- Point32Health (MA)
- …**Job Summary** SUMMARY Under the general direction of the Senior Manager of Appeals and Grievances the Appeals and Grievance Supervisor, through ... 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, ... more
- Point32Health (Canton, MA)
- …general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations ... more
- Point32Health (MA)
- …**Job Summary** Under general direction of the Supervisor of Member Appeals and Grievances , the primary function of the Sr. Analyst is to ensure the ... more
- Commonwealth of Pennsylvania (PA)
- Human Resource Analyst 3 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4868263) Apply Human Resource Analyst 3 Salary $66,250.00 - ... more
- City and County of San Francisco (San Francisco, CA)
- …bargaining agreements. + Key duties include negotiating resolutions to grievances , investigating complaints of serious employee misconduct, and conferring with ... more
- LA Care Health Plan (Los Angeles, CA)
- …Physical Requirements Light Additional Information Department Specifics: Customer Solution Center Appeals and Grievances : This position requires work after ... more
- Elevance Health (Norfolk, VA)
- …to manage Claim Payment Appeal escalations and may serve as a liaison between grievances & appeals and /or medical management, legal, service operations and/or ... more
- Highmark Health (Camp Hill, PA)
- …materials for responding to external audit requests. + Provide support in the appeals & grievances and complaints tracking & resolution processes impacting ... more
- CVS Health (Springfield, IL)
- …building. + Coordinate with Network Management to issue provider CAP + Monitor Grievances according NCQA standards categories (3 grievances per QTR), including ... more
- Evolent (Columbus, OH)
- …supporting Evolent's clinical services (ie, specialty care, utilization management, care management, appeals & grievances ) + Using analytical tools to integrate ... more
- Tiffany & Co. (New York, NY)
- …retaliation, wage and hour violations, disciplinary actions, and employee and applicant appeals and grievances when requested + Ensure consistent and equitable ... more
- Healthfirst (NY)
- …an at-a-glance view of key performance indicators (KPIs), member feedback based on appeals and grievances , utilization and spend across our Healthfirst products. ... more
- The County of Los Angeles (Los Angeles, CA)
- …personnel in their unit and effectively recommending the adjustment of grievances and disciplinary problems. Other positions are assigned such functions as: ... more