• Director , Appeals & Grievances (Remote)

    Molina Healthcare (Macon, GA)
    …recognition and timely routing of member complaints. * Trains each state's provider dispute resolution unit on CMS standards and requirements, including the ... is responsible for reviewing and resolving member complaints and communicating resolution to members or authorized representatives in accordance with the standards… more
    Molina Healthcare (09/26/25)
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  • Medical Director - Claims Management

    Humana (Atlanta, GA)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (10/16/25)
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  • Labor Relations Director

    Acuity Brands (Atlanta, GA)
    …regulations. + Manage and respond to union grievances, arbitration cases, and dispute resolution efforts, working toward timely and effective resolutions. **.** ... associates. Visit us at www.acuityinc.com . **Job Summary** The Associate and Labor Relations team is looking for a...Labor Relations team is looking for a Labor Relations Director to join our dynamic team to partner with… more
    Acuity Brands (10/14/25)
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