- Elevance Health (Mason, OH)
- ** Manager II Grievance / Appeals - Claims Support** This position will work in a hybrid model (remote and office). Ideal candidates will live within 50 ... miles of one of our PulsePoint locations. The ** Manager II Grievance / Appeals ** is responsible for management oversight of grievances and appeals … more
- Elevance Health (Mason, OH)
- …and plan risk, ensures quality, and regulatory compliance.** PRIMARY DUTIES: + Coordinates Grievance and Appeals Committee Meetings and Member Panel Hearings. + ... Leads grievance and appeals in regulated audits. +...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Cincinnati, OH)
- …of customer service and manages adjustments, ITS processing, keying, rate negotiation, grievance and appeals , escalations, etc., in providing a seamless Blue ... **Title: Plan to Plan Service Specialist II ** **Location:** This position will work a hybrid...internal business partners (sales, member experience, claims, medical review, appeals , etc.) and external contacts within the other Blues… more