- State of Colorado (Fremont County, CO)
- …by the State Personnel Director if your application is eliminated. You will find the appeals process, the official appeal form, and how to deliver it on the State ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, within the Rules (https://spb.colorado.gov/board-rules) webpage. Supplemental… more
- Elevance Health (Miami, FL)
- …and/or serve as a subject matter expert. + Perform first level provider appeals as designated by the client for adverse determinations. + Obtain additional state ... for services requested. + Makes medical necessity determinations for grievance and appeals appropriate for their specialty. + Ensures consistent use of company… more
- EAC Network (Garden City, NY)
- …and evaluation of annual fundraising goals, campaigns, events, and appeals . + Coordinate and execute multi-channel fundraising campaigns, including direct ... + Collaborate with the communications team to develop consistent messaging for appeals , newsletters, social media, and donor impact stories. + Support the production… more
- Executive Office for US Attorneys and the Office of the US… (New Orleans, LA)
- …(AUSA) in the New Orleans office. The incumbent will brief and argue direct criminal appeals before the Fifth Circuit Court of Appeals . The incumbent will also ... that includes, in part, paid vacation; sick leave; holidays; telework; life insurance ; health benefits; and participation in the Federal Employees Retirement System.… more
- FirstEnergy (Akron, OH)
- …or AI where appropriate), strengthen controls and procedures, and handle audits and appeals . The Manager will report to the Director, Tax Planning and will be ... and/or petitions to support tax audit defense, refunds, and appeals + Collaborate with leadership in areas of the...choice of medical, prescription drug, dental, vision, and life insurance programs, as well as skills development training with… more
- KPH Healthcare Services, Inc. (Oneonta, NY)
- …pharmacy serves patients and improves their overall care + Resolve insurance related issues, complete benefit investigations, including prior authorizations (PAs) as ... a high level of successful prior authorizations + Responsible for Appeals Requests and External Appeals Requests when necessary. + Act as liaison with Clinical… more
- State of Colorado (Denver, CO)
- …complex civil rights litigation and associated constitutional claims, habeas petitions, civil appeals and advice matters for state agencies. This position is best ... cases, CRCP 106 cases, Constitutional law, administrative law, and federal and state appeals is preferred. + Broad range of litigation experience. + Ability to be… more
- Molina Healthcare (Racine, WI)
- …and contractual guidelines. + Partner with provider relations, Health plans and appeals teams to address recurring dispute trends and recommend systemic solutions. + ... improvement. **Skills & Competencies** + Proven experience handling provider disputes, appeals , and overpayment recoveries in a managed care or payer environment.… more
- City and County of San Francisco (San Francisco, CA)
- …candidates must be insurable under the Port's automobile liability insurance policy. Insurability must be maintained throughout employment. Supplemental ... to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or...may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
- Manulife (ME)
- …research projects pertaining to risk assessment. + Process formal underwriting appeals and complaints. + Review underwriting fraud referrals for appropriateness and ... expert for more junior colleagues and management. + Process formal underwriting appeals and complaints. + Manage underwriting fraud referrals for appropriateness and… more
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