- Fallon Health (Worcester, MA)
- …other applicable regulatory requirements and member and provider expectations. The FH Appeals and Grievances Triage Administrator serves to administer the FH ... more
- AmeriHealth Caritas (Philadelphia, PA)
- …more about us at www.amerihealthcaritas.com. **Responsibilities:** Reporting to the Supervisor, Appeals and Grievances , this position is responsible for the ... more
- VNS Health (Manhattan, NY)
- …receipt. Prepares letters requesting Appointment of Representative (AOR) forms in grievances and appeals filed on behalf of member representatives. Prepares ... more
- Point32Health (TX)
- …responsible for the accurate coordination, efficient administration and resolution of member appeals and member grievances submitted by Point32Health members for ... more
- Adecco US, Inc. (Los Angeles, CA)
- ** Appeals Representative - Remote from Southern California** **Pay Rate** : $20.00 - $23.00 per hour **Shift** : 8am - 4:30pm OR 8:30am - 5pm PST (to be ... more
- Concentrix (Albuquerque, NM)
- …their insurance related needs. Examples include: Inquiries regarding benefits, eligibility, appeals , grievances and troubleshooting medical devices. All while ... more
- Insight Global (Sacramento, CA)
- …to assisting with clinical or pharmacy related matters Accurately document and direct appeals and grievances according to department protocols and procedures and ... more
- City of New York (New York, NY)
- …jurisdiction of the Department of Correction" - Investigate serious incidents - Review grievances from people in custody and staff - Evaluate the performance of the ... more
- Commonwealth of Pennsylvania (PA)
- …service appeals , participating in different negotiating sessions as a representative for the Board, preparing for and presenting cases for unemployment ... more
- State of Colorado (CO)
- …employment laws, progressive discipline, records management, recruitment, responding to grievances , appeals , charges of discrimination, reorganization matters, ... more
- State of Colorado (Denver, CO)
- …to employee relations and providing analysis of potential risk (legal liability, appeals , grievances ) to the department. Employee relations issues may include, ... more
- State of Colorado (Chaffee County, CO)
- …of overtime costs and staff fatigue. + Experience in reviewing employee grievances to include providing written responses and developing plans of action for ... more
- State of Colorado (Golden, CO)
- …development training (as available) + Resolves informal staff grievances . Provide formal/informal performance feedback. Initiate progressive discipline, in ... more
- CSEA (Albany, NY)
- …of Appeals , NYS DHR, EEOC, Child Abuse Registry; contract grievances and disciplinary arbitration under various state and local collective bargaining agreements; ... more
- State of Colorado (Denver, CO)
- …conflicts, investigates and problem solves internal and external complaints and grievances from staff, youth, family, and other customers. Scheduling of clinic ... more
- State of Colorado (Denver, CO)
- …answers phone, order office and medical supplies, distribute and track medical grievances , arrange for repair of office equipment, monthly reporting, sort and ... more
- State of Colorado (Denver, CO)
- …with team members. + Resolve problems, performance issues, disputes, and informal grievances and initiate corrective action or recommend discipline as needed. + ... more
- State of Colorado (Alamosa, CO)
- …Mediate as necessary to resolve issues including interpersonal conflicts and informal grievances . + Schedule work for the field team including repairs, annual ... more
- State of Colorado (Pueblo, CO)
- …include dental holds, special diets and work restrictions; + Respond to offender grievances ; + Participate in the daily dental clinic operations to include tool ... more
- State of Colorado (CO)
- …makes recommendations to hire, promote or transfer; + Manages informal grievances , provides documentation to support corrective actions when needed; + Oversees ... more
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