- VNS Health (Manhattan, NY)
- …the administration of all BH QM/UM and performance improvement activities, encompassing grievances and appeals , and contributes to various other subcommittees ... leadership and medical director meetings as stipulated by the State BH contract manager . Serves as the principal behavioral health/social care expert and liaison for… more
- Elevance Health (Bon Air, VA)
- …+ HS diploma or equivalent + Minimum of 3 years of Grievance & Appeals Senior analyst experience; or any combination of education and experience which ... review, analyze and process pre service and post service grievances and appeals requests related to clinical...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Sacramento County (Sacramento, CA)
- Senior Contract Services Officer Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/3577509) Apply Senior Contract Services Officer Salary ... cut-offs are at 5:00 pm on: 7/5/24, 8/2/24, 8/30/24, 9/27/24 (final) Senior Contract Services Officer performs leadwork and/or advanced journey level, analytical… more
- Sacramento County (Sacramento, CA)
- Human Resources Manager I Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/3385544) Apply Human Resources Manager I Salary $137,265.12 - ... at 5:00 pm on: 9/20/24, 10/18/24 (final) Positions assigned to Human Resources Manager I, under direction, manage a human resources program that may include… more
- Point32Health (Canton, MA)
- …process improvement activities. Report actual and potential risks for non-compliance to senior manager and lead mitigation planning activities. Provide guidance ... plans; and working collaboratively with other departments such as Appeals and Grievances , Pharmacy, Customer Relations, the...to senior manager and team managers on regulations… more
- US Army Cyber Command (GA)
- …myriad of EEO problems; advising on high-level policies and practices including appeals and grievances , labor relations, position classification, training, and ... is located at Ft. Eisenhower, Georgia. Responsibilities Serves as the Equal Employment Manager for the US Army Cyber Command (ARCYBER) and Joint Force Headquarters -… more
- Fallon Health (Worcester, MA)
- …as quality improvement, credentialing, member rights, utilization management, including member appeals and grievances to support them in accreditation ... general direction from the Director of Quality, the Program Manager , Accreditation & Audit ensures that the health plan...regulatory environment to promote awareness with other directors and senior leaders of the health plan the impact of… more
- Elevance Health (Indianapolis, IN)
- …certification will be considered.** **The Strategy Director** supports Government Business Grievances & Appeals and Government Business Enrollment Billing. In ... metrics to track budget and spending. + Collaborates with senior team and staff to develop tactical plans and...+ Business knowledge in Government Health Benefits to include Grievances & Appeals and/or Enrollment Billing preferred.… more
- LA Care Health Plan (Los Angeles, CA)
- …care setting. Experience in health care auditing and monitoring (preferably in Appeals , Grievances , Quality Improvement, Utilization Management (UM) and so ... for the Regulatory Compliance unit, the Advisor also advises and supports the Manager , Director, and Chief Compliance Officer on other duties as assigned to support… more
- VNS Health (Manhattan, NY)
- …the administration of all BH QM/UM and performance improvement activities, encompassing grievances and appeals , and contributes to various other subcommittees ... leadership and medical director meetings as stipulated by the State BH contract manager . Serves as the principal behavioral health/social care expert and liaison for… more
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