- BayCare Health System (Clearwater, FL)
- …- 1 day in office required Equal Opportunity Employer Veterans/Disabled **Position** Grievance Specialist - Health Plan **Location** Clearwater:Park Place ... + Requires deep understanding of gap closure specifications. + Knowledge of health plan operations, benefit coverage, and claims processing. + Familiarity… more
- Tufts Medicine (Boston, MA)
- **About Tufts Medicine** Tufts Medicine is an innovative, mission-driven health system that unites the best of academic and community medicine to deliver ... MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Tufts Medicine Behavioral Health Hospital (opening Fall 2025), Tufts Medicine Care at Home, Tufts… more
- Howard University Hospital (Washington, DC)
- … health , disability, vacation, sick leave, and 403B retirement plan .) COVID-19 Vaccination Howard University Hospital requires all external applicants to ... outcomes. Howard University Hospital seeks to hire a Labor & Employee Relations Specialist who will embrace our rich and historic tradition of excellence. If you… more
- New York State Civil Service (Tupper Lake, NY)
- …College Savings Plan . * Voluntary pre-tax savings programs such as Health Care Spending Account and the Dependent Care Advantage Account offer employees options ... People With Developmental Disabilities, Office for Title Human Resources Specialist 1 Labor Relations/Trainee 1/2 Occupational Category Administrative or General… more
- LA Care Health Plan (Los Angeles, CA)
- …Range: $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department:...County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million… more
- Maxim Healthcare (Clarksville, TN)
- …Care Through Education? Join Maxim Healthcare as an RN Clinical Operations Specialist - Competitive Pay & Growth. Apply Now! Clinical Operations Specialist ... Educate. Empower. Maxim Healthcare is seeking a detail-oriented Clinical Operations Specialist to support and improve day-to-day clinical operations within the… more
- New York State Civil Service (Syracuse, NY)
- …College Savings Plan . * Voluntary pre-tax savings programs such as Health Care Spending Account and the Dependent Care Advantage Account offer employees options ... People With Developmental Disabilities, Office for Title Human Resources Specialist 1/Trainee 1/2 Occupational Category Administrative or General Management Salary… more
- Hilton (Coronado, CA)
- The iconic Hotel del Coronado is looking for a **Labor & Employee Relations Specialist ** to join the team\! Joinone of the last surviving wooden Victorian beach ... **What will I be doing?** As the Labor and Employee Relations Specialist , you will be responsible forpreliminary andadministrativedutiesof the Labor and Employee… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Human Resources Specialist 1 (Labor Relations), Human Resources Specialist Trainee 1 (NY HELPS) Box ... Human Resources Management (OHRM) is seeking candidates to fill a Human Resources Specialist 1 (Labor Relations) position in the Labor Relations Unit. The OHRM… more
- Maxim Healthcare (Brentwood, TN)
- The Clinical Operations Specialist is responsible for the agreed-upon clinical activities that help facilitate and improve the day-to-day clinical operations within ... + In consultation with office leadership (clinical and operations) assist in grievance concerns, reports and issues + In consultation with office leadership… more
- State of Colorado (Pueblo, CO)
- Intake and Support Specialist Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5167606) Apply Intake and Support Specialist Salary ... university policy. Description of Job The Intake and Support Specialist assists the Director of Civil Rights Compliance &...under Title IX, as well as the services and grievance procedures available to them and coordinate training to… more
- Cedars-Sinai (CA)
- …functions and providing feedback on departmental activities, to assure compliance with all health plan and regulatory agencies, including CMS, DMHC, and DHCS. ... **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation... plans and current CSHS departments to ensure both health plan regulations and CSHS policies are… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …, Blue Cross Blue Shield of Massachusetts is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston. We have been a market leader ... your true colors to blue. The Role:The Peer Review Specialist is responsible for monitoring the quality of the...+ Legal Department: + Medical Directors + Member Appeals Grievance Programs (Commercial, Medicare Advantage, and InterPlan Program) +… more
- MyFlorida (Tallahassee, FL)
- …. Requisition No: 867248 Agency: Department of Education Working Title: PROGRAM SPECIALIST IV-DOE - 48003644 Pay Plan : Career Service Position Number: ... PROGRAM SPECIALIST IV-DOE - 48003644 Date: Dec 19, 2025...Education Office of Professional Practice Services administers a state-level grievance process and plays an integral part in ensuring… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is looking for Pharmacy Clinical Review Specialist I positions in the Pharmacy Services department. This is a full time position working ... review of prior authorization requests on behalf of physicians and UPMC Health Plan members. Collaborate with clinicians regarding supporting medical… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …members' specific contract benefits, consistent with products, policies and procedures and related health plan functions such as member services, claims, and the ... well as functions related to legislative and federal regulatory mandates related to the Health Plan Essential Accountabilities: Level I + Review / prep clinical… more
- TEKsystems (West Hartford, CT)
- …closure of employee relations cases including but not limited to disciplinary, grievance and absence management + Provide HR support, assisting in drafting invite ... the process + Manage absence cases, including reasonable adjustments and Occupational Health referrals. + Analyze people-related metrics, data, and trends to make… more
- TEKsystems (West Hartford, CT)
- …closure of employee relations cases including but not limited to disciplinary, grievance and absence management + Provide HR support, assisting in drafting invite ... the process + Manage absence cases, including reasonable adjustments and Occupational Health referrals. + Analyze people-related metrics, data, and trends to make… more
- LA Care Health Plan (Los Angeles, CA)
- …Range: $47,840.00 (Min.) - $57,062.00 (Mid.) - $68,474.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million...file. Inform nurses of a new case received from Grievance and Appeals Specialist .; submit all Grievances… more
- UT Health San Antonio (San Antonio, TX)
- …or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty ... for Prelicensure Programs The School of Nursing at UT Health San Antonio invites doctoral prepared nurses to apply...the SON strategic and the Total Program Systematic Evaluation Plan (TPSEP) in order to ensure academic integrity and… more