- Humana (Albany, NY)
- …Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....member population, or condition type. May also engage in grievance and appeals reviews. May participate on… more
- City of New York (New York, NY)
- …planning, payroll management, compliance, labor relations, and policy implementation. The Director of Labor and Employee Relations will report to the Deputy ... arise with CFB employees. - Serve as the CFB's grievance representative and administer the contractual grievance ...process. Serve as Hearing Officer for grievances and disciplinary appeals . Represent the agency at hearings before the Office… more
- Humana (Albany, NY)
- …in an assigned market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director … more
- Elevance Health (New York, NY)
- …necessity determinations for services requested. + Makes medical necessity determinations for grievance and appeals appropriate for their specialty. + Ensures ... **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management** **Radiology Benefit** **Management/Utilization** **Review** **Virtual:**… more
- MTA (Jamaica, NY)
- …other labor relations related tasks as deemed appropriate. Responsibilities: + Manage grievance and disciplinary cases appealed by the various unions to the Labor ... or modify decisions made by Department Heads/designees related to such appeals . Represent the LIRR at contract interpretation and disciplinary arbitrations. Prepare… more
- New York State Civil Service (Albany, NY)
- …case law. The incumbent serves as the Chancellor's representative in hearing appeals of disciplinary and contract grievances pursuant to the collective bargaining ... of the Assistant Vice Chancellor for Employee Relations, the Assistant Director of Employee Relations performs the following:- Supervises the administration of… more
- CUNY (New York, NY)
- …immigration. The Special Counsel serves as hearing officer of disciplinary and grievance proceedings and represents the College at higher levels of the disciplinary ... and grievance processes. The Special Counsel also serves as the...of College programs, units and College faculty, and the Director of Hunter College Campus Schools. Responsibilities include, but… more