- Highmark Health (Concord, NH)
- …and appropriateness. Complete initial determination of cases, review of appeals and grievances , and other reviews as assigned. Compose clear and concise rationales ... for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of… more
- Alamo Group Inc. (Hopkinton, NH)
- …of the HR team. 3. Handle complaints, settle disputes, and resolve grievances and conflicts; mediate difficult employee relations and/or other interactions as a ... neutral party. 4. Participates as a strategic partner with the company's executive staff to plan and develop programs as they relate to the impact on the company and its' people. Advises executive management on strategic decisions and resource allocation. 5.… more