- Centers Plan for Healthy Living (Staten Island, NY)
- Grievance and Appeals Coordinator 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #660 Tuesday, November 5, 2024 Centers Plan for Healthy Living's goal ... need for healthy living. JOB SUMMARY: As an integral part of the Grievance and Appeals (G&A) Department, the G&A Coordinator lends their support in… more
- Health First (Rockledge, FL)
- …(Health Insurance)* **Organization:** **HF Administrative Plan Inc* **Title:** *HFHP Appeal / Grievance Coordinator - Member Appeals Grievances* **Location:** ... *Florida - Brevard County-Rockledge* **Requisition ID:** *075564* more
- Centene Corporation (Phoenix, AZ)
- …member and provider complaints, grievances and appeals + Maintain files on individual appeals and grievances + May coordinate the Grievance and Appeals ... High school diploma or equivalent. Associate's degree preferred. 2+ years grievance or appeals , claims or related managed care experience. Strong oral, written,… more
- ManpowerGroup (Rancho Cucamonga, CA)
- **Title: Temporary Coordinator - Grievance and Appeals ** **Location:** **Rancho Cucamonga California 91730 (Hybrid)** **Schedule: Telecommute (once or twice ... Contract** **Pay Range $20.00 to $23.98/hr.** We are looking for a "Temporary Coordinator - Grievance and Appeals " to join one of our Fortune 500 clients.… more
- Commonwealth Care Alliance (Boston, MA)
- …clinical, operations, pharmacy, dental, reporting, and member services. * Supports the Senior Appeals & Grievance Coordinator and A/G Coordinator ... CCA- Appeals & Grievances Processing of Grievances & Appeals : * Responsible for the progress of grievance... Appeals : * Responsible for the progress of grievance and appeal intervention and resolution. * Assure verbal… more
- Apex Health Solutions (Houston, TX)
- …safety, cost efficiency and a commitment to the Continuous Quality Improvement Process. The Appeals & Grievance Coordinator will interact on a daily basis ... Summary: The Appeals and Grievances coordinator position is focused on the processing of customer and provider Medicare and Commercial appeals and… more
- Apex Health Solutions (Houston, TX)
- …safety, cost efficiency and a commitment to the Continuous Quality Improvement Process. The Appeals & Grievance Coordinator , Senior, will interact on a daily ... Summary: The Appeals and Grievances coordinator , Senior position, is focused on the processing of customer and provider Medicare and Commercial appeals and… more
- CVS Health (Tallahassee, FL)
- …of responses from multiple business units. Ensure timely, customer focused response to appeals , complaints and grievance . Identify trends and emerging issues and ... report and recommend solutions. -Research incoming electronic appeals , complaints and grievance to identify if appropriate for unit based upon published business… more
- Geisinger (Danville, PA)
- Job Summary Provides support in administration of the Appeals and Grievance process. Serves as a liaison between Members and the Plan with appeals regarding ... Health Plan and external entities, communicating with all entities involved throughout the appeals and grievance process. + Maintains strict compliance with all… more
- CareOregon (Medford, OR)
- …Oregon Health Plan Fee For Service program benefits). + Report member complaints to Appeals and Grievance team for investigation and follow-up, per protocol. + ... comply with all federal laws. Job Title Registered Nurse - Care Coordinator (Community) Exemption Status Exempt Department Clinical Services Manager Title Care Team… more
- State of Massachusetts (MA)
- …Services (EOHHS) seeks qualified applicants for the position of Labor Relations Coordinator - Health HR Office. Our ideal candidate is an experienced professional ... recommendations concerning changes as needed. Receives,logsandmaintainsgrievances, DLR and other litigation/ appeals and refers toappropriate Laborstaff. Assists the Director, through… more
- Sacramento Municipal Utility District (Sacramento, CA)
- …one or more collective bargaining units, including day-to-day contract management, grievance response and resolution, and labor negotiations. This position may also ... a Chief Negotiator in negotiations with labor unions as well as in grievance resolution efforts; provides ongoing employee relations services to SMUD departments 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 ... as or oversees the work of the department's ADA Coordinator for Shelter. + Acts as or oversees the...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- Missouri State University (Springfield, MO)
- …maintenance and use of University assets, issue permits, process parking tickets and appeals , etc. Description of Primary Duties This position will serve as a member ... the Armed Forces of the United States of America. The University maintains a grievance procedure incorporating due process available to any person who believes he or… more
- State of Colorado (Golden, CO)
- …team meetings in collaboration with CYSO III + Ensure that youth grievance policy and procedure are followed. Review of grievances to include investigation, ... facility and throughout CYSOs + Functions as the training Coordinator for the facility. Train staff in DYS Policy...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- …Coloradans can easily navigate and access needed services, including collaboration with the Grievance Section of the BHA to problem-solve and improve these areas of ... of the department's action. For more information about the appeals process, the official appeal form, and how to...this position, please direct your inquiries to our ADAAA Coordinator , Nancy Schmelzer, at cdhs_###@state.co.us or call ###. ~THE… more
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