• Provider Grievance and Appeals Program…

    Elevance Health (KS)
    **Grievance and Appeals Program Manager, Senior ** **Location:** Kansas. This position will work a hybrid model (remote and office). The ideal candidate will live ... of one of our Kansas Elevance Health PulsePoint locations. The **Grievance and Appeals Program Manager, Senior ​** will be responsible for managing Provider… more
    Elevance Health (10/22/24)
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  • Assistant Attorney 2/ Assistant Attorney 3…

    New York State Civil Service (Melville, NY)
    …Yes Agency Insurance Fund, State Title Assistant Attorney 2/ Assistant Attorney 3 / Senior Attorney - Appeals (NY HELPS) Occupational Category Legal Salary Grade ... Bar and 12 months of subsequent satisfactory legal experience*For appointment to Senior Attorney (Grade 25):* Reachable on current Civil Service eligible list for… more
    New York State Civil Service (10/30/24)
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  • Senior Manager Appeals

    Providence (Anaheim, CA)
    **Description** The Senior Manager Appeals and Grievances has direct responsibility for the design, implementation and ongoing operations of the Health Plan ... position directs and ensures the efficient operational management of health plan appeals and grievances with emphasis on patient and caregiver dignity, outcome… more
    Providence (10/22/24)
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  • Grievance/ Appeals Analyst Lead

    Elevance Health (Richmond, VA)
    …+ HS diploma or equivalent + Minimum of 3 years of Grievance & Appeals Senior analyst experience; or any combination of education and experience which ... **Title: Grievance/ Appeals Analyst Lead** **Location:** This position will work...within 50 miles of a California PulsePoint location. The **Grievance/ Appeals Analyst Lead** will be responsible for leading and… more
    Elevance Health (10/25/24)
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  • Grievance/ Appeals Analyst Lead

    Elevance Health (Norfolk, VA)
    …school diploma or GED equivalent and a minimum of 3 years of Grievance & Appeals Senior analyst experience; or any combination of education and experience which ... **Grievance/ Appeals Analyst Lead** **Candidates must be located within...OH, Norfolk, VA, Tampa, FL, or Topeka, KS** The **Grievance/ Appeals Analyst Lead** is responsible for leading and coaching… more
    Elevance Health (10/11/24)
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  • Senior Manager of Appeals - State…

    State of Minnesota (St. Paul, MN)
    **Working Title: Senior Manager of Appeals ** **Job Class: State Program Administrator, Manager Senior ** **Agency: Department of Employment and Economic ... to deliver this new benefit to Minnesotans. **Position Purpose:** The Senior Manager of Appeals plays a critical role in our organization by providing strategic… more
    State of Minnesota (10/25/24)
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  • Medicare Appeals Processing Senior

    The Cigna Group (Bloomfield, CT)
    …limited to:** + Ability to differentiate different types of requests Appeals , Grievances, coverage determination and Organization Determinations in order to ensure ... documents, correct appeal types, timeframes and what is being appeals + Assign priority and internal due date based...criteria for reviewing and making decisions on all non-clinical appeals and validating the accuracy of all received information… more
    The Cigna Group (11/02/24)
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  • Appeals & Grievance Specialist

    Commonwealth Care Alliance (Boston, MA)
    …clinical, operations, pharmacy, dental, reporting, and member services. - Supports the Senior Appeals & Grievance Coordinator and A/G Coordinator in day-to-day ... **Why This Role is Important to Us:** Appeals and Grievances Representative supports the Operations Department...and Grievances Representative supports the Operations Department and the Appeals and Grievances team in a number of ways… more
    Commonwealth Care Alliance (09/07/24)
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  • Supervisor, Appeals & Grievances…

    Point32Health (MA)
    …click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the general direction of the Senior Manager of Appeals and Grievances the Appeals and ... and provide leadership for the daily operations of the Appeals and Grievances department. The Supervisor represents the ...assigned team of Analysts and Coordinators + Work with Senior Manager to ensure that employees have the requisite… more
    Point32Health (10/09/24)
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  • Senior Appeal and Denial Specialist

    Sanford Health (Sioux Falls, SD)
    …Full time **Weekly Hours:** 40.00 **Salary Range:** $21.50 - $34.50 **Department Details** Senior Appeals specialist focus is pharmacy pre service denials and ... appeals . Office location in Sioux Falls, SD or Remote...for leveraging clinical knowledge and standard procedures to track appeals through first, second, and subsequent levels, and ensuring… more
    Sanford Health (10/15/24)
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  • Executive Agency Counsel, Non-Managerial (Level…

    MTA (Brooklyn, NY)
    Executive Agency Counsel, Non-Managerial (Level A & B) Appeals Job ID: 8079 Business Unit: New York City Transit Location: Brooklyn, NY, United States ... Job Information Executive Agency Counsel, Non-Managerial (Level A & B)- Appeals First Date of Posting: 7/10/2024 Last Date of...- Torts. + Perform other duties as assigned by senior management. Education and Experience Required + Level A:… more
    MTA (10/09/24)
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  • Deputy Executive Assistant General Counsel…

    MTA (Brooklyn, NY)
    Deputy Executive Assistant General Counsel ( Appeals ) Job ID: 8104 Business Unit: New York City Transit Location: Brooklyn, NY, United States Regular/Temporary: ... 2024 Description Job Information Deputy Executive Assistant General Counsel ( Appeals ) Open Date: 7/11/2024 Close Date: Open Until Filled...also serve as the lead for legal guidance for senior management and a wide variety of mid-level management… more
    MTA (10/15/24)
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  • Deputy Vice Chairman/Veterans Law Judge

    Board of Veterans Appeals (Washington, DC)
    Summary The Board of Veterans' Appeals ' mission is to honor America's promise to its Veterans by timely resolving their appeals under the law. The Board of ... Veterans Affairs in deciding all questions of law and fact resolving Departmental appeals that affect the provision of benefits to Veterans, their dependents and… more
    Board of Veterans Appeals (10/31/24)
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  • HFHP Appeals /Grievance Coordinator…

    Health First (Rockledge, FL)
    …a professional image to the public. *Stewardship: * * Elevating issues to senior management as necessary to minimize financial risks. * Reporting trends to help ... (Health Insurance)* **Organization:** **HF Administrative Plan Inc* **Title:** *HFHP Appeals /Grievance Coordinator - Member Appeals Grievances* **Location:**… more
    Health First (11/01/24)
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  • Supervisory Personnel Security Specialist

    Defense Security Service (Fort Meade, MD)
    …are consistent with regulatory requirements. Analyze and report on clearance and appeals findings to senior security officials and makes appropriate ... revocations, terminations, reinstatements and to complete the adjudication, and appeals processes. Evaluate internal and external security clearance requests and… more
    Defense Security Service (10/25/24)
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  • Supervisory Personnel Security Specialist

    Defense Security Service (Hanover, MD)
    …are consistent with regulatory requirements. Analyze and report on clearance and appeals findings to senior security officials and makes appropriate ... revocations, terminations, reinstatements and to complete the adjudication, and appeals processes. Evaluate internal and external security clearance requests and… more
    Defense Security Service (10/25/24)
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  • Sr. Field Reimbursement Manager, Global Rare…

    Chiesi (Cary, NC)
    …expert on reimbursement processes (ie, benefit verification, prior authorization, claim assistance, and appeals .) In addition, the Senior FRM needs to build and ... one of us is Chiesi." **Purpose** The Sr. Field Reimbursement Manager position, Senior FRM contributes to the company success by being important point of contact… more
    Chiesi (09/28/24)
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  • IS Business Analyst - Senior

    City and County of San Francisco (San Francisco, CA)
    …the Planning Department's policies and practices. The 1053 IS Business Analyst- Senior is responsible for executing the business analysis and system configuration ... into one citywide permitting system. The 1053 IS Business Analyst- Senior is accountable for system enhancement business analysis, workflow...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
    City and County of San Francisco (10/31/24)
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  • Multifamily Project Manager - Senior

    City and County of San Francisco (San Francisco, CA)
    …elected officials, collaborating partners, and the public at large. The Senior Community Development Specialist I / Multifamily Project Manager performs multifamily ... Information: Classification - Multifamily Project Manager - 9774 - Senior Community Development Specialist I Status - Permanent Civil...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
    City and County of San Francisco (10/11/24)
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  • Senior Manager, Operations (Spark Driver…

    Walmart (Bentonville, AR)
    …Specialist with subject matter expertise in gig driver deactivations, strikes, appeals , reactivations, and pre-arbitration. As a Trust & Safety Specialist, you ... trends, issues, and challenges related to gig driver deactivations, strikes, appeals , reactivations, and pre-arbitration. - Serve as the company's primary point… more
    Walmart (10/01/24)
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