• Customer Solution Center Appeals

    LA Care Health Plan (Los Angeles, CA)
    …required by clinical staff to render decisions, assists the Customer Solution Center Appeals & Grievance Manager and Director in meeting regulatory ... clarification on initial responses. (25%) Under the supervision of the Appeals and Grievance Manager , assist with soliciting non-clinical information from… more
    LA Care Health Plan (09/02/25)
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  • Grievance / Appeals Analyst…

    Elevance Health (Los Angeles, CA)
    **Title: Grievance / Appeals Analyst I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... an accommodation is granted as required by law._ The ** Grievance / Appeals Analyst I** is an entry level...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (08/30/25)
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  • Manager , Customer Solution Center…

    LA Care Health Plan (Los Angeles, CA)
    Manager , Customer Solution Center Appeals and Grievances Job Category: Management/Executive Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Manager , Customer Solution Center Appeals and Grievances...5 years of experience resolving health care eligibility, access, grievance and appeals issues, preferably in health… more
    LA Care Health Plan (07/08/25)
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  • Customer Solution Center Appeals

    LA Care Health Plan (Los Angeles, CA)
    …consistent and accurate manner. This position will focus on quality review of non-clinical grievance and appeals cases for all line of business (LOB) to identify ... assisting the Appeal and Grievances Compliance, Training and QA Manager to develop a successful and cohesive unit with...the Management Team. Duties Focus on quality review of grievance and appeals cases for all LOB… more
    LA Care Health Plan (08/29/25)
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  • Nurse Appeals RN

    Elevance Health (Tampa, FL)
    **Nurse Appeals ** **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law._ The **Nurse Appeals ** is responsible for investigating and processing and medical necessity appeals more
    Elevance Health (09/03/25)
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  • Labor Relations Manager - Fixed Route

    Transdev (North Las Vegas, NV)
    Labor Relations Manager The Labor Relations Manager provides support to the Area General Manager , Director of Human Resources, and Operations Teams on labor ... ensure consistency in language and interpretation of collective bargaining agreements, grievance management, and arbitration preparation. Transdev is proud to offer:… more
    Transdev (07/29/25)
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  • Member Intake Admin - Hybrid $22/hr

    Fallon Health (Worcester, MA)
    …us on Facebook, Twitter and LinkedIn. **Brief summary or purpose:** Fallon Health (FH) Appeals and Grievance process is an essential function to FH's compliance ... standards, other applicable regulatory requirements and member expectations. The FH Member Appeals and Grievance Intake Administrator serves to administer the FH… more
    Fallon Health (08/13/25)
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  • Manager of Student Advocacy…

    CUNY (Brooklyn, NY)
    …assessment, BIT/student support case management, freedom of expression oversight, and grievance and appeals resolution. + Collaborate with various departments ... Manager of Student Advocacy and Accountability (HEA) **POSITION...conduct reports; coordinating the student conduct process, grievances, and appeals . + Oversee the Faculty Student Disciplinary Committee to… more
    CUNY (06/10/25)
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  • Senior Labor Relations Analyst

    Sacramento Municipal Utility District (Sacramento, CA)
    …with one or more collective bargaining units, including day-to-day contract management, grievance response and resolution, and labor negotiations. The intent of this ... minimum qualifications listed in this posting. **Purpose** Assists the Manager , Labor Relations in the development, coordination, implementation, and administration… more
    Sacramento Municipal Utility District (08/23/25)
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  • Senior Manager , Labor Relations

    MTA (Jamaica, NY)
    Senior Manager , Labor Relations Job ID: 12770 Business Unit: MTA Headquarters Location: Jamaica, NY, United States Regular/Temporary: Regular Department: Labor ... Posted: Aug 20, 2025 Description POSTING NO. 12770 JOB TITLE: Senior Manager , Labor Relations DEPT/DIV: Labor Relations WORK LOCATION: Jamaica, NY FULL/PART-TIME FUL… more
    MTA (08/21/25)
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