• HR Business Partner- Human Resources Specialist II

    State of Colorado (Pueblo, CO)
    …employment laws; progressive discipline; records management; recruitment; responding to grievances , appeals , charges of discrimination; reorganization issues; ... retention; selection and selection appeals ; settlement advice; strategic planning and overall HR guidance...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
    State of Colorado (08/02/25)
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  • Manager of Student Advocacy and Accountability…

    CUNY (Brooklyn, NY)
    …Rules); tracking student conduct reports; coordinating the student conduct process, grievances , and appeals . + Oversee the Faculty Student Disciplinary ... process, early intervention student support service process, the resolution of student grievances , appeals , and complaints, and the utilization of the Behavioral… more
    CUNY (06/10/25)
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  • Director Utilization Management

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    …inpatient/concurrent reviews, outpatient, and retrospective reviews, Physician reviews and Appeals and Grievances processing. Primary Responsibilities + ... team consisting of Clinicians and Non-Clinical support staff from Intake through Appeals processing. The ideal candidate will have a strong clinical background… more
    Brighton Health Plan Solutions, LLC (07/18/25)
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  • Human Resources Business Partner

    State of Colorado (Denver, CO)
    …employment laws; progressive discipline; records management; recruitment; responding to grievances , appeals , charges of discrimination; reorganization issues; ... retention; selection and selection appeals ; settlement advice; strategic planning and overall HR guidance...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
    State of Colorado (07/24/25)
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  • Medical Director, Children's Services (SafetyNet…

    Excellus BlueCross BlueShield (Buffalo, NY)
    …on the Administration of BH QM/UM and performance improvement activities, including grievances and appeals . + Attendance at regular (at least quarterly) ... + Develops, conducts concurrent and retrospective reviews of claims and appeals and resolves grievances related to medical quality of care, as needed. + Ensures… more
    Excellus BlueCross BlueShield (05/10/25)
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  • Sr. Generalist, Human Resources

    Boar's Head Brand/Frank Brunckhorst Co., LLC (Forrest City, AR)
    …strong employee and community relations. + Investigates issues such as employee appeals and grievances . + Performs daily plant walk-through, reviews corrective ... actions, meets with the management team to set direction, and solves issues when appropriate. + Makes certain employees' voice is heard and understood by the management team. + Ensures mutual respect and diversity efforts are properly implemented. + Ensures… more
    Boar's Head Brand/Frank Brunckhorst Co., LLC (08/01/25)
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  • Medical Director, Clinical Services

    Highmark Health (St. Paul, MN)
    …medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances , and other reviews as assigned. Compose clear ... and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with… more
    Highmark Health (07/29/25)
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  • Emory Health Plan, Vice President - Plan…

    Emory Healthcare/Emory University (Atlanta, GA)
    …card distribution, accurate provider directories, performance on VBC contracts, benefit adjudication, appeals , and grievances . + Collaborate with the TPA to ... understand operational performance, hold accountable to SLAs and PGs, and identify approaches to improve performance. + In conjunction with VP, Pharmacy, ensure PBM operational performance is at high standard. PROVIDER RELATION: + Develop, manage, assess… more
    Emory Healthcare/Emory University (07/03/25)
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  • Police Captain

    North Carolina Central University (Durham, NC)
    …Practices. Exercise judgment in administering the disciplinary action process, including appeals and grievances . Ability to consistently and fairly work ... with Employee Relations and other Command Staff members to ensure proper and appropriate disciplinary procedures. Full knowledge of the agency or university business Posting Detail Information **Posting Number** EPA03367P **Open Date** 05/22/2025 **Date… more
    North Carolina Central University (06/13/25)
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  • Deputy Chief of Police

    North Carolina Central University (Durham, NC)
    …Exercises judgment in administering the disciplinary action process, including appeals and grievances . **Function** Administrative **Describe the specific ... tasks and responsibilities related to the function.** Responsible for the entire recruitment process, must meticulously manage the influx of applications, ensuring that each submission adheres to the necessary documentation standards. Beyond administrative… more
    North Carolina Central University (06/13/25)
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