- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Appeals and Grievances Clinical Operations RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... support the safety net required to achieve that purpose. Job Summary The Supervisor of Appeals and Grievances Clinical Operations (A&G) RN is responsible for… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Supervisor , Grievances & Appeals is an inventory based role, supporting a team of ... with appeal resolutions. This position will also support quality related go The Supervisor , Grievances & Appeals is an inventory based role, supporting a… more
- UCLA Health (Los Angeles, CA)
- …and federal regulations. + Assisting the unit Supervisor in overseeing the appeals and grievances process, ensuring that members and providers receive fair ... Description As the Senior Appeals and Grievances Analyst, you will be responsible for: + Assisting with all operational aspects of appeals and grievances… more
- LA Care Health Plan (Los Angeles, CA)
- Lead Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... required to achieve that purpose. Job Summary The Lead of Customer Solution Center Appeals and Grievances is responsible for assisting with the development of a… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will...Monitors closure of complaints and works with Quality Control Supervisor to resolve all database issues. Prepare and analyze… more
- Health First (Melbourne, FL)
- …to resolve internal operational issues that may cause increase to member appeals / grievances volumes and drive operational efficiencies. 10. Maintain technical ... Insurance)* **Organization:** **HF Administrative Plan Inc* **Title:** *Manager Complaints, Grievances , and Appeals * **Location:** *Florida - Brevard… more
- Generac Power Systems (Waukesha, WI)
- …technology solutions company, we continue to push new boundaries. **Job Description:** The ** Appeals and Grievances Coordinator** is a critical team player who ... events under general supervision with some guidance from leadership and higher-level Appeals and Grievances Specialists. **Job Responsibilities:** + Perform a… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor (RN) directs and coordinates the accurate implementation of the clinical appeal process ... data and data related to the volume and complexity of the appeals and grievances submitted for resolution. **SUPERVISORY RESPONSIBILITY:** This position… more
- Conduent (Hamilton, NJ)
- …and Health Services (DMAHS) of New Jersey. **Reports To** This position reports to the Appeals Supervisor and the Appeals Manager. The Appeals Manager ... individuality is noticed and valued every day. Fair Hearing Appeals Agent $18.50/ Hourly Onsite- Hamilton, NJ Full-time and...for an appeal (Fair Hearings for Plan A and Grievances for Plans B, C, and D) in a… more
- Commonwealth of Pennsylvania (PA)
- Clerical Supervisor 2 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4741263) Apply Clerical Supervisor 2 Salary $44,890.00 - $67,678.00 ... Protection is on the lookout for a skilled Clerical Supervisor 2 to become part of our South Central...DATA ENTRY Perform activities such as reviewing and processing appeals , data entering information into system, searching records, ordering… more
- State of Colorado (Golden, CO)
- CORRECTIONAL, YOUTH, SUPERVISOR III Aspire Youth Service Center Overnight Shift- Repost Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4740045) ... Apply CORRECTIONAL, YOUTH, SUPERVISOR III Aspire Youth Service Center Overnight Shift- Repost Salary $67,644.00 Annually Location Golden, CO Job Type Full Time Job… more
- State of Colorado (Lakewood, CO)
- Correctional Youth Security Supervisor III - Phoenix YSC in Lakewood Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4724122) Apply ... Correctional Youth Security Supervisor III - Phoenix YSC in Lakewood Salary $67,644.00 - $91,356.00 Annually Location Lakewood, CO Job Type Full Time Job Number IKA… more
- State of Colorado (Canon City, CO)
- Canteen Supervisor CSTS I (Canon City) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4732934) Apply Canteen Supervisor CSTS I (Canon ... with an emphasis on excellent customer service. This position is a Canteen Supervisor , Correctional Support Trades Supervisor I (CSTS I). This position ensures… more
- State of Colorado (Denver, CO)
- CDOC General Maintenance Supervisor CSTS I (Denver Complex) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4728825) Apply CDOC General ... Maintenance Supervisor CSTS I (Denver Complex) Salary $4,932.00 - $6,904.00...pay, creates schedule and assigns tasks and resolves informal grievances ; inspects work and performs inmate evaluations; reduces inmate… more
- State of Colorado (Chaffee County, CO)
- CDOC Warehouse Supervisor CSTS I (BVCC) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4724235) Apply CDOC Warehouse Supervisor CSTS I ... fill future vacancies at this location. Description of Job This Correctional Support Trades Supervisor I (CSTS I) is a Warehouse Supervisor for the Colorado… more
- State of Colorado (Canon City, CO)
- Wildland Fire Fighting Supervisor CSTS I (Canon City) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4672506) Apply Wildland Fire Fighting ... Supervisor CSTS I (Canon City) Salary $4,932.00 - $6,904.00...pay, creates schedule and assigns tasks and resolves informal grievances according to agency policy; reduces offender idleness and… more
- State of Colorado (Pueblo, CO)
- Occupational Therapist Supervisor - Therapist IV Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4506134) Apply Occupational Therapist ... Supervisor - Therapist IV Salary $98,000.00 Annually Location Pueblo,...signs performance plans, reviews and evaluations and resolves informal grievances . Position starts the hiring process, interviews applicants, and… more
- State of Colorado (Denver, CO)
- Evidential Breath Alcohol Testing Program Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4733222) Apply Evidential Breath Alcohol ... Testing Program Supervisor Salary $95,220.00 - $104,748.00 Annually Location Denver Metro,...performance problems and issues, disputes, and informal (Step 1) grievances ; recommends corrective actions and discipline to management as… more
- LA Care Health Plan (Los Angeles, CA)
- …review of the configuration of health services/population health as well as appeals and grievances systems, applications, etc. Equivalency: Completion of the ... Supervisor , Quality Configuration Assurance Job Category: Information Technology...net required to achieve that purpose. Job Summary The Supervisor , Quality Configuration Assurance works with the Manager, Systems… more
- Mohegan Sun (Uncasville, CT)
- …Summary: This position clarifies company policies and procedures, investigates employee grievances and assists management in the proper interpretation and consistent ... employee performance improvement plans + Investigates and documents employee complaints and grievances to ensure compliance and a fair resolution + Assists in… more