• UM Regulatory Nurse Specialist, Health New England

    Baystate Health (Springfield, MA)
    …stakeholders, including Legal, Government Programs, Complaints & Appeals and Quality. **Essential Functions:** + Pre-authorization reviewutilizingcriteria ... revision ofdepartmental Policy & Procedures + Processes Member and Provider appeals + Effectively utilizesHNE UM/CM/DM policies and processes, and electronic systems… more
    Baystate Health (01/15/26)
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  • Trial Attorney 2 - Bonneville County

    Idaho Division of Human Resources (Idaho Falls, ID)
    …hearings, child protective act cases, specialty court proceedings in magistrate court, and appeals to the district court and does related work as required. This ... of proceedings; + Prepare and present legal arguments in appeals to district court, ensuring the legal rights of...Excellent Benefits + Excellent low-cost medical, dental, and vision insurance - employee coverage for PPO $70.74/month for medical… more
    Idaho Division of Human Resources (01/15/26)
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  • Senior Human Resources Analyst - Multiple…

    City and County of San Francisco (San Francisco, CA)
    …benefits that include: competitive salaries; medical, dental, and vision insurance ; defined benefit retirement plan; deferred compensation plan; long-term disability ... insurance ; life insurance ; and a generous paid... insurance ; life insurance ; and a generous paid time off package. Come...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
    City and County of San Francisco (01/13/26)
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  • Procurement Agent III (Purchasing Agent III)

    State of Colorado (Denver, CO)
    …them safe. The State of Colorado offers competitive medical, dental and vision insurance , life and disability insurance , and flexible spending and health savings ... contract activity and data, including but not limited to insurance validation, contract terms and maintain contract data in...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
    State of Colorado (01/13/26)
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  • Plumbing Plans Reviewer

    City of Coral Gables, FL (Coral Gables, FL)
    …examiner by the State of Florida and the Miami-Dade County Board of Rules and Appeals in accordance with Chapter 8, Article 2 of the County Code, and be qualified ... agreement and the City's Personnel Rules & Regulations. MEDICAL INSURANCE : Fully paid by the City (HMO Select). Coverage...Florida and the Miami-Dade County Board of Rules and Appeals in accordance with Chapter 8, Article 2 of… more
    City of Coral Gables, FL (01/06/26)
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  • Fire Department Protection Engineer

    Clark County, NV (Las Vegas, NV)
    …Money in Your Pocket + No Social Security Deduction + No State Income Taxes + Retiree insurance + Dental + Vision + Life Insurance + AD&D + Long Term Disability ... + Guardian - Accident, Cancer, Critical Illness, Hospital Indemnity, and Short-Term Disability Insurance . + AD&D, and long-term disability insurance + TASC -… more
    Clark County, NV (12/24/25)
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  • Medical Director - IP Claims Management

    Humana (Raleigh, NC)
    …an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, and outpatient services and equipment, within their scope. The ... other medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
    Humana (12/11/25)
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  • Medical Director-Payment Integrity

    Humana (Carson City, NV)
    …an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, and outpatient services and equipment, within their scope. ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
    Humana (12/11/25)
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  • Front Office Manager Oncology

    HCA Healthcare (Tallahassee, FL)
    …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...make notes regarding payment.** 1. **Reviews daily preservice log, appeals inventory, and write-offs on a daily basis, reports… more
    HCA Healthcare (12/03/25)
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  • Assistant Counsel, Box OEP-129

    New York State Civil Service (Albany, NY)
    …attorneys on case investigations, evidentiary issues, and administrative hearings and appeals ;* Provide legal support to OSPRA investigators on investigations and ... and decision-making; * Assist the director with special projects, including appeals , vendor contracts, requests from internal and external customers as well… more
    New York State Civil Service (01/17/26)
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