- SolutionHealth (Hooksett, NH)
- …CCS-P, Required Experience/knowledge with healthcare coding and documentation audits and appeals Ability to meet deadlines consistently and reliably Why You'll Love ... more
- AscellaHealth (Berwyn, PA)
- What we are looking for Optime Care seeks a Prior Authorization and Appeals Specialist for our Berwyn, PA location. We are looking for someone who is passionate ... more
- AmeriHealth Caritas (Philadelphia, PA)
- …about us at www.amerihealthcaritas.com. **Responsibilities:** Reporting to the Supervisor, Appeals and Grievances, this position is responsible for the ... more
- Point32Health (Canton, MA)
- …and communities. **Job Summary** Under the Supervisor's direction, the Member Appeals and Grievances Department Coordinator assists with all operational aspects of ... more
- Hartford HealthCare (Wethersfield, CT)
- …in the current, rapidly changing medical environment. *_Position Summary:_* The Denial and Appeals Nurse is an integral part of the Care Management team. Their focus ... more
- VNS Health (Manhattan, NY)
- …including intake, classification, setup, and assignment of grievances and appeals . Additionally, provides administrative support to staff, including tasks such ... more
- VNS Health (Manhattan, NY)
- …complexities of healthcare? VNS Health Plans is seeking a dedicated Manager, Grievance and Appeals (RN)to lead the daily operations of our grievance and appeals ... more
- UCLA Health (Los Angeles, CA)
- Description The Appeals & Grievance Intake Coordinator serves as the primary point of contact for receipt of member-initiated complaints and Health Plan grievances ... more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor directs and coordinates the accurate implementation of the clinical appeal process for members ... more
- City of New York (New York, NY)
- …health and safety, and increasing opportunities for equitable growth. Your Team The Appeals Operations Coordinator will be a key member of the Division of ... more
- Point32Health (Canton, MA)
- …and communities. **Job Summary** SUMMARY Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is ... more
- LA Care Health Plan (Los Angeles, CA)
- Lead Customer Solution Center Appeals and Grievances Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances Location: Los ... more
- Centene Corporation (Sacramento, CA)
- …**Remote-CA. Must reside in California **Healthcare lead experience with claims, appeals , and grievance strongly preferred.** **Position Purpose:** The Supervisor of ... more
- CareFirst (Baltimore, MD)
- …**PURPOSE:** This Position will support government programs lines of business. The Appeals Specialist II will be responsible for the initial analysis of ... more
- Catholic Health Services (Melville, NY)
- …Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Coordinator will perform activities to help facilitate utilization management and ... more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... more
- Equitable (Charlotte, NC)
- Appeals and Complaints Team Leader, Disability and Absence Claims ( 25000055 ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : UNITED ... more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …help us transform healthcare? Bring your true colors to blue. The RoleThe Appeals Nurse Reviewer is responsible for reviewing provider claims appeals , validating ... more
- VNS Health (Manhattan, NY)
- OverviewResolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage ... more
- R1 RCM (Chicago, IL)
- …analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Supervisor** , you will support clinical coders and coding team ... more
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