- CVS Health (Tallahassee, FL)
- …Summary** Coordinate effective resolution of member and/or provider/practitioner appeals , complaints and grievances. Responsible for the day-to-day management ... of staff to ensure effective resolution of member or provider/practitioner appeals , complaints and grievances for all products, which may contain multiple issues… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …a member and provider call center, provider correspondence and appeals , clinical review, member correspondence and reconsiderations, enrollment, claims processing, ... Position Summary: The RN Clinical Provider Post Service Review Manager , led by a Registered Nurse, is responsible...associates who research and respond to provider inquires and appeals , build cases, and perform claim adjustments in a… more