appeals and Grievances coordinator , Senior position, is focused on the processing of customer and provider Medicare and Commercial ... appeals and grievances . This associate may screen...a commitment to the Continuous Quality Improvement Process. The Appeals & Grievance Coordinator , Senior ,… more
- Health First (Rockledge, FL)
- …Insurance)* **Organization:** **HF Administrative Plan Inc* **Title:** *HFHP Appeal /Grievance Coordinator - Member Appeals Grievances * **Location:** ... a professional image to the public. *Stewardship: * * Elevating issues to senior management as necessary to minimize financial risks. * Reporting trends to help… more
- Banner Health (Tucson, AZ)
- …to employment settings by including remote and hybrid opportunities. In the role of Senior Grievance & Appeals Coordinator , you will utilize your expertise ... **Primary City/State:** Arizona, Arizona **Department Name:** Grievances & Appeals **Work Shift:** Day **Job Category:** General Operations Great careers are… more
- Commonwealth Care Alliance (Boston, MA)
- …affairs/compliance; clinical, operations, pharmacy, dental, reporting, and member services. - Supports the Senior Appeals & Grievance Coordinator and A/G ... **Why This Role is Important to Us:** Appeals and Grievances Representative supports the Operations Department and the Appeals and Grievances team in a… more
- Medical Mutual of Ohio (OH)
- …new or updated CMS regulations, Coverage Gap Discount, Coverage Determinations and Appeals , Grievances , and Medicare marketing material requirements. . Assists ... new or updated CMS regulations, Coverage Gap Discount, Coverage Determinations and Appeals , Grievances , and Medicare marketing material requirements. . Assists… more
- State of Colorado (Denver, CO)
- …Division and the Seven Commitments. Responsible for mid-management hires, and responds to appeals on employee grievances and answers appeals on ... and reduction of liability. Direct supervision of Client Services Coordinator and regional training needs, the Senate Bill 94-...also a member of the Division's Leadership Team and Senior Leadership Group, and participates in defining the major… more