- Elevance Health (FL)
- ** Manager II Grievance / Appeals ** **- Claims Support** **Office Locations:** _The selected candidate must reside within a reasonable commuting distance of the ... unless an accommodation is granted as required by law._ The ** Manager II Grievance / Appeals ** responsible for management oversight of grievances and … more
- Molina Healthcare (St. Petersburg, FL)
- …7 years experience in healthcare claims review and/or member appeals and grievance processing/resolution, including 3 years in a manager role. * Experience ... for leading, organizing and directing the activities of the Medicare Duals Grievance and Appeals Unit that is responsible for reviewing and resolving member and… more
- Molina Healthcare (Jacksonville, FL)
- …years' experience in healthcare claims review and/or Provider appeals and grievance processing/resolution, including 2 years in a manager role. * Experience ... and DRG/RCC pricing), and IPA. + 2 years supervisory/management experience with appeals / grievance and/or claims processing within a managed care setting.… more
- CVS Health (Tallahassee, FL)
- …(PO) is responsible for leading the Medicare innovation product development for the Grievance & Appeals (G&A) Department. This role contributes to the product ... vision and translates it for the product development team. They are responsible for team backlog development and prioritization, maintaining integrity of features or components, and collaborating closely with Engineering, Design, and other stakeholders. They… more