- 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, ... and disciplinary actions. + Addresses employee complaints and resolves informal grievances . + Positions start the hiring process, interview applicants, and recommend… 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
- Transdev (Dorchester, MA)
- …of internal policies and procedures and regulations for accurate resolution of appeals , complaints, and grievances . + Understand legal requirements and ... The Labor Relations Manager provides support to the General Manager and Director of Human Resources on labor relations projects, priorities and issues. This… more
- City and County of San Francisco (San Francisco, CA)
- …service examination process is subject to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or the Civil Service ... growth, the City offers excellent benefits that include: competitive salaries; medical , dental, and vision insurance; defined benefit retirement plan; deferred… more
- Brighton Health Plan Solutions, LLC (NC)
- …other assigned duties to meet required turnaround times. * Prepares and presents cases to Medical Director (MD) for medical director oversight and ... review of services and care. * Provides referrals to Case management, Disease Management, Appeals & Grievances , and Quality Departments as needed. * Develop and… more
- Cedars-Sinai (Beverly Hills, CA)
- …(Access Express) no later than date of discharge. + Communicates with CSMPN Medical Director , Employee Health Services, Risk Management, and TPA + Attends ... 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded...Investigates, processes and assists with the resolution of provider grievances and appeals in accordance with contractual… more
- Sacramento County (Sacramento, CA)
- …of acute and chronic illnesses, and their treatment + Family planning methods + Medical and health care for pregnant women + Normal growth and development, and ... common illnesses of infants and children + Standard medical record-keeping + Procedures, techniques, and tests for conducting...of the total possible score as determined by the Director . APPEAL PROCESS: Persons who believe their applications have… more
- AmeriHealth Caritas (Washington, DC)
- …Performance Sustainability Manager (Healthy DC Plan) will report directly to the Director Operations and will drive product performance across key functional areas ... requirements, including call center SLAs, member and provider grievance & appeals , claims timeliness, provider credentialing, UM turnaround times. + Responsible to… more
- Beth Israel Lahey Health (Westwood, MA)
- …address information. Escalates calls to pharmacists for clinical inquiries and escalates grievances to supervisor. 7. Maintains new and existing patient profiles and ... Support health care providers with required prior authorization and required appeals . Manage all mail/delivery of Rx orders including addressing problems/issues with… more