- UCLA Health (Los Angeles, CA)
- …point of contact for receipt of member-initiated complaints and Health Plan grievances and appeals. The Grievance and Appeals Intake Coordinator is responsible for ... more
- Point32Health (MA)
- …**Job Summary** Under the Supervisor's direction, the Member Appeals and Grievances Department Coordinator assists with all operational aspects of the Member ... more
- AmeriHealth Caritas (Philadelphia, PA)
- …at www.amerihealthcaritas.com. **Responsibilities:** Reporting to the Supervisor, Appeals and Grievances , this position is responsible for the administrative tasks ... more
- LA Care Health Plan (Los Angeles, CA)
- Lead Customer Solution Center Appeals and Grievances Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances Location: Los ... more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Appeals and Grievances Clinical Operations RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... more
- Point32Health (MA)
- …SUMMARY Under the general direction of the Senior Manager of Appeals and Grievances the Appeals and Grievance Supervisor, through the use of general knowledge of ... more
- Point32Health (MA)
- …communities. **Job Summary** Under the direction of the A&G Manager, the Appeals & Grievances QA Auditor audits the quality of letters and keyed entries from the ... more
- LA Care Health Plan (Los Angeles, CA)
- Appeals & Grievances Regulatory Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... more
- Commonwealth Care Alliance (Boston, MA)
- 011540 CCA-Appeals & Grievances **Position Summary:** Appeals and Grievances Program Advisor monitors and supports the operations and compliance of the Appeals ... more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... more
- Healthfirst (NY)
- …and Responsibilities:** + Conduct quality audits of A&G items including grievances , pre-service appeals, and post service appeals utilizing appropriate sources of ... more
- Healthfirst (AL)
- …+ Experience in clinical practice with experience in appeals & grievances , claims processing, utilization review or utilization management/case management. + ... more
- VNS Health (Manhattan, NY)
- …to: * Lead with Purpose: Manage day-to-day activities for staff handling grievances and appeals across our Managed Long Term Care (MLTC), Medicare Advantage ... more
- Highmark Health (Monroeville, PA)
- …RESPONSIBILITIES** + Effectively triage, investigate, resolve and document complaints and grievances while ensuring adherence to the Patient Bill of Rights, ... more
- Washington Metropolitan Area Transit Authority (New Carrollton, MD)
- …including investigations and the administration of disciplinary actions and contract grievances , using extensive knowledge of WMATA's five (5) collective bargaining ... more
- CVS Health (Springfield, IL)
- …appeals. Responsible for managing to resolution of appeals, complaints and grievances scenarios for all products, which contain multiple issues and may ... more
- VNS Health (Manhattan, NY)
- OverviewResolves grievances , appeals and external reviews for one of the following VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage ... more
- Commonwealth of Pennsylvania (PA)
- …responsible for conducting disciplinary investigations, investigating and resolving union grievances , acting as the employer advocate at unemployment compensation ... more
- TAD PGS, Inc. (Chicago, IL)
- …+ Acts as the hearing officer in connection with union grievances , schedules grievance hearings, coordinates hearings with necessary parties, interprets collective ... more
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