• Manager Appeal & Grievance

    Henry Ford Health System (Troy, MI)
    …Center for Medicare/Medicaid Services (CMS). To analyze, maintain and report on all grievance and appeal related information to the Department of Financial ... DUTIES AND RESPONSIBILITIES: + Provides daily direction, monitoring and oversight for Appeal and Grievance Department, which includes the appropriate coaching… more
    Henry Ford Health System (10/03/24)
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  • Grievance /Appeals Analyst I (US)

    Elevance Health (Richmond, VA)
    …+ Utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to ... /Appeals Analyst I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live...to nursing and/or medical staff for review. + The grievance and appeal work is subject to… more
    Elevance Health (09/28/24)
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  • Grievance /Appeals Analyst I (US)

    Elevance Health (Columbus, GA)
    …+ Utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to ... /Appeals Analyst I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live...to nursing and/or medical staff for review. + The grievance and appeal work is subject to… more
    Elevance Health (09/28/24)
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  • Grievance /Appeals Analyst II

    Elevance Health (Richmond, VA)
    …+ Utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to ... /Appeals Analyst II** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live...to nursing and/or medical staff for review. + The grievance and appeal work is subject to… more
    Elevance Health (09/17/24)
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  • Employee and Labor Relations (ELR) Specialist

    State of Colorado (CO)
    …as Employee Relations complaints and works with the Employee & Labor Relations Manager to resolve complaints in coordinating grievance procedures and fully ... provided by the State of Colorado. + Eligibility for hybrid or other flexible work arrangements based on the...once fully approved by CDPS Employee Relations and Labor Manager . Coordination and Delivery of Employee & Labor Relations… more
    State of Colorado (09/30/24)
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  • CDOC - Human Resources Specialist IV (Employee…

    State of Colorado (CO)
    …Flexible Work Arrangements (FWA) after the initial training period. The FWA includes a hybrid workplace which is partly remote (work from home) and partly in office ... met; + Provide guidance to ERU staff on active discrimination/ harassment investigations, grievance panels, ADA, appeals, and other concerns; + Represent the unit to… more
    State of Colorado (09/19/24)
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  • Arizona Long Term Care ALTCS Case Manager

    Banner Health (AZ)
    …explaining the program to members, including their rights and responsibilities, the grievance and appeal system and other information according to regulations. ... BPN. As an Arizona Long Term Care (ALTCS) Case Manager , you will be required to visit members in...with hospital discharge planning and placements. **In your Remote Hybrid role based in Pima County, you will visit… more
    Banner Health (10/03/24)
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  • Nurse Appeals

    Elevance Health (Olathe, KS)
    …are resolved timely to meet regulatory timeframes. + Documents and logs appeal / grievance information on relevant tracking systems and mainframe systems. + ... **Nurse Appeals** **Location:** This position will work a hybrid model (remote and office). Candidates must reside...review. + Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval. +… more
    Elevance Health (09/25/24)
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  • Chief of Staff (Unclassified)

    Ramsey County (St. Paul, MN)
    …or without cause. Employees in the unclassified service have no right to a grievance appeal from discharge or other disciplinary action under sections 383A.281 ... County Courthouse) Saint Paul, MN Job Type Full Time Remote Employment Flexible/ Hybrid Job Number 2024-00981 Department 21A01-County Manager /Admin Opening Date… more
    Ramsey County (09/17/24)
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  • Director of Workforce Solutions (Unclassified)

    Ramsey County (St. Paul, MN)
    …or without cause. Employees in the unclassified service have no right to a grievance appeal from discharge or other disciplinary action under sections 383A.281 ... Square) Saint Paul, MN Job Type Full Time Remote Employment Flexible/ Hybrid Job Number 2024-XXXX Department 81A01-Workforce Solutions/Admin Opening Date 09/30/2024… more
    Ramsey County (10/01/24)
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