• Member Appeals and Grievance Intake…

    Fallon Health (Worcester, MA)
    …us on Facebook, Twitter and LinkedIn. **Brief summary or purpose:** Fallon Health (FH) Appeals and Grievance process is an essential function to FH's compliance ... standards, other applicable regulatory requirements and member expectations. The FH Member Appeals and Grievance Intake Administrator serves to administer the FH… more
    Fallon Health (08/01/25)
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  • Appeals & Grievances Analyst

    Point32Health (Watertown, MA)
    …Point32Health (https://www.point32health.org/) . **Job Summary** Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and ... for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual… more
    Point32Health (07/22/25)
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  • Labor Relations Manager

    Transdev (Readville, MA)
    …+ Research, compile, and prepare data for use in grievance hearings, arbitration proceedings, labor/management initiatives, collective bargaining negotiations, and ... Resources policies and governmental laws and regulations. + Manage the grievance process and provide comprehensive responses to complaints, grievances, and… more
    Transdev (07/03/25)
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  • Member Service Rep

    Commonwealth Care Alliance (Boston, MA)
    …including provider listings in their areas. * Complete comprehensive appeal and grievance intakes. * Collaborate with the member to accurately document their appeal ... or grievance concern by ensuring all necessary information to start...of concerns or complaints conveyed by members and their representative . * Conduct research to provide accurate and informed… more
    Commonwealth Care Alliance (07/10/25)
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