- LA Care Health Plan (Los Angeles, CA)
- … Specialist III Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position ... working in an Agile or fast-paced environment. Preferred: Experience with Appeals and/or Grievances . Experience measuring learning effectiveness and applying… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- …to access services and rights processes + Assist with resolution of local complaints, grievances , and appeals processes + Survey, track, trend, and report on ... Intake & Customer Service Specialist Department: Community Health & Research Center Location:...member /provider experiences + Provide behavioral health, customer service, outreach,… more
- Tufts Medicine (Boston, MA)
- …a variety of areas including employee discipline/corrective action and employee appeals and the grievance process. 2. Develops and modifies Employee Relations ... 5. Provides union contract administration including the investigation of grievances , drafting grievance responses, MOA preparation. 6. Coordinates and prepares… more
- Commonwealth Care Alliance (Boston, MA)
- …schedule issues. + Collaborate closely with Provider Relations, Contracting, Payment Integrity, Appeals & Grievances , and Configuration teams to validate and ... are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental… more
- State of Colorado (Sterling, CO)
- …Benefit Plan or PERA Defined + Contribution Plan plus 401K and 457 plans. Member Contribution Rates . Correctional Officers I-IV qualify as "Safety Officers" and are ... plans, and conducts performance evaluations; resolves informal staff and/or inmate grievances . Assigns tasks, monitors and inspects work progress and ensures… more
- The County of Los Angeles (Los Angeles, CA)
- …personnel in their unit and effectively recommending the adjustment of grievances and disciplinary problems. Other positions are assigned such functions as: ... first level technical and administrative supervision to the complaint or advanced-level appeals unit. Essential Job Functions + Supervises the activities of all… more
- State of Colorado (Chaffee County, CO)
- …Benefit Plan or PERA Defined + Contribution Plan plus 401K and 457 plans. Member Contribution Rates . Correctional Officers I-IV qualify as "Safety Officers" and are ... employee evaluations and plans; conducts performance evaluations, resolves informal grievances ; creates schedules, assigns tasks, inspects work; approves time,… more
- State of Colorado (Limon, CO)
- …Benefit Plan or PERA Defined Contribution Plan plus 401K and 457 plans. Member Contribution Rates . Correctional Officers I-IV qualify as "Safety Officers" and are ... completion of annual training. + Resolve conflict and informal grievances at the lowest level possible + Ensure safe,...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …card distribution, accurate provider directories, performance on VBC contracts, benefit adjudication, appeals , and grievances . + Collaborate with the TPA to ... lead the team responsible for product and plan design, member engagement, member experience, and core administration....experience with a focus on engagement. HEALTH AND WELLNESS SPECIALIST : + Develop and implement health and wellness programs… more