- 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 ... need for healthy living. JOB SUMMARY: As an integral part of the Grievance and Appeals (G&A) Department, the G&A Coordinator lends their support in… 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 ... decisions. * Act as subject matter expert regarding grievances and appeals . * Lead Appeals and Grievance Committee Education/Experience: Bachelor's degree in… more
- CVS Health (Columbus, OH)
- …solutions to make health care more personal, convenient and affordable. Position SummaryCreated grievance and appeals cases in the G&A system and sends ... acknowledgement letters to members and providersRequired QualificationsData Entry SkillsPreferred QualificationsOrganized, ability to multi-task, Detail orientedEducationHigh Scholl Diploma or GED Pay Range The typical pay range for this role is: $17.00 -… more
- CoreCivic (Youngstown, OH)
- …and a responsibility to better the public good. We are currently seeking a ** Grievance Coordinator ** who has a passion for providing the highest quality care ... dedicated to making an impact for the people and communities we serve. The Grievance Coordinator oversees the inmate/resident grievance process and ensures… 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
- MTC (Jacksboro, TX)
- …their road back to a healthy, productive life. **Essential Duties:** 1. Ensure grievance forms are readily available to all offenders. 2. Create, plan and coordinate ... grievance function for assigned facilities. 3. Travel to all...8. Assist offenders with the submission of grievances and appeals when requested by an offender. **Qualifications:** + Bachelor's… 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 ... documents meet standards and are accurate. General Job Information Title Appeals Coordinator Grade 19 Work Experience - Required Customer Service Work Experience… 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 ... and guides the development and implementation of the annual quality plan. + Manages Internal and External Audit Activity. + Responsible for maintaining compliance with Federal and State regulatory requirements and audit processes. + Tracks and trends data that… more
- CVS Health (Harrisburg, PA)
- …health care more personal, convenient and affordable. Position Summary The Medicare Grievance Sr. Coordinator will fully research and resolve beneficiary ... complaints. Candidates can live anywhere US These complaints can include various issues and may require coordination with various departments to fully reach resolution. Responses must be timely and include member focused solutions in both written and oral… 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 ... and reroute inappropriate work items that do not meet appeals , complaints and grievance criteria. -Research Standard Plan Design or Certification of Coverage… more
- Montana State University (Bozeman, MT)
- …### Classification Title Program Coord II Working Title Customer Experience Coordinator Brief Position Overview MSU Parking and Transportation Services seeks a ... will perform all customer service duties, coordinate the unit's citation appeals process, and provide administrative support. Performs of customer service functions… 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:...Services (CDS) Supervised by: CDS Director Summary of Administrative Coordinator : The Admin Coordinator will; provide ongoing… more
- Johns Hopkins University (Baltimore, MD)
- …administration and analysis, benefits administration, employee relations (including grievance resolution, disciplinary action, reductions in force, termination), ... Central HR. + Gather sensitive information for the Administrator, OTO for appeals , disciplinary actions and other personnel matters. + Assist with compiling vital… more
- State of Colorado (Denver, CO)
- …team meetings in collaboration with CYSO III + Ensure that youth grievance policy and procedure are followed. Review of grievances to include investigation, ... of the department's action. For more information about the appeals process, the official appeal form, and how to...this position, please direct your inquiries to our ADAAA Coordinator , Nancy Schmelzer, at cdhs_###@state.co.us or call ###. ~THE… 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 ... its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil...including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity and Affirmative… more