• Specialist , Appeals

    Molina Healthcare (Rochester, NY)
    …+ Responsible for the comprehensive research and resolution of the appeals , dispute, grievances , and/or complaints from Molina members, providers ... that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance outcomes. +… more
    Molina Healthcare (01/21/25)
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  • Utilization Management Specialist

    FLACRA (Clifton Springs, NY)
    …closely with Managed Care insurance providers to understand their policies, including grievances and appeals , and assist clients with advocacy as needed. ... Utilization Management Specialist Clifton Springs, NY (Onsite) Full-Time $16.50 - $17.50/Hour Apply Now… more
    FLACRA (01/11/25)
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