• Director, Home Health Grievances…

    CenterWell (Atlanta, GA)
    …the Denials Management data analytics, denial and appeal process. The Director, Home Health Grievances & Appeals assists members, via phone or face to face, ... and clinical policy development/implementation required + Expert knowledge of all Medicare regulations and appeals processes + Excellent analytical skills… more
    CenterWell (01/08/26)
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  • National Contracting Director (Large Hospital…

    Molina Healthcare (Savannah, GA)
    …Provider/Member Inquiry Research and Resolution; and Provider/Member Appeals and Grievances . * Coordinates with Corporate and Business Development teams to ... reimbursement tolerance parameters (across multiple specialties/geographies). Obtains input from Corporate , Legal and other stakeholders regarding new reimbursement models… more
    Molina Healthcare (01/11/26)
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