- 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
- 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
- University of Miami (Doral, FL)
- …and illnesses. + Take a thorough history, including but not limited to: chief complaint , vitals, pain score, mechanism of injury, past medical history, and review of ... direction and serve as liaison between patient, attending, and procedure coordinator . + Communicate with patients, other staff, and providers regarding patient… 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
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …items to physicians, clinic teams, or special committees. Works closely with senior PSAS's staff to draft, develop, and implement new local organizational policies, ... for prosthetic equipment and services. Works in collaboration with supervisor and senior staff to plan, draft, develop, and prepare budget estimates; to develop… more