- CVS Health (Oklahoma City, OK)
- …issues and may require coordination of responses from multiple business units. Appeals are typically more complex and may require outreach and deviation from ... outside plan sponsors or regulators. + Research and resolves incoming electronic appeals as appropriate as a "single-point-of-contact" based on type of appeal. +… 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 ... and concerns regarding quality of care or service. PresentsMember appeals to the Plan Medical Staff and Center for...file and departmental tracking database. + Ensures that all complaint , appeal and grievance time frames are met as… more
- Gwinnett County Public Schools (Suwanee, GA)
- …Support Personnel License issued by the Georgia Professional Standards Commission. Senior Professional Human Resources, SPHR or Professional Human Resources (PHR) ... will assist in providing resolution in matters related to grievances and appeals , training and development to administrators and employees on equity, compliance,… more