• Supervisor, Clinical Grievance and Appeals

    Centene Corporation (New York, NY)
    …oversight and interpretation of state/federal regulations and NCQA standards impacting member appeals and grievances from a clinical perspective. Ensure that the ... clinical Appeals and Grievance department processes all cases in accordance...adherence **Education / Experience:** Bachelor's degree in Nursing preferred. 3 + years of combined nursing and appeal and grievance,… more
    Centene Corporation (10/31/25)
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  • Hearing Officer

    City of New York (New York, NY)
    …subpoenas on the following: Termination - Tenancy - Leased Housing/Section 8 Subsidy Grievances - Remaining Family Member - Tenant Initiated, such as Rent ... Grievances and Reasonable Accommodation Requests - Leased Housing/Section 8...Calculation and Section 8 Reasonable Accommodation Requests - Over-Income Appeals - Applicant or Trespass - Tenant Reasonable Accommodation… more
    City of New York (10/19/25)
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  • Agency Attorney Intern

    City of New York (New York, NY)
    …United States law school as defined in the Rules of the New York Court of Appeals (Sections 520. 3 or 520.5) or admission to the New York State Bar. Additional ... related to labor law and employee discipline. The unit handles employee grievances , prosecutes disciplinary cases, and works with attorneys at the Mayor's Office… more
    City of New York (09/16/25)
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  • Assistant General Counsel

    City of New York (New York, NY)
    …issues including license and access issues, leasing, and eminent domain 3 ) procurement related issues including responsive and responsibility issues, bid protests, ... the Uniform Commercial Code ("UCC"); 10) assist division staff with procurement appeals and decision process, including draft opinions and presenting facts and… more
    City of New York (08/13/25)
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  • Senior Labor Relations Representative

    MTA (New York, NY)
    …and participate in monthly conferences with union representatives to discuss contract grievances and employee discipline appeals ; perform analytical review of ... Authority is North America's largest transportation network, serving a population of 15. 3 million people across a 5,000-square-mile travel area surrounding New York… more
    MTA (08/16/25)
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  • Medical Director (NV)

    Molina Healthcare (Buffalo, NY)
    …reviews and recommends corrective actions. * Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. * ... medical necessity. * Participates in and maintains the integrity of the appeals process, both internally and externally. * Responsible for investigation of adverse… more
    Molina Healthcare (10/31/25)
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  • Medical Director

    Molina Healthcare (Rochester, NY)
    …reviews and recommends corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. + ... + Participates in and maintains the integrity of the appeals process, both internally and externally. Responsible for the...**I** **E** **N** **C** **E/KNOWLEDGE, SKILLS & ABILITIES:** + 3 + years relevant experience, including: + 2 years previous… more
    Molina Healthcare (10/22/25)
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  • Medical Director (AZ)

    Molina Healthcare (NY)
    …reviews and recommends corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. + ... medical necessity. + Participates in and maintains the integrity of the appeals process, both internally and externally. Responsible for the investigation of adverse… more
    Molina Healthcare (10/17/25)
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  • Associate General Counsel

    City of New York (New York, NY)
    …cases pending with the agency, the NYC Law Department and the NYC Comptroller's Office; 3 ) the review of agency responses to the public pursuant to the Freedom of ... Contracting Officer (ACCO) and agency procurement staff in relation to procurement appeals and decision process, including draft opinions and the presentation of… more
    City of New York (08/13/25)
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  • Labor Attorney

    MTA (New York, NY)
    …Authority is North America's largest transportation network, serving a population of 15. 3 million people across a 5,000-square-mile travel area surrounding New York ... relations issues such as contract interpretation, disciplinary matters , medical appeals , Civil Service Law, and matters affecting Authority-wide policy and… more
    MTA (10/14/25)
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