- CVS Health (Atlanta, GA)
- …and affordable. **Position Summary** This position supports the daily processing of appeals in the Commercial Member Clinical Appeals (CMCA). Job functions ... faxes, and movement of cases in the Complaints and Appeals Tracking System (CATS). All work is to be...and regulatory standards.This position supports the daily processing of appeals in the Commercial Member Clinical Appeals … more
- CVS Health (Harrisburg, PA)
- …are met, and responses are compliant with state and regulatory requirements. ACS: Our Complaint & Appeals colleagues have opportunities to grow in and outside of ... and resolution of all member and provider complaints and appeals . The appeal analyst will be responsible for ensuring...advancement from a Provider Analyst to Member Analyst to Sr Analyst. There are paths to progression through our… more
- Commonwealth Care Alliance (Boston, MA)
- …affairs/compliance; clinical, operations, pharmacy, dental, reporting, and member services. - Supports the Senior Appeals & Grievance Coordinator and A/G ... **Why This Role is Important to Us:** Appeals and Grievances Representative supports the Operations Department...for communication and member outreach related to the member complaint . - Support creation, review, and mailing of notices… more
- City of New York (New York, NY)
- …when warranted and along with SADC and MLTC send notifications of complaints, complaint status, notice of appeals or perfects its appeal. Develop special ... The director manages a team consisting of one Registration Coordinator and two Associate Investigators who track complaints and...report data on SADC complaints and registrations to the Senior Director, Caregiver Support on a weekly and monthly… more
- University of Miami (Doral, FL)
- …JOB FUNCTIONS + Serves as a key liaison for the practice of a senior attending surgeon. Conducts comprehensive or episodic health history and physical assessment of ... illnesses. + Takes a thorough history, including but not limited to: chief complaint , vitals, pain score, mechanism of injury, past medical history, and review of… more