- Elevance Health (Wallingford, CT)
- ** 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 (Wallingford, CT)
- ** 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
- Elevance Health (Wallingford, CT)
- …of a relevant Elevance Health location. **Responsible for management oversight of grievances and appeals departmental units to investigate, resolve, and respond ... to grievances and appeals , manages inventory and production...a resource for complex issues and interpretation of claims, provider contracts and data, eligibility, member contracts, benefits, clinical… more
- Elevance Health (Wallingford, CT)
- …Department responsible to review, analyze and process pre service and post service grievances and appeals requests related to clinical and non clinical services, ... a quality manner. + May also be responsible to provide review and analysis of complex pre service and...and analysis of complex pre service and post service grievances and appeals requests from customer and… more
- The Cigna Group (Bloomfield, CT)
- …related issues, implications and decisions. The Case Management Analyst reports to the Supervisor/ Manager of Appeals and will coordinate and perform all appeal ... in Medicare Part C + Ability to differentiate different types of requests Appeals , Grievances , coverage determination and Organization Determinations in order to… more