- Commonwealth Care Alliance (Boston, MA)
- …Reporting to the Director of Appeals & Grievances , the Manager , Appeals & Grievances (A&G) Audit and Oversight is responsible for the oversight ... grievances within the Appeals & Grievances Department and delegated entities. The manager ...+ Leads and represents Member Appeals and Grievances -relatedexternal CMS audits, NCQA Standards, state audit … more
- Point32Health (Canton, MA)
- …action plans; and working collaboratively with other departments such as Appeals and Grievances , Pharmacy, Customer Relations, the Corporate Compliance ... an " audit ready" department culture. Collaborate with department Senior Manager & Team Managers, Corporate Compliance and other departments to coordinate… more