- Elevance Health (Seattle, WA)
- …Associate Medical Director** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and providers. ... for services requested. + Makes medical necessity determinations for grievance and appeals appropriate for their specialty. + Ensures consistent use of medical… more
- State of Indiana (Indianapolis, IN)
- …conducts discovery; participates in settlement negotiations. + Works closely with technical staff assigned to case. + Works closely with Leadership to develop and ... the IURC, FERC, Indiana Supreme Court and Court of Appeals orders, and other utility jurisdictions as well as...election years + Education Reimbursement Program + Group life insurance + Referral Bonus program + Employee assistance program… more
- State of Colorado (Colorado Springs, CO)
- …of division processes, supports faculty and students, oversees student work-study staff , manages purchasing and event logistics, and maintains accurate records and ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information This… more
- City of Jacksonville (Jacksonville, FL)
- …+ Schedules, assigns, monitors, reviews, mentors and evaluates the work of assigned staff . + Performs legal research and prepares opinions on various legal issues. + ... cases, hearings and at various internal board hearings and appeals . + Attends meetings of the City Council, boards,...benefit programs include medical, dental and vision plans; life insurance coverage for you and your dependents; flexible spending… more
- Elevance Health (Marietta, OH)
- …+ May also serve as mentor, subject matter expert or preceptor for new staff , assisting in the formal training of associates, and may be involved in process ... + Assists and participates in appeal or fair hearings, member grievances, appeals , and state audits. **Minimum Requirements:** + Requires BA/BS degree and a… more
- Bear Mountain Health Care (MA)
- …payments, per policy . Respond to denials, which may include attendance of appeals or submission of reapplication . Work in collaboration with the facility Business ... Office staff to coordinate efforts to approval . Prepare reports...experience + Medical/Dental/Vision + 401(k) Retirement Plan + Life Insurance , Short Term & Long Term Disability + Paid… more
- Cedars-Sinai (Beverly Hills, CA)
- …Hospitals. **Why work here?** Beyond outstanding employee benefits including health and dental insurance , vacation, and a 403(b) we take pride in hiring the best ... employees. Our accomplished staff reflects the culturally and ethnically diverse community we...and assists with the resolution of provider grievances and appeals in accordance with contractual requirements and corporate policy.… more
- Adecco US, Inc. (Draper, UT)
- …case outcome, follow-up or consultation such as prior authorization requirements, appeals , etc. . Educate members / guardians, providers, pharmacy staff ... available for our associates include medical, dental, vision, life insurance , short-term disability, additional voluntary benefits, EAP program, commuter benefits… more
- Elevance Health (Miami, FL)
- …May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. **How you will make an impact:** + Supports ... a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any… more
- Elevance Health (TX)
- …May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. ... a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any… more