• Clinical Reviewer

    Independent Health (Buffalo, NY)
    …responsible for the collection and review of medical records specific to quality complaints/ grievances and appeals as indicated in support of a high performing ... plan and physician network. The Clinical Reviewer will investigate quality complaints/ grievances and appeals , document research of initial coverage… more
    Independent Health (10/07/25)
    - Related Jobs

  • 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 ... Senior Labor Relations Representative Job ID: 12716 Business Unit: MTA Headquarters...Aug 15, 2025 Description JOB TITLE: Senior Labor Relations Representative DEPT/DIV: Labor Relations WORK LOCATION: 420 Lexington Ave… more
    MTA (08/16/25)
    - Related Jobs

  • Director Of Labor And Employee Relations

    City of New York (New York, NY)
    … and administer the contractual grievance process. Serve as Hearing Officer for grievances and disciplinary appeals . Represent the agency at hearings before the ... play a key role in managing internal labor relations investigations, union grievances , and collective bargaining agreements and engagement with Union Partners, and… more
    City of New York (08/14/25)
    - Related Jobs

  • Supervisor, Denials Mgmt & Efficiency - Hybrid…

    Mohawk Valley Health System (New Hartford, NY)
    …reviews, transfers, promotions, disciplinary actions, terminations and similar actions. Resolves grievances and other staff problems in a fair, timely and consistent ... + 5 year of experience in hospital billing. + Knowledge of insurance appeals , payer rules, denial resolution processes. + Experienced in statistics, root cause… more
    Mohawk Valley Health System (10/28/25)
    - Related Jobs

  • Pharmacy Coordinator

    Highmark Health (Albany, NY)
    …paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a resource for technical staff. ... + Other duties as assigned or requested. **QUALIFICATIONS:** **Minimum** + High school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician certification certificate +… more
    Highmark Health (10/16/25)
    - Related Jobs