- Navy Exchange Services (NEX) (Bethesda, MD)
- …and assistance to management on disciplinary actions, grievances, and appeals . Ensures appropriateness of charges and penalties. Analyzes grievances, disciplinary ... (experience may be obtained in HR generalist or in HR specialist positions); or one of the predominant specializations (labor/employee relations, employment,… more
- TEKsystems (Aurora, CO)
- Professional Summary The Office Services Specialist provides essential administrative and operational support to the Facilities Manager, particularly during an ... are organized and replenished. + Perform scanning of member claims and appeals , and other clerical duties as assigned by the Facilities Manager. Qualifications… more
- New York State Civil Service (Albany, NY)
- …employees; incarcerated individual issues, and other legal matters such as visitation appeals . Minimum Qualifications Candidates must have been admitted to the New ... background check to verify your identity. Name Michael Spring, Human Resources Specialist 1 Telephone ### Fax Email Address ###@doccs.ny.gov Address Street NYS… more
- City of New York (New York, NY)
- …Permanency Planning Unit (RCPPU), Fast-Track Long-Stayers, APPLA Monitoring Unit, Teen Specialist Unit, Office of Child Trafficking Prevention and Policy, Reentry, ... family service needs and outcomes. - Make determination outcomes on reviews and appeals in which consensus cannot be achieved. - Attend and co-chair advisory board… more
- HCA Healthcare (Manchester, NH)
- …actions). Facilitate due process in accordance with the facility's fair hearing and appeals policy as well as legal and regulatory requirements. In accordance with ... Healthcare credentialing and Cactus experience preferred. CERTIFICATIONCertified Provider Credentialing Specialist (CPCS) preferred. Capital Division (https://hcacapitaldivision.com/) which encompasses 19… more
- CVS Health (Austin, TX)
- …within budgeted costs. **What you will do** + Acts as a top-level specialist on project management and develops a comprehensive plan that encompasses objectives, ... Product Experience + Experience with Part D Coverage Determination, Appeals and Grievances and/or Formulary Administration regulatory requirements and audit… more
- Cummins Behavioral Health Systems Inc. (Avon, IN)
- …organization, Cummins is your kind of place. * If being part of a learning organization appeals to you, get in touch with us. * If you seek an employer with ethical ... state licensure as a Registered Nurse with certification as a Clinical Nurse Specialist or Nurse Practitioner with prescriptive authority Let us hear from you today! more
- Sharp HealthCare (San Diego, CA)
- …with clinical team to communicate changes in pre-authorization, denial, medical review, appeals , managed care contracts, and referrals to ensure timely process of ... transplant patients. Continually network with other Transplant Financial Access Specialist , Transplant Financial Coordinators, organizations, and centers to expand… more
- University of Utah (Salt Lake City, UT)
- …Administration during an investigation. Serves as a support and a resource during appeals or other University hearing processes. 6. Manages and prepares OEO files ... **Department may hire employee at one of the following job levels:** **Compliance Specialist , IV:** Requires a bachelor's (or equivalency) + 8 years or a master's… more
- BrightSpring Health Services (Valdosta, GA)
- …claim denials, exceptions, or exclusions. + Maintain open communication with Billing Specialist , Cash Application Analyst and Operations. + Send cash transfer & ... with State Billing Portal sites, preferred. + Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement preferred. +… more