• Appeals /Grievance Coordinator I…

    Sharp HealthCare (San Diego, CA)
    …Will Do** Responsible for the investigation, documentation and resolution of Commercial member appeals and grievances in compliance with State law, rules, and ... Officer (CMO) who is responsible for all decisions regarding clinical appeals and grievances and the Chief Operations Officer (COO) who is responsible for… more
    Sharp HealthCare (08/20/25)
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  • Appeals /Grievance Coordinator I…

    Sharp HealthCare (San Diego, CA)
    …You Will Do** Responsible for the investigation, documentation and resolution of member appeals and grievances in compliance with State law, rules, and ... Officer (CMO) who is responsible for all decisions regarding clinical appeals and grievances and the Chief Operations Officer (COO) who is responsible for… more
    Sharp HealthCare (08/20/25)
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  • Grievance & Appeals Coordinator I

    Centene Corporation (Phoenix, AZ)
    …and authorization appeals from providers and pursue resolution of formal grievances from members. + Gather, analyze and report verbal and written member and ... provider complaints, grievances and appeals + Prepare response letters for member and provider complaints, grievances and appeals + Maintain files on… more
    Centene Corporation (08/27/25)
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  • Sr Complaints and Appeals…

    CVS Health (Sacramento, CA)
    …quality measures, with respect to letter content and turn-around time for appeals , complaints and grievances handling. + Independently researches and translates ... Summary** Responsible for Oversight of that that investigates and resolution of appeals scenarios for all products, which may contain multiple issues and, may… more
    CVS Health (08/28/25)
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  • Compliant & Appeals Coordinator…

    CVS Health (Phoenix, AZ)
    …+ Prepares information and reports needed to address matters regarding complaints, appeals , and grievances . + Carries out policies, procedures, and programs ... with federal and/or state regulations. + Reviews, interprets, and processes appeals and grievances filed by patients, escalating more complex issues and concerns… more
    CVS Health (08/22/25)
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  • Appeals and Grievance Specialist

    Commonwealth Care Alliance (Boston, MA)
    011540 CCA- Appeals & Grievances **Position Summary** Appeals and Grievances Specialist supports the Operations Department and the Appeals and ... well as externally to facilitate timely resolution of all grievances and appeals and ensures compliance with...dental, reporting, and member services. + Supports the Senior Appeals & Grievance Coordinator and A/G … more
    Commonwealth Care Alliance (08/20/25)
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  • Patient Relations and Legal Coordinator…

    Roper St. Francis (Charleston, SC)
    …**Shift: Day shift 8:00am-5:00pm** **Job Summary** **:** The Patient Relations & Legal Coordinator aids in complaints and grievances management as well as legal ... legal field, customer service or healthcare preferred. Prior experience working with grievances and appeals strongly preferred. Knowledge of RSFH organizational… more
    Roper St. Francis (08/27/25)
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  • Appeal and Grievance Coordinator - MUST…

    CVS Health (Frankfort, KY)
    …every day. **Position Summary** Responsible for intake, investigation and resolution of appeals , complaints and grievances scenarios for all products, which may ... responses from multiple business units. Ensure timely, customer focused response to appeals , complaints and grievance. Identify trends and emerging issues and report… more
    CVS Health (08/20/25)
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  • DOLA Quality Assurance, Section 504 and VAWA…

    State of Colorado (Denver, CO)
    DOLA Quality Assurance, Section 504 and VAWA Coordinator (Administrator V) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5058770) Apply  DOLA ... Quality Assurance, Section 504 and VAWA Coordinator (Administrator V) Salary $91,320.00 - $118,728.00 Annually Location...program decisions and resource allocation. + Handle Complaints and Grievances : Serve as the primary point of contact for… more
    State of Colorado (08/27/25)
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  • Health Care Technician IV - Residential…

    State of Colorado (Pueblo, CO)
    HEALTH CARE TECHNICIAN IV - Residential Coordinator - Pueblo Regional Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5055098) Apply  ... HEALTH CARE TECHNICIAN IV - Residential Coordinator - Pueblo Regional Center Salary $1,951.20 - $2,341.60...Pueblo Regional Center. Addresses all complaints and resolving individual grievances at the home level. When a resident is… more
    State of Colorado (08/26/25)
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