- CVS Health (Tallahassee, FL)
- …to claim submission and payments. The **Claim Field Analyst** works with the grievance and appeal and claims operations department to trend provider claim issues or ... concerns that could be prevented with additional provider claim education. They also work with the provider engagement team to collaborate on provider education when additional detailed claim education is needed. The **Claim Field Analyst** meets regularly,… more
- Robert Half Office Team (Anaheim, CA)
- …* Handle employee relations, including conflict resolution, disciplinary actions, and grievance management. * Maintain accurate employment records related to hiring, ... terminations, promotions, and performance reviews. * Support compliance with labor laws, union agreements, and company policies. * Collaborate with leadership to address HR-related challenges and provide strategic recommendations. * Ensure timely completion of… more
- State of Massachusetts (Boston, MA)
- …c.150E, MGL c.150A or MGLc150F and drafts decisions. - Provides contract, grievance and unfair labor practice mediation services. Requirements: The position requires ... a demonstrated ability to conduct administrative law and arbitration hearings and probable cause investigations and to facilitate the informal resolution of cases during their investigatory and adjudicatory phases; experience in trials or hearings and matters… more
- State of Massachusetts (Boston, MA)
- …MGL c.150A or MGLc150F and drafts decisions. - Provides contract, grievance and unfair labor practice mediation services. Requirements: This position requires ... the demonstrated ability to conduct probable cause investigations; mediate labor disputes and contracts; evaluate facts and law; draft and issue complaints and orders of dismissal; conduct legal research; write memoranda of law and perform Information Officer… more
- Dignity Health (Long Beach, CA)
- …root cause analyses, and event investigation/review. + Experience with patient compliant/ grievance investigations and prompt resolution. + Knowledge of the risks ... faced by patients in a healthcare environment, and the ability to take steps to reduce these risks. + Familiar with all legal documents related to hospital liability, including management of subpoenas, Summaries and Complaints and other related activities. +… more
- YesCare Corp (Harvest, AL)
- …addressing patient grievances promptly and assisting Charge Nurses with inmate grievance responses. + Implementing and enforcing policies and procedures, with ... recommendations for updates to the DON as needed. + Coordinating proper orientation for new staff prior to assigning routine duties. + Following standard precautions and using personal protective equipment as required. + Performing other duties as assigned by… more
- Idaho Division of Human Resources (Boise, ID)
- …legal office, or public sector environment. + Familiarity with state grievance processes, and administrative hearing practices. + Ability to manage multiple ... cases and deadlines simultaneously. + Strong attention to detail and ability to work independently and as part of a legal team. Applications: NOTE: You do not need to complete the standard "apply now" process for this position. Please submit your resume and… more
- Elevance Health (Columbus, OH)
- …are resolved timely to meet regulatory timeframes. + Documents and logs appeal/ grievance information on relevant tracking systems and mainframe systems. + Generates ... written correspondence to providers, members, and regulatory entities. + Utilizes leadership skills and serves as a subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non clinical team members in expediting… more
- State of Colorado (Canon City, CO)
- …at the informal level; + Ensures staff compliance with the offender grievance process, offender co-pay, electronic data entry, and information systems requirements; ... + Serves as the single point of contact for all inquires from the Regional HSA, DOC Public Information Officer, family members, attorneys, and other offender collateral parties; + Ensures that the Chief Medical Officer, Chief of Clinical Services, and Regional… more
- Allied Universal (Orange, CA)
- …through effective customer service and various measures, including complaint investigation, grievance resolution, focus groups, etc., as appropriate to the situation ... and the Concern Resolution Policy. + Ensure that corporate policies are appropriately enforced and implemented. + Assure that appropriate information is communicated with and to the Managers and the Regional HR Director. + Travel regularly throughout… more