- State of Colorado (Colorado Springs, CO)
- …Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, ... regulations. Irrigation Systems + Installs, inspects, designs, maintains, and repairs commercial irrigation systems to ensure proper operation and water efficiency.… more
- State of Colorado (Pueblo, CO)
- …Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, ... throughout the state which include driver licenses, instruction permits, commercial driver licenses, and identification cards. Senior Technician - Assistant… more
- State of Colorado (Denver, CO)
- …Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, ... months of relevant experience in an occupation related to professional, commercial custodian work. Conditions of Employment: + A pre-employment criminal background… more
- Sacramento County (Sacramento, CA)
- …flexible spending account options for dependent care and unreimbursed dental and/or medical cost; and an employee assistance program (EAP). GENERAL BENEFITS: Most ... a pre-tax basis via payroll deduction, to pay for medical , dental or dependent care expenses. + DEPENDENT CARE...of the total possible score as determined by the Director . APPEAL PROCESS: Persons who believe their applications have… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …with BCBSMA criteria to adjudicate these requests. At the request of the Associate Medical Director of the Physician Psychologist Review Unit, the Reviewer also ... + Perform additional tasks as assigned by the Associate Medical Director of the Physician Psychologist Review...Active clinical practice in order to participate in panel appeals + Experience in Utilization Management in a managed-care… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …with the segmentation of concurrent review offerings into Medicare / Medicaid / Commercial Payors, as needed * Reviews medical records of patients identified ... teaching the Care Coordination Department; serving as a member of the medical staff; and coordinating with Hospital leadership on matters regarding progression of… more
- Sacramento County (Sacramento, CA)
- …flexible spending account options for dependent care and unreimbursed dental and/or medical cost; and an employee assistance program (EAP). GENERAL BENEFITS: Most ... a pre-tax basis via payroll deduction, to pay for medical , dental or dependent care expenses. + DEPENDENT CARE...of the total possible score as determined by the Director . APPEAL PROCESS: Persons who believe their applications have… more
- Sacramento County (Sacramento, CA)
- …Or: 3. Two years of experience providing administrative support in governmental or commercial real estate with responsibilities that included one or more of the ... flexible spending account options for dependent care and unreimbursed dental and/or medical cost; and an employee assistance program (EAP). GENERAL BENEFITS: Most… more
- Buffalo Hearing & Speech Center (Buffalo, NY)
- …by the accounts receivable manager. Experience in Medicare and Medicaid HMO's, Commercial payers such as ChampVA, Tricare, UHC, Aetna, Cigna, NYS Medicaid and ... up is to be done bi-monthly on assigned controls to include corrected claims, appeals , phone calls, or provider rep assistance to assure any missing or incorrect… more
- Community Health Systems (Franklin, TN)
- …ensuring compliance with policies, regulations, and payer requirements to establish medical necessity. + Communicates with commercial payers to provide ... and effective management of utilization review processes, including denials and appeals activities. This role collaborates with payers, hospital staff, and clinical… more