- Humana (Indianapolis, IN)
- …of our caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a ... with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties… more
- Elevance Health (Indianapolis, IN)
- **SCA Appeals Representative I** **_Locations:_** _This is a virtual position. The ideal candidate must live within 50 miles of one of our NGS_ **_OR_** ... - $18.15 + Louisville, KY - $17.25 The **SCA Appeals Representative I** position is an entry-level...review tools to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical… more
- Highmark Health (Indianapolis, IN)
- …and member requests, received from Medical Management & Policy (MM&P) and Member Grievance Departments. * Responsible for management of Peer to Peer telephone line. ... timely receipt, review and assignment of all incoming physician reviewer referrals and appeals to ensure that NCQA, URAC, CMS, DOH, DOL and state specific regulatory… more
- State of Indiana (Shelbyville, IN)
- …a welcoming, accessible, and equitable workplace with a workforce that is representative of Indiana's population. As a proud equal opportunity employer, reasonable ... dinning, working and recreational areas. + Provide testimony at hearings, trials, appeals and criminal proceedings. + Conduct searches and seizures. + Some essential… more