- Centene Corporation (Oklahoma City, OK)
- …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
- G-TECH Services, Inc. (Detroit, MI)
- …Multi-task Preferred Skills/Experience - Optional but preferred skills/experience. Include: * Grievance and Appeals experience. * Degree in Healthcare/computer ... Process appeals and grievances, analyze, research, and provide comprehensive...analyzing a claim * Experience in classification between a grievance /appeal/organizational determination. * Letter writing * Basic computer skills.… more
- CVS Health (Charleston, WV)
- …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
- Corewell Health (Grand Rapids, MI)
- …policies which may impact the appeal and review process + Previous experience with grievance and appeals processes. About Corewell Health As a team member at ... Health - 1231 E Beltline - Grand Rapids Department Name PH - Grievance And Appeals Medicare Employment Type Full time Shift Day (United States of America) Weekly… more
- State of Colorado (Pueblo, CO)
- Placement Coordinator - Pueblo Regional Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4797562) Apply Placement Coordinator - ... and assistance in ensuring individual rights are protected, implementation of grievance processes, transition planning, and obtaining benefits as needed. + Assists… more
- Roper St. Francis (SC)
- …SC** **Shift: Full time** **Job Summary** **:** The Patient Relations & Legal Coordinator aids in complaints and grievances management as well as legal matters to ... resolutions, receives & forwards compliments, issues acknowledgement letters, forwards grievance forms within the designated timeframe, assists with accreditation… more
- State of Colorado (Greeley, 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 (Golden, CO)
- …team meetings in collaboration with CYSO III + Ensure that youth grievance policy and procedure are followed. Review of grievances to include investigation, ... 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
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …medical quality of care and actively participates in the functioning of the plan's grievance and appeals processes. + Along with the nurse supervisor and manager ... URAC, ERISA or state regulations. + Supports training of the nurses and coordinator to improve their knowledge, independence, and understanding. + Serves as medical… more
- Transdev (Dorchester, MA)
- …be called upon to testify on behalf of the Company during the Union grievance process, Accident Review Committee meetings, Safety appeals meetings, and other ... safety problems, and documents safety violations. + Assists DriveCam Manager and Coordinator by coaching Drivers in response to video recorded unsafe driving events.… more
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