- CVS Health (Sacramento, CA)
- …quality measures, with respect to letter content and turn-around time for appeals , complaints and grievances handling. + Independently researches and translates ... Summary** Responsible for Oversight of that that investigates and resolution of appeals scenarios for all products, which may contain multiple issues and, may… more
- State of Colorado (Pueblo, CO)
- Youth Center Rights Coordinator (CYSO III) - Pueblo Youth Services Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5171261) Apply Youth ... Center Rights Coordinator (CYSO III) - Pueblo Youth Services Center Salary...This position ensures compliance with nondiscrimination policies and manages grievances related to discrimination. This position manages complaints, develops… more
- UPMC (Pittsburgh, PA)
- …in the greater Pittsburgh area. This position will track, trend, and manage member grievances , appeals , and IRE requests for the Medicare and SNP product lines. ... UPMC Health Plan is hiring a full-time Member C&G Coordinator I, Medicare/SNP. This position works Monday through Friday,...will ensure the efficient and effective resolution of member grievances , appeals , and IRE requests according to… more
- CVS Health (Oklahoma City, OK)
- …every day. **Position Summary** Responsible for intake, investigation and resolution of appeals , complaints and grievances scenarios for all products, which may ... responses from multiple business units. Ensure timely, customer focused response to appeals , complaints and grievance. Identify trends and emerging issues and report… more
- CoreCivic (Mason, TN)
- …a responsibility to better the public good. We are currently seeking a **Grievance Coordinator ** who has a passion for providing the highest quality care in an ... making an impact for the people and communities we serve. The Grievance Coordinator oversees the inmate/resident grievance process and ensures that both informal and… more
- Cedars-Sinai (Beverly Hills, CA)
- …the payor + Investigates, processes and assists with the resolution of provider grievances and appeals in accordance with contractual requirements and corporate ... About What You Will be Doing** The RN Care Coordinator is responsible for the case management of patient...the Inpatient Specialty Program (ISP) hospitalists, the RN Care Coordinator will assist patients from the time they are… more
- Elevance Health (Panama City, FL)
- …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals , and state audits. **Minimum Requirements:** + Requires BA/BS ... **LTSS Service Coordinator ** **Schedule:** Monday-Friday 8am-5pm **Location** _:_ This is...is granted as required by law._ The **LTSS Service Coordinator ** is responsible for conducting service coordination functions for… more
- Elevance Health (OH)
- …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals , and state audits. **Minimum Requirements:** + Requires BA/BS ... **LTSS Service Coordinator (Case Manager)** **Candidates should live in one...services and supports, and psychosocial needs. The **LTSS Service Coordinator ** is responsible for managing service coordination for a… more
- Elevance Health (Viroqua, WI)
- …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals , and state audits. **Minimum Requirements:** + Requires BA/BS ... **LTSS Service Coordinator (Case Manager)** **$5,000 Sign-on Bonus** **Hiring near...employment, and contributing to their communities. The **LTSS Service Coordinator ** is responsible for conducting service coordination functions for… more
- Highmark Health (Montpelier, VT)
- …through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a resource for technical ... staff. + Other duties as assigned or requested. **QUALIFICATIONS:** **Minimum** + High school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician certification… more
- State of Colorado (Golden, CO)
- …development training (as available) + Resolves informal staff grievances . Provide formal/informal performance feedback. Initiate progressive discipline, in ... for all youth + Responds to and resolves youth grievances + Act as first public contact with agency...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Greeley, CO)
- …professional development training (as available). Resolves informal staff grievances . Provide formal/informal performance feedback. Initiate progressive discipline, ... interventions for all youth. Responds to and resolves youth grievances . Act as first public contact with agency when...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- City of New York (New York, NY)
- …and administer the contractual grievance process. Serve as Hearing Officer for grievances and disciplinary appeals . Represent the agency at hearings before ... play a key role in managing internal labor relations investigations, union grievances , and collective bargaining agreements and engagement with Union Partners, and… more
- City of New York (New York, NY)
- …relations and union related matters, as well as represents ACS in Step II grievances appeals and issuing determinations on these matters. ACS Labor Relations ... and un-reviewed action and decision making, the Hearing Officer/Community Coordinator candidate will perform complex work utilizing labor knowledge, judgment… more
- The County of Los Angeles (Los Angeles, CA)
- …personnel in their unit and effectively recommending the adjustment of grievances and disciplinary problems. Other positions are assigned such functions as: ... first level technical and administrative supervision to the complaint or advanced-level appeals unit. Essential Job Functions + Supervises the activities of all… more
- Sioux City Community School District (Sioux City, IA)
- …and develop communication for donor stewardship including thank you letters, appeals , newsletters, social media, impact reports, and other communications. + Plan ... sex in its programs, activities, or employment. Inquiries or grievances under Section 504 and Title II of the...to Dr. Dora Jung, Director of Student Services/Title IX Coordinator at 627 4th Street, Sioux City, IA 51101,… more
- University of Colorado (Aurora, CO)
- …and university leadership. + Address faculty concerns regarding grievance procedures, and appeals processes and serve as a neutral party and advisor in faculty ... grievances , promotion disputes, performance reviews, and departmental conflicts. + Ensure transparency and clarity in faculty affairs policies, governance, and… more