- Henry Ford Health System (Troy, MI)
- …prompt and thorough investigation of medical, transportation, and pharmacy member appeals and grievances for Health Alliance Plan's (HAP's): Commercial, Medicare ... Advantage, Medicare-Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify trending issues on an ongoing basis and provide root/cause analysis… more
- Henry Ford Health System (Troy, MI)
- …study preferred. + Experience working in Pega Customer Relationship Manager/Appeal and Grievance preferred. + A working knowledge of appeals , grievances, ... SUMMARY: Responsible for addressing customer inquiries, grievances (complaints), identify appeals , process Individual plan cancellation requests, process deductible transfer… more