• Director, Appeals & Grievances (Remote)

    Molina Healthcare (Buffalo, NY)
    …for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member complaints and ... **Knowledge/Skills/Abilities** * Leads, organizes, and directs the activities of the Appeals & Grievances unit that is responsible for reviewing and resolving… more
    Molina Healthcare (09/26/25)
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  • IRT Appeals Representative

    Humana (Albany, NY)
    …a part of our caring community and help us put health first** The Appeals Representative 4 - IRT (Internal Review Team) Investigates and resolves member and ... documentation to determine if an appeal or further request is warranted. The Appeals Representative 4 IRT (Internal Review Team) + Review documents + Building cases… more
    Humana (10/10/25)
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  • Grievances and Appeals 3

    CenterWell (Albany, NY)
    …our caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive ... with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require… more
    CenterWell (10/08/25)
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  • Appeals Bureau: Trial Preparation…

    City of New York (New York, NY)
    …enthusiastic Trial Preparation Assistant, Level II (TPA II) to assist Appeals Bureau Assistant District Attorneys with post-conviction matters. JOB RESPONSIBILITIES: ... documents to be filed in court - Help maintain and make entries in various Appeals Bureau databases - Perform all other duties as assigned. PREFERRED SKILLS - High… more
    City of New York (09/21/25)
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  • Appeals Bureau: Trial Preparation…

    City of New York (New York, NY)
    …enthusiastic Trial Preparation Assistant, Level II (TPA II) to assist Appeals Bureau Assistant District Attorneys with post-conviction matters. JOB RESPONSIBILITIES: ... all other duties as assigned. PREFERRED SKILLS - A baccalaureate degree or associate 's degree preferred - Familiarity with general court services - Ability to… more
    City of New York (09/19/25)
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  • Appeals Bureau: Trial Preparation Assistant…

    City of New York (New York, NY)
    …Attorney is seeking an Attorney Assistants (TPA 2) to assist Appeals Bureau Assistant District Attorneys with post-conviction matters. JOB RESPONSIBILITIES: Specific ... all other duties as assigned. QUALIFICATIONS: - A baccalaureate degree or Associate 's Degree preferred. - Familiarity with general court services - Ability to… more
    City of New York (09/02/25)
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  • Medical Director - Medicare Grievances…

    Humana (Albany, NY)
    …Medical Director relies on medical background and reviews health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope and ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (10/02/25)
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  • Corporate Medical Director - Medicare Grievances…

    Humana (Albany, NY)
    …Director (CMD) relies on medical background to review health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope and ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (09/05/25)
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  • Associate Counsel

    New York State Civil Service (Albany, NY)
    NY HELP No Agency Corrections and Community Supervision, Department of Title Associate Counsel Occupational Category Legal Salary Grade NS Bargaining Unit M/C - ... hearings and arbitrations, ministerial, and investigations.Within the Office of Counsel, ASSOCIATE COUNSELS assist the Deputy Commissioner and Counsel of the… more
    New York State Civil Service (10/08/25)
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  • Administrative Support Associate VI-…

    Albany Medical Center (Albany, NY)
    …securing revenue for services provided by Physicians of Albany Med by completing appeals , phone calls, and account review. This position is a Medical billing ... services provided by Physicians of Albany Med by completing appeals , phone calls, and account review. Qualifications: + High...Responsibilities: + Reviews charges and data for accuracy and appeals discrepancies in regards to CPT-4 and ICD-10 codes… more
    Albany Medical Center (08/29/25)
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