- Cognizant (Albany, NY)
- ** Appeals & Grievance Specialist (remote)** This is a remote position open to any qualified applicant in the United States. **Job Summary:** We are seeking a ... dedicated Appeals & Grievance Specialist with 2 to 3 years of experience to join our team. The ideal candidate will have strong technical skills in MS Excel… more
- Molina Healthcare (Yonkers, NY)
- …hours** Must be able to rotate weekends and holidays** Must have Medicare Appeals and IRE experience** Responsible for reviewing and resolving member and provider ... + Responsible for the comprehensive research and resolution of the appeals , dispute, grievances, and/or complaints from Molina members, providers and related… more
- Molina Healthcare (Syracuse, NY)
- …Member issues in areas involving member impact and engagement including: Appeals and Grievances, Member Problem Research and Resolution, and the ... subcontractors and enrollees. * Monitors all formal and informal grievances with Grievance personnel to identify trends or problem areas of access and care… more
- New York State Civil Service (Albany, NY)
- …HELP Yes Agency Civil Service, Department of Title Human Resources Specialist Trainee 1 (Labor Relations) Occupational Category Administrative or General Management ... success of these modernization efforts. Under the direction of the Human Resources Specialist 3, (Labor Relations), the Human Resources Specialist Trainee 1… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …referrals generated to care management programs + Provides administrative support to the grievance and appeals process within the + Medical Services department ... Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization… more
- New York State Civil Service (Albany, NY)
- …Section 75 of the Civil Service Law.*Oversee the agency's employee grievance program, ensuring proper processing consistent with bargaining unit agreements. Assist ... to the HR Director,Agency Executives, on investigations, disciplinary and grievance matters, and assist with special projects as needed.*Develop, draft,… more