- Highmark Health (Trenton, NJ)
- …of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals ; initiates a case file for each grievance and appeal; ensures ... all involved parties. + Participate in workgroup meetings to address trends in appeals and grievances and to work on process improvement initiatives with cross… more
- CVS Health (Trenton, NJ)
- …Management Analyst will be responsible for the end-to-end practitioner appeals process and business immediate termination letters. This will include coordination ... Qualifications** -Act as subject matter expert for individual practitioner appeals and immediate termination letters. -Create and collect all documentation… more
- ADP (Florham Park, NJ)
- ADP is hiring a Compliance Analyst . **At ADP we are driven by your success.** We engage your unique talents and perspectives. We welcome your ideas on how to do ... observations. + Provide required steps to bring issues into compliance. + Resolve appeals , drive improved process, quality, and best practices + Monitor licenses of… more