- State of Indiana (Indianapolis, IN)
- …Specialist, you will review and determine the correct resolution for incoming appeals that require special processing. You will assist the Support Staff Supervisor ... and the Director of Appeals in resolving any issue that needs to be...initiatives to improve the functions of the unit. + Appeals : Provides clerical and administrative support to the administrative… more
- CVS Health (Columbus, OH)
- …A Brief OverviewAdministers review and resolution of clinical complaints and appeals . Interprets data obtained from clinical records to apply appropriate clinical ... best in class policies, plans, and procedures in support of the Appeals area objectives.Executes review of all clinical and benefit documentation for complaint… more
- Ventura County (Ventura, CA)
- …and federal governing entities, and resolves, tracks, and monitors grievances, appeals and Notices of Actions. This position continually collaborates with ... productivity, expenditures, and revenues; + Resolves, tracks, and monitors grievances, appeals and Notices of Actions; + Participates in site certification and… more
- New York State Civil Service (New York, NY)
- …an Assistant Solicitor General in the New York City Bureau of the Division of Appeals and Opinions. The Division of Appeals and Opinions represents New York ... Solicitor General should expect to brief and argue a substantial caseload of appeals before state and federal appellate courts, draft amicus curiae briefs on behalf… more
- Integra Partners (Troy, MI)
- …care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will play a key role in collaborating ... Medical Director to perform benefit and medical necessity reviews and appeals within an NCQA-compliant UM program. Salary: $60,000.00/annual JOB QUALIFICATIONS:… more
- City and County of San Francisco (San Francisco, CA)
- …examination process is subject to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or the Civil Service Commission. ... Rule 111A.35.1. The standard for the review of such appeals is 'abuse of discretion' or 'no rational basis'...position description, the minimum qualifications and/or the certification rule. Appeals must include a written statement of the item(s)… more
- City and County of San Francisco (San Francisco, CA)
- …examination process is subject to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or the Civil Service Commission. ... Rule 111A.35.1. The standard for the review of such appeals is "abuse of discretion" or "no rational basis"...position description, the minimum qualifications and/or the certification rule. Appeals must include a written statement of the item(s)… more
- City and County of San Francisco (San Francisco, CA)
- …examination process is subject to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or the Civil Service Commission. ... Rule 111A.35.1. The standard for the review of such appeals is 'abuse of discretion' or 'no rational basis'...position description, the minimum qualifications and/or the certification rule. Appeals must include a written statement of the item(s)… more
- Scripps Health (San Diego, CA)
- …be responsible for the review, analyzing, preparation and response of appeals , grievances,and potential quality issue. Responsibilities will include: v Responsible ... for the comprehensive research and resolution of the appeals , grievances, possible quality issues from members, provides and related outside agencies to ensure that… more
- Interior, Bureau of Indian Affairs (Muskogee, OK)
- …to, and consult with deciding officials in the Office of Hearing and Appeals (OHA). Examine legal documents for the purpose of verifying ownership status of ... Review, analyze and make recommendations to the Office of Hearing and Appeals staff, regarding proposed leases, rights-of-way, or other encumbrances of the trust… more