• Harbor Health Services, Inc. (Mattapan, MA)
    …quality and consistency of decisions. Supervisory responsibilities for UM RN, Quality Analyst , Appeals and Grievances Specialist. Requirements: Bachelor's ... of quality measures and other data by the Quality Analyst for report to regulatory agencies, including CMS and...communication to employees about QI efforts. Working with the Appeals and Grievances Specialist, maintains oversight of… more
    job goal (12/15/25)
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  • Appeals and Grievances…

    Point32Health (Canton, MA)
    …general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations ... responsible for the accurate coordination, efficient administration and resolution of member appeals and member grievances submitted by Point32Health members for… more
    Point32Health (12/09/25)
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