• Supervisor, Appeals & Grievances

    Point32Health (MA)
    …and communities. **Job Summary** SUMMARY Under the general direction of the Senior Manager of Appeals and Grievances the Appeals and Grievance ... more
    Point32Health (03/14/25)
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  • Senior Provider Relations Manager

    Magellan Health Services (Las Vegas, NV)
    …Solid knowledge of health plan operations required. General Job Information Title Senior Provider Relations Manager Grade 26 Work Experience - Required ... more
    Magellan Health Services (02/08/25)
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  • Senior Medical Director - Sharp Health Plan

    Sharp HealthCare (San Diego, CA)
    …as needed.Completes and/or supervises the completion of all clinical appeals and grievances . Collaborates with Customer Care Manager to identify trends in ... more
    Sharp HealthCare (01/19/25)
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  • Manager , Employee & Labor Relations

    University of Delaware (Newark, DE)
    Manager , Employee & Labor Relations Job no: 501789 College / VP Area:Office of Human Resources Work type: Staff Location: Newark/Hybrid Categories: Human Resources, ... more
    University of Delaware (03/19/25)
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  • Human Services Division Manager Range A/B

    Sacramento County (Sacramento, CA)
    Human Services Division Manager Range A/B Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/2234944) Apply  Human Services Division Manager ... more
    Sacramento County (03/05/25)
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  • Behavioral Health Compliance Manager

    Ventura County (Ventura, CA)
    …agencies as needed; + Serves as the compliance point of contact for grievances , appeals , and Notices of Adverse Benefit Determinations (NOABDs); + Supervises ... more
    Ventura County (03/17/25)
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  • Deputy Director - Departmental Hearings…

    MTA (New York, NY)
    …ensures effective and timely processing of investigations, pre-trial conferences, trials, union appeals and assists with answering grievances . The position is ... more
    MTA (03/14/25)
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  • Director, Quality

    Somatus (Mclean, VA)
    …Special Need Plans (SNPs). The Director, Quality will work closely with Sr. Manager , Audit Risk and the Regulatory and Accreditation Team to ensure compliance with ... more
    Somatus (02/11/25)
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  • Deputy Director of Regulatory Affairs - Mgmt…

    State of Colorado (Denver, CO)
    …division's Climate Change program. This position, with departmental leadership and Senior APCD Division Director, lead in developing and implementing Colorado's air ... more
    State of Colorado (03/19/25)
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  • Compliance Delegation Oversight Advisor II

    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 ... more
    LA Care Health Plan (03/19/25)
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