- Molina Healthcare (Racine, WI)
- …(CMS). **Essential Job Duties** * Facilitates comprehensive research and resolution of appeals , disputes, grievances , and/or complaints from Molina members, ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals… more
- Molina Healthcare (Madison, WI)
- …Represents Member issues in areas involving member impact and engagement including: Appeals and Grievances , Member Problem Research and Resolution, and the ... needs or problem; informs members of their rights in the complaints and appeals process; and advises/refers as appropriate for investigation and resolution. *… more