- Point32Health (MA)
- …the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for ... responsible for the accurate coordination, efficient administration and resolution of member appeals and member grievances submitted by Point32Health members for… 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 ... responsible for the accurate coordination, efficient administration and resolution of member appeals and member grievances submitted by Point32Health members for… more
- City and County of San Francisco (San Francisco, CA)
- …or San Francisco City College, working within the 1246 Principal Human Resources Analyst classification. ABOUT THE CITY AND COUNTY OF SAN FRANCISCO: San Francisco is ... as deemed necessary; investigate and respond to complaints, protests and appeals regarding examination matters. + Supervises and participates in classification… 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 ... professional human resources experience, similar to 1241 Human Resources Analyst , in one or more of the following areas...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- Sharp HealthCare (San Diego, CA)
- …departments and the Sharp HealthCare claims department. + Other DutiesProvides support to the Appeals and Grievances team as it relates to claims processing and ... and provides data and financial analysis for its providers. The Contracts Analyst is responsible for operational support to respond to contract informational needs;… more
- AnMed Health (Anderson, SC)
- …Administration or related field (required) 2-4 years experience in managed care, appeals , grievances , utilization management, or revenue cycle Proficiency in ... Microsoft Office (Excel and Word) Excellent communication/professional writing/interpersonal skills Superior analytical, investigation & problem solving skills Ability to work remote and manage time well, staying organized/meeting deadlines Benefits* . Medical… more
- State of Colorado (Brighton, CO)
- …This position ensures compliance with nondiscrimination policies and manages grievances related to discrimination. This position manages complaints, develops ... + Review of videos involving physical response, abuse allegations, and youth grievances (if applicable). Additional reviews as required by the Youth Center… more
- State of Colorado (Pueblo, CO)
- …disciplinary actions; approves leaves; assigns work schedules; resolves informal grievances ; establishes acceptable work standards; sets priorities; initiates hiring ... a witness in estate, bankruptcy settlements, and court hearings regarding claim appeals and debt collection proceedings to ensure the Department gets appropriate… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Experience: Minimum 3 years of relevant experience in healthcare, quality assurance, appeals , or grievances . + Previous supervisory experience preferred. + ... is responsible for overseeing the day-to-day operations of the Operations Quality Analyst team within the Community Health Choices program. This role ensures… 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: ... first level technical and administrative supervision to the complaint or advanced-level appeals unit. Essential Job Functions + Supervises the activities of all… more
- State of Colorado (Centennial, CO)
- …conflicts, investigates and problem solves internal and external complaints and grievances from staff, youth, family, and other customers. Scheduling of clinic ... and minimum requirements. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online… more
- State of Colorado (Pueblo, CO)
- …after hours. + Addresses patient complaints/complaints of family and resolves patient grievances at the unit level. + Aware of patient allergies, sensitivities of ... of state service experience. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online job… more
- State of Colorado (Aurora, CO)
- …+ Complete PMP's, status changes, implement progressive discipline and respond to grievances as required + Follows standardized recipes and prepares all aspects of ... & Competencies: Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of...if your application is eliminated. You will find the appeals process, the official appeal form, and how to… more