- Elevance Health (Olathe, KS)
- ** Provider Grievance and Appeals - Business Change Advisor** **Location: Topeka KS, or Olathe, KS** This position will work a hybrid model (remote and ... of one of our Kansas Elevance Health PulsePoint locations. The ** Provider Grievance and Appeals - Business Change Advisor** is responsible for… more
- Elevance Health (Olathe, KS)
- …will make an impact:** + Conducts investigations and reviews of member and provider medical necessity appeals . + Reviews prospective, inpatient, or retrospective ... **Nurse Appeals ** **Location:** This position will work a hybrid...timely to meet regulatory timeframes. + Documents and logs appeal/ grievance information on relevant tracking systems and mainframe systems.… more
- Elevance Health (Olathe, KS)
- …members. + Collaborates with Network Relations, Quality, and Grievance and Appeals on identifying and supporting provider corrective action plans. + ... one or more external client facing programs within a business unit. Program consultants typically support business ...abuse, neglect, or exploitation. + Makes a referral to Grievance and Appeals when a potential quality… more