- Centene Corporation (Sacramento, CA)
- …reside in California **Healthcare lead experience with claims, appeals, and grievance strongly preferred.** **Position Purpose:** The Supervisor of Appeals & ... more
- VNS Health (Manhattan, NY)
- …the complexities of healthcare? VNS Health Plans is seeking a dedicated Manager, Grievance and Appeals (RN)to lead the daily operations of our grievance ... more
- City of New York (New York, NY)
- …7,500 diverse professionals and knowledgeable experts. The Office of Constituent and Grievance Services (OCGS) is hiring Grievance Investigators who are ... more
- State of Arkansas (Grady, AR)
- ADC INMATE GRIEVANCE COORDINATOR Date: Feb 20, 2025 Req ID: 47359 Location: Grady - Varner Unit, AR, US, 71644 Category: DEPARTMENT OF CORRECTION Anticipated ... more
- City of New York (New York, NY)
- …to provide administrative support to the Executive Director of Constituent and Grievance Services. The Office of Constituent and Grievance Services (OCGS) ... more
- Point32Health (TX)
- …communities. **Job Summary** Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible ... more
- CoreCivic (Dilley, TX)
- …and 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 ... more
- CoreCivic (Leavenworth, KS)
- …and 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 ... more
- VNS Health (Manhattan, NY)
- …maintains accurate records documenting the actions and rationale for each grievance or appeal decision. Develops correspondence communicating the outcome of ... more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** Hybrid position - Temple, TX The Appeals and Grievance Specialist performs reviews, within operational aspects, of the member and provider ... more
- CVS Health (Phoenix, AZ)
- …new opportunity within the Grievances team in Scottsdale, AZ. As a Grievance Analyst, you will be responsible for researching, resolving, and communicating any ... more
- Centene Corporation (Tallahassee, FL)
- …Purpose:** Supervise the day to day operations of the Appeals and Grievance (A&G) staff and functions within the department ensuring productivity and quality ... more
- VNS Health (Manhattan, NY)
- …established procedures. Maintains confidentiality of information. + Maintains knowledge of Grievance and Appeals (G&A) procedures, and CMS and DOH regulatory ... more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Appeals and Grievance Coordinator is responsible for intake into the Appeals and Grievances Department, including verbal and written complaints, ... more
- EGA Associates (PA)
- …Physician **Specialty** Internal Medicine **Job ID** 16155235 **Job Title** Grievance Reviewer **Shift Details** **Shifts Per Week** 5 **scheduledHrs_1** 40.0 ... more
- CVS Health (Springfield, IL)
- …and reroute inappropriate work items that do not meet appeal, complaint and grievance criteria as well as identify trends in misrouted work. -Assemble all data ... more
- BayCare Health System (Clearwater, FL)
- …Equal Opportunity Employer Veterans/Disabled **Position** Intake Specialist Appeal and Grievance - Health Plan **Location** Clearwater:Park Place | Business and ... more
- Highmark Health (Monroeville, PA)
- …oversight and enhancement of all Service Excellence efforts including complaint, grievance , and internal investigations of patient and family concerns. Duties ... more
- AmeriHealth Caritas (Philadelphia, PA)
- …+ Research and Investigate member and/or provider appeals and grievance requests, including review of UM/claim denial reasons, contract/regulatory rules, ... more
- University of North Carolina- Chapel Hill (Chapel Hill, NC)
- …The Hearing Officer is also responsible for conducting fair and impartial grievance hearings and adjudicating grievances in non-faculty employee grievance ... more
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