- LA Care Health Plan (Los Angeles, CA)
- …Develop and implement short and long-term strategies to improve team results, reducing administrative expenses. + Manage staff , including, but not limited to: ... Registered Nurse (RN) Manager, Appeals and Grievances General Operations (Clinical) Job Category:...County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.… more
- University of Michigan (Ann Arbor, MI)
- Utilization Rev Appeals Spec Apply Now **Job Summary** **Why Join Michigan Medicine's Hospital Billing Audits & Appeals (HBAA) Department?** The Audit and ... knowledgeable about insurance requirements and medical billing practices. The Appeals Specialist will collaborate with multiple departments to maintain compliance… more
- CVS Health (Frankfort, KY)
- …Summary** Coordinate effective resolution of member and/or provider/practitioner appeals , complaints and grievances. Responsible for the day-to-day management ... of staff to ensure effective resolution of member or provider/practitioner appeals , complaints and grievances for all products, which may contain multiple issues… more
- State of Colorado (Denver, CO)
- …or ongoing monitoring. + Experience preparing for or participating in administrative appeals , fair hearings, or interactions with Administrative ... of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at… more
- Dignity Health (Rancho Cordova, CA)
- **Job Summary and Responsibilities** The Appeals and Grievances LVN is a critical role responsible for managing and resolving all medical necessity appeal requests ... identifying necessary documentation for investigations, preparing files for regulatory appeals , and maintaining a detailed activity log for leadership review.… more
- St. Luke's University Health Network (Allentown, PA)
- …a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all ... Coding and CDMP Managers for education of the medical staff , clinical documentation professionals and the coding professionals on...and apply appeal arguments and draft appeal letters to support and defend the codes assigned by the coding… more
- Humana (Lincoln, NE)
- …policies and medical necessity. The Medical Director will collaborate with clinicians and support staff to provide Humana members with optimal value based care ... relies on broad clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work...Peer discussions with prescribers, participation in hearings involving an Administrative Law Judge, support for CMS audits,… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis ... descriptive codes from the AHA ICD-9-CM/ICD-10-CM/PCS diagnoses and/or procedures support the services/treatment rendered. JOB DUTIES AND RESPONSIBILITIES: + Conduct… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Administrative Support Assistant 3 Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5179111) Apply Administrative Support Assistant 3 ... a highly motivated, skilled, solution-oriented, and enthusiastic individual to join as an Administrative Support Assistant 3 within our Licensing Division at our… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …Description + Benefits + Questions Job Description Are you an experienced administrative support professional seeking a career that combines professional ... central office near Valley Junction in Des Moines, Iowa. You will provide administrative support to Iowa OSHA Administrator; 13 Safety/Health Consultants; 12… more
- The County of Los Angeles (Los Angeles, CA)
- …to this class function as administrative generalists in the central administrative staff organization of a County department analyzing and making ... at the level of Los Angeles County's Class of Staff Assistant I**, Administrative Assistant I ,...advisory capacity to line managers to provide program and administrative support . Work includes assisting and supporting… more
- State of Colorado (Denver, CO)
- …This position is best suited for an individual who has experience providing administrative support , an attentive learner and is passionate about serving the ... matters that arise. The successful candidate will provide legal administrative support to the work unit, including...and CDOT staff ; providing backup for other support staff work in the Section during… more
- Idaho Division of Human Resources (Boise, ID)
- …End Date: 2026/01/16 Category: Administrative Asst Sub Category: Office and Administrative Support Work Type: Full Time Location: Boise, ID, United States ... Administrative Assistant (State Appellate Public Defender) Posting Begin...(SAPD) is a first-rate public defense agency specializing in appeals and death penalty litigation for indigent clients. The… more
- CUNY (Brooklyn, NY)
- … staff meetings and other meetings relating to Student Affairs. + Supervise support staff , including hourly personnel as well as temporary employees. + ... CUNY Administrative Assistant, Level 2 (Permanent) - Enrollment &...February 19, 2025. **JOB SEARCH CATEGORY** CUNY Job Posting: Support Staff **EQUAL EMPLOYMENT OPPORTUNITY** CUNY encourages… more
- City and County of San Francisco (San Francisco, CA)
- …fit. The City and County of San Francisco is looking to hire multiple Senior Administrative Analysts to be part of the City workforce of nearly 40,000 staff ... of San Francisco has to offer. As a Senior Administrative Analyst, you will be responsible for directing and...role, you will lead projects, provide guidance to junior staff , and serve as a key resource for departmental… more
- The County of Los Angeles (Los Angeles, CA)
- …planning, budget, or personnel, one year of which must have been in a responsible staff capacity in the administrative staff organization of a department or ... a central administrative staff organization. Option II: One year's experience as anAdministrative...Accountant I Accountant II Administrative Assistant I Administrative Assistant I, Superior Court Appeals Hearing… more
- The County of Los Angeles (Los Angeles, CA)
- …work in an advisory capacity to line managers to provide program and administrative support . Work includes assisting and supporting administration by doing ... at the level of Los Angeles County's Class of Staff Assistant I**, Administrative Assistant I ,...advisory capacity to line managers to provide program and administrative support . + Yes + No 04… more
- City and County of San Francisco (San Francisco, CA)
- …to hire multiple analysts to be part of the City workforce of nearly 40,000 staff and growing. This is a unique opportunity to get direct insights into how San ... and County of San Francisco has to offer. Junior Administrative Analysts work at many City departments on a...public schools. Junior Data Analysts work in teams to support data and programmatic analysis using analytical programs. Using… more
- State of Colorado (Sterling, CO)
- …Rights Minimum Qualifications: Three years of general clerical experience in an administrative or office support role. General clerical duties may include: ... filing and maintenance; answering multiline phones and relaying messages; and general administrative tasks in an office support environment. -OR- Education and… more
- State of Colorado (Golden, CO)
- …a key member of our team, you'll provide comprehensive clerical and administrative support , ensuring the department functions efficiently. Your responsibilities ... meetings, and taking detailed minutes + Monitoring accounts and providing general administrative support + Maintaining and updating department websites +… more
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