- Healthfirst (NH)
- …+ Experience in clinical practice with experience in appeals & grievances , claims processing, utilization review or utilization management/case management. + ... Demonstrated understanding of Utilization Review Guidelines (NYS ART 44 and 49 PHL), InterQual, Milliman or Medicare local coverage guidelines + Ability to work independently on several computer applications such as Microsoft Word and Excel, as well as… more
- Humana (Concord, NH)
- …+ MD or DO degree + A current and unrestricted license in at least one jurisdiction and willing to obtain license, as required, for various states in region of ... assignment + Board Certified in an approved ABMS Medical Specialty + Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Must be… more
- Humana (Concord, NH)
- …+ MD or DO degree + A current and unrestricted license in at least one state and willing to obtain license, as required, for various states in region of assignment + ... Board Certified in an approved ABMS Medical Specialty + **Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine, Physical Medicine and Rehab, Anesthesiology or General Surgery trained** + Excellent written and communication skills + 5… more
- BioLife Plasma Services (Concord, NH)
- …BioLife business. + Analyzes trends in turnover, hiring, promotion, separation, grievances , etc. to recommend preventative actions needed to adjust unfavorable ... exit interviews, analyze trends in turnover, hiring, promotions, separations, and grievances to determine support or action needed to adjust unfavorable trends;… more
- Point32Health (NH)
- …coordination, efficient administration and resolution of member appeals and member grievances submitted by Point32Health members for all lines of business. **Job ... organize, plan and implement the functions of Member Appeals and Grievances , maintain timelines and turnaround times to meet multiple requirements/regulations… more
- Hubbell Power Systems (Lincoln, NH)
- …and observes workers to ensure compliance with standards. + Resolves worker grievances or submits unsettled grievances to production superintendent for action. ... + Compiles stores and retrieves production data. What will help you thrive in this role? + 3 - 5 years supervisory experience. + Manufacturing experience required. + Kaizen and/or Lean training preferred. + Must be proficient with Microsoft Office products,… more
- Hannaford (Keene, NH)
- …solving problems, making decisions, handling complaints, arbitrating disputes and resolving grievances . * Desire and ability to lead and manage associates throughout ... multiple departments. * Department Manager or equivalent experience required. * College degree or equivalent preferred. * Must be accredited by the National Registry of Food Safety Professionals or similar accrediting organization as a "Certified Food Safety… more
- CBRE (Concord, NH)
- …employment-related risks and begin the discovery process of investigations and grievances . + Manage several HR functions such as employment, labor relations, ... compensation, etc. for a business unit or line of business. + Conduct training on a variety of topics including performance management, diversity, and more. + Apply in-depth knowledge of standard principles and techniques/procedures to accomplish complex… more
- Humana (Concord, NH)
- …takes action in accordance to it. Escalates unresolved and pending customer grievances . Decisions are typically focus on interpretation of area/department policy and ... methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for… more
- GE Vernova (NH)
- …divestitures, and outsourcings; collective bargaining obligations; employee discipline, grievances and termination; drafting of employment separation agreements; ... working time obligations. + Retain and work effectively with outside counsel where required, and manage external counsel to reduce costs, secure value-added services and improve 'make vs buy' decisions. + Work as part of the L&E team to drive simplification… more