• Senior Compliant & Appeals

    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 (05/29/24)
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  • Medicare Part C Appeal Coordinator

    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 ... Identify correct resource and reroute inappropriate work items that do not meet appeals , complaints and grievance criteria. -Research Standard Plan Design or… more
    CVS Health (05/24/24)
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  • HR Generalist

    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
    Johns Hopkins University (06/12/24)
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  • Chief Medical Officer, Health Plans

    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 ... Relationships** + Forms positive relationships with staff, peers, and senior leadership to support the mission, vision, values, and...its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil… more
    University of Utah Health (05/13/24)
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