- Point32Health (MA)
- …Point32Health (https://www.point32health.org/) . **Job Summary** Under the general direction of the Manager , Appeals and Grievances the Supervisor, ... and provide leadership for the daily operations of the Appeals and Grievances department. The supervisor represents...ensure all cases are processed timely. + Work with Manager to ensure that employees have the requisite information… more
- Fallon Health (Worcester, MA)
- …of Coverage, departmental policies and procedures, and regulatory standards. The Member Appeals & Grievances Intake Administrator is responsible for triaging and ... assigning all incoming appeals and grievances...clerical/administrative responsibilities at the discretion of the Director or Manager . * Providing administrative assistance in support of the… more
- Transdev (Readville, MA)
- …of internal policies and procedures and regulations for accurate resolution of appeals , complaints, and grievances . + Understand legal requirements and ... Overview: Transdev in Boston, MA is seeking a Labor Relations Manager for its Boston Public Schools transportation contract. The Labor Relations Manager provides… more
- Veterans Affairs, Veterans Health Administration (Brockton, MA)
- …Resolve simple, informal complaints of employees and refer others, such as formal grievances and appeals , to the supervisor or an appropriate management ... Summary The Lead Safety and Occupational Health Manager position is in Engineering service for VA Boston Healthcare System located at Brockton, MA. This position is… more
- Beth Israel Lahey Health (Westwood, MA)
- …address information. Escalates calls to pharmacists for clinical inquiries and escalates grievances to supervisor. 7. Maintains new and existing patient profiles and ... Support health care providers with required prior authorization and required appeals . Manage all mail/delivery of Rx orders including addressing problems/issues with… more
- Commonwealth Care Alliance (Boston, MA)
- …and supports, and community supports as approved * Supports escalation of member grievances and appeals * Supports the procurement of network providers and ... communities across various locations. This position reports to the CIC APC Clinical Manager . Supervision Exercised: * No, this position does not have direct reports.… more