- Sacramento County (Sacramento, CA)
- …type is generally supervised and reviewed by positions in the next higher class, Associate Civil Engineer, which is assigned the function of squad or project leader. ... Service Commission, 700 H Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days after notice of the… more
- Elevance Health (Walnut Creek, CA)
- …to work with facilities and providers for care-coordination. + May also manage appeals for services denied. + Serves as mentor to lower leveled managers and ... guidelines, etc. as stated by the Government Business Division in which the associate is employed._ For candidates working in person or virtually in the below… more
- Ophthalmic Consultants of Boston (Plymouth, MA)
- …benefits/coverage including prior authorization (PA), claims, approvals, denials, appeals , letters of medical necessity, peer-to-peer discussions, buy-and-bill vs. ... and confidentiality. . Other duties as assigned. Education and Experience: . Associate degree in Business Administration or equivalent Medical Billing Experience. .… more
- Tarleton State University (Fort Worth, TX)
- …goals of the department, college and institution. This position reports to the Associate Dean of the School of Behavioral Sciences. This is a 12-month tenured* ... rigor of classes and programs; mediate departmental processes for student academic appeals . + Recruitment: Work with the Division of Enrollment Management and the… more
- WellLife Network (Elmont, NY)
- …and operate systems skillfully to track the stages of benefit applications and appeals processes that will provide concrete statistical data. The EES Specialist must ... other duties not mentioned, as assigned by the supervisor. Qualifications Associate Degree required, Bachelor's Degree preferred. Excellent oral and written… more
- Commonwealth Care Alliance (Boston, MA)
- …issues. + Collaborate closely with Provider Relations, Contracting, Payment Integrity, Appeals & Grievances, and Configuration teams to validate and resolve ... Education (must have):** + N/A **Desired Education (nice to have):** + Associate 's or Bachelor's degree in Health Administration, Finance, or related field… more
- Humana (Springfield, IL)
- …program; and work closely with the Utilization Management (UM) of services and associated appeals related to adults with mental illness and/or SUD + Leads BH policy ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Serco (Washington, DC)
- …Bachelor's Degree in business, finance, engineering or other technical discipline + An Associate 's Degree and 2 years of additional experience will be considered in ... + Written communication skills (eg, drafting program impact statements and Congressional Appeals ) + Experience leading a project and interfacing with an end item… more
- Ellis Medicine (Schenectady, NY)
- …continuum. EDUCATION AND EXPERIENCE REQUIREMENT(S): + High School Diploma required. Associate 's Degree in Health Sciences or Licensed Practical Nurse credential ... chart to fax or send for insurance denials or quality improvement organization appeals . + Assists UM Coordinator with data entry of insurance authorizations and… more
- Stanford University (Stanford, CA)
- …content review, parking data collection, and the review of citation appeals . Evaluates the campus-related achievements of subordinate staff, establishing clear team ... goals and objectives under the guidance of the Associate Director. Manages the accountability and stewardship of human, financial, and physical resources in… more