- CVS Health (Columbus, OH)
- …do** + Prepares and participates in external and internal audits. + Analyzes basic quality and completeness of the complaints and appeals documentation to ensure ... changes, as well as new training programs to drive quality results. + Assists in analyzing patterns, trends, and...years of External Audit Experience + 1+ years of Grievance and Appeals Experience + 1+ Medicare… more
- Point32Health (NH)
- …general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations ... for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual… more
- CVS Health (Hartford, CT)
- …(PO) is responsible for leading the MHK product development and configuration for the Grievance & Appeals (G&A) Department. This role contributes to the product ... initiative ideas, while maintaining compliance with the company's regulatory, safety, quality , and confidentiality protocols and standards. + Defines team OKRs and… more