- Elevance Health (New Hyde Park, NY)
- ** Manager II - Grievances & Appeals -** ** Provider Disputes** **Location:** This position will work a hybrid model (in office 1-2 days per week). The ... Open Access Pulse Points listed in this requisition. **The Manager II - Grievances & Appeals...a resource for complex issues and interpretation of claims, provider contracts and data, eligibility, member contracts, benefits, clinical… more
- Elevance Health (New Hyde Park, NY)
- ** Manager I - Grievances & Appeals -** ** Provider Disputes** **Location:** This position will work a hybrid model (in office 1-2 days per week). The ... 50 miles of one of our Open Access Pulse Points listed in this requisition. **The Manager I - Grievances & Appeals ** will be responsible for management… more
- VNS Health (Manhattan, NY)
- …Director, third party administrator, pharmacy benefit manager , to achieve resolution of appeals and grievances . + Ensures the accuracy and integrity of data ... of healthcare? VNS Health Plans is seeking a dedicated Manager , Grievance and Appeals (RN)to lead the...Lead with Purpose: Manage day-to-day activities for staff handling grievances and appeals across our Managed Long… more
- Elevance Health (New Hyde Park, NY)
- …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals , and state audits. **Minimum Requirements:** + Requires BA/BS ... with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. + Manages non-clinical needs of members with… more
- VNS Health (Manhattan, NY)
- …the administration of all BH QM/UM and performance improvement activities, encompassing grievances and appeals , and contributes to various other subcommittees ... certifications, and work in high need areas. What We Provide + Referral bonus opportunities + Generous paid time...director meetings as stipulated by the State BH contract manager . Serves as the principal behavioral health/social care expert… more