- Banner Health (AZ)
- …work, we invite you to bring your experience and skills to BPN. As a Senior Grievance & Appeals Coordinator you will call upon your years of experience ... in appeals and grievances, in a health plan,...claims, disputes, and grievances. You will also assist the Grievance & Appeals Managers with day-to-day operations.… more
- Centene Corporation (Tempe, AZ)
- …**Position Purpose:** Analyze and resolve verbal and written claims and authorization grievance / appeals from providers and members. Resolve all State inquires ... million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization...* Act as subject matter expert regarding grievances and appeals . * Lead Appeals and Grievance… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Grievance and Appeals Coordinator 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #660 Wednesday, June 5, 2024 Centers Plan for Healthy Living's goal is ... living. JOB SUMMARY: As an integral part of the Grievance and Appeals (G&A) Department, the G&A Coordinator lends their support in processing member-related… more
- CVS Health (Columbus, OH)
- …to make health care more personal, convenient and affordable. Position SummaryCreated grievance and appeals cases in the G&A system and sends acknowledgement ... Bring your heart to CVS Health . Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health . This purpose… more
- LA Care Health Plan (Los Angeles, CA)
- …Appeals and Grievances Coordinator I supports the Customer Solution Center Appeals & Grievance Specialists by handling the administrative functions of the ... Customer Solution Center Appeals and Grievances Coordinator I Job...staff to render decisions, assists the Customer Solution Center Appeals & Grievance Manager and Director in… more
- Geisinger (Danville, PA)
- Job Summary Provides support in administration of the Appeals and Grievance process. Serves as a liaison between Members and the Plan with appeals regarding ... as the primary resource regarding the complaint, appeal and grievance processes to all other Health Plan...external entities, communicating with all entities involved throughout the appeals and grievance process. + Maintains strict… more
- Magellan Health Services (San Diego, CA)
- …case management and processes appeal requests. In some cases may be combined with Grievance Coordinator functions. + Maintains a caseload and monitors day to day ... ensuring documents meet standards and are accurate. General Job Information Title Appeals Coordinator Grade 19 Work Experience - Required Customer Service… more
- CVS Health (Harrisburg, PA)
- … care more personal, convenient and affordable. Position Summary The Medicare Grievance Sr. Coordinator will fully research and resolve beneficiary complaints. ... Bring your heart to CVS Health . Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health . This purpose… more
- CVS Health (Fresno, CA)
- …carrying a modified case load including but not limited to:-Research incoming electronic appeals , complaints and grievance to identify if appropriate for unit ... Bring your heart to CVS Health . Every one of us at CVS ...and reroute inappropriate work items that do not meet appeals , complaints and grievance criteria. -Research Standard… more
- Washington County Mental Health Services (Barre, VT)
- …on compliance with AHS and DAIL regulations as pertains to Master Grant requirements, grievance and appeals , and the DAIL/DDS System of Care Plan; Monitor and ... Position Title: Administrative Coordinator Division: Community Developmental Services (CDS) Supervised by: CDS Director Summary of Administrative Coordinator :… more
- University of Utah Health (Murray, UT)
- …assigned departments and/or programs. + As needed, perform reviews on utilization review, appeals and grievance cases. + Support Sales and Marketing departments ... **Overview** **The University of Utah Health Plan Chief Medical Officer (CMO), is a...its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil… more
- State of Colorado (Greeley, CO)
- …management (documentation and review) + Conduct and document safety, fire, and health inspections + Review all logs, shift reports, daily observations, rosters, ... in collaboration with CYSO III + Ensure that youth grievance policy and procedure are followed. Review of grievances...Interventions) + Administer medications to youth + Manage mental health and behavior needs + Follow programming/daily schedule +… more
- State of Colorado (Denver, CO)
- …Model, all committed youth at each youth center are assigned a Behavioral Health Specialist who provides individual therapy each week. They also attend at least ... This position serves a complex adolescent population with various behavioral health disorders, trauma, and criminal behaviors. This position functions as a… more
- HCA Healthcare (Asheville, NC)
- …for over sight of the Contract Liaison, HIMS Clerk and Service Delivery, Appeals and Grievance (SDAG) Coordinator . Essential Accountabilities: + Develops ... CarePartners, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and… more