- Point32Health (VA)
- …direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations ... for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual… more
- Sacramento Municipal Utility District (Sacramento, CA)
- Title: Principal Employee & Labor Relations Analyst Department: Employee Relations Location: Sacramento, CA, US, 95817-1899 Category: Human Resources **Minimum Pay ... SMUD's People Services and Strategies Department seeks a Principal Employee Relations Analyst to provide professional and analytical support as well as subject… more
- Maryland Department of Transportation (Anne Arundel County, MD)
- Labor Relations Analyst (HR Analyst I) Salary $53,808.00 - $86,322.00 Annually Location Anne Arundel County Job Type Full Time Remote Employment ... Closing Date Continuous + Description + Benefits + Questions Description Labor Relations Analyst (HR Analyst I) Grade 14 Job Specific Recruitment The Labor… more
- CareFirst (Baltimore, MD)
- …Collaborates with the training team, department business analyst , and the clinical appeals and grievance management team to develop resources for appeals ... (RN) is to evaluate clinical quality and procedures within the Clinical Appeals & Grievance Department Government Programs (Maryland Medicare and Medicaid).… more
- Geisinger (Danville, PA)
- …billing, and reimbursement. + Completes clinical reviews related to Claims, Claim Edits, Appeals and the Grievance process, assisting in analysis of clinical ... risk related to Underwriting, Pharmacy, and Finance departments. + Recommends recovery efforts based on current contracts, policies, procedures and accepted industry standards. + Reviews and validates pended and reconsidered claims when edits are applied by… more
- City and County of San Francisco (San Francisco, CA)
- …ensuring adherence to relevant City laws and regulations, including the Shelter Grievance Ordinance, and managing the shelter placement process. + Oversees the ... to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or...the online application was not submitted or received. Exam Analyst Information: If you have any questions regarding this… more
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