- Humana (Austin, TX)
- …in the form of objectives and determines approach, resources, schedules and goals. The ** Grievance and Appeals Manager ** is dedicated to delivering service ... and effectiveness of the Medicare and Medicaid G&A processes. The Grievance and Appeals Manager possesses strong leadership skills, in-depth knowledge of… more
- CVS Health (Austin, TX)
- …obtain crucial or required information from Providers, such as HEDIS, Credentialing, Grievance and Appeals , SIU, etc.- Coordinates provider status information ... with member services and other internal departments.- Recruits, develops, and motivates staff. Initiates and communicates a variety of personnel actions including, employment, termination, performance reviews, salary reviews, and disciplinary actions.-… more