• Supervisor, Appeals & Grievances

    Point32Health (MA)
    …. **Job Summary** Under the general direction of the Senior Manager of Appeals and Grievances the Appeals and Grievance Supervisor, through ... requirements, will coordinate and provide leadership for the daily operations of the Appeals and Grievances department. The Supervisor represents the Appeals more
    Point32Health (10/09/24)
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  • Grievance/ Appeals Analyst I (US)

    Elevance Health (Indianapolis, IN)
    …of clinical information. + The analyst may serve as a liaison between grievances & appeals and /or medical management, legal, and/or service operations and ... **Title: Grievance/ Appeals Analyst I** **Location:** This position...analyzes and processes non-complex pre service and post service grievances and appeals requests from customer types… more
    Elevance Health (10/29/24)
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  • Grievance/ Appeals Analyst

    Elevance Health (Los Angeles, CA)
    …of clinical information. + The analyst may serve as a liaison between grievances & appeals and /or medical management, legal, and/or service operations and ... **Title: Grievance/ Appeals Analyst I** **Location:** This position...analyzes and processes non-complex pre service and post service grievances and appeals requests from customer types… more
    Elevance Health (10/11/24)
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  • Grievance/ Appeals Analyst Lead

    Elevance Health (Richmond, VA)
    **Title: Grievance/ Appeals Analyst Lead** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of ... a California PulsePoint location. The **Grievance/ Appeals Analyst Lead** will be responsible for...review, analyze and process pre service and post service grievances and appeals requests related to clinical… more
    Elevance Health (10/25/24)
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  • Grievance/ Appeals Analyst Lead

    Elevance Health (Norfolk, VA)
    **Grievance/ Appeals Analyst Lead** **Candidates must be located within 50 miles of Atlanta, GA, Miami, FL, Mason, OH, Norfolk, VA, Tampa, FL, or Topeka, KS** The ... **Grievance/ Appeals Analyst Lead** is responsible for leading...review, analyze and process pre service and post service grievances and appeals requests related to clinical… more
    Elevance Health (10/11/24)
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  • Senior Human Resources Analyst - Multiple…

    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
    City and County of San Francisco (10/16/24)
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  • Program Analyst

    Food and Drug Administration (IN)
    …Solutions LER Staff and OEEO to track incoming concerns, complaints, and appeals while facilitating timely resolution on internal management issues and providing ... and misconduct. Requirements Conditions of Employment Qualifications The position of Program Analyst falls within the 0343 occupational series. To qualify for this… more
    Food and Drug Administration (10/30/24)
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  • Senior Analyst , Network Relations

    CVS Health (Baton Rouge, LA)
    …and provider education. + Participates, when requested, in Grievance and Appeals meetings, and/or assists with tracking and trending provider grievances ... required information from Providers, such as HEDIS, Credentialing. Grievance and Appeals , SIU, etc. Coordinates provider status information with member services and… more
    CVS Health (11/01/24)
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  • Region IV Manager

    State of Colorado (Grand Junction, CO)
    …not eligible for overtime compensation. Department Contact Information Nicole Hartog, HR Analyst ###@state.co.us How To Apply Please submit an online application for ... providing coaching and/or developing corrective action plans. + Resolves informal grievances , reviews formal grievances , and resolves customer and employee… more
    State of Colorado (10/26/24)
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