• Standards Specialist

    City of New York (New York, NY)
    …of Correction ("DOC" or "the Department"); - Investigate serious incidents; - Review grievances from people in custody and staff; - Evaluate the performance of DOC; ... a period of growth and change. JOB DESCRIPTION The Board seeks a Standards Specialist ("Monitor") with a passion for justice, fairness, and human rights, and the… more
    City of New York (05/23/25)
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  • Senior Provider Engagement Network…

    Centene Corporation (Jefferson City, MO)
    …division of financial responsibility interpretation, contract rate and language interpretation, appeals , grievances and eligibility. + Serve as primary point ... of contact and liaison between assigned providers and the health plan. + Provide issue resolution support for most complex provider contracts by researching and partnering to resolve provider claims and data issues. + Act as department subject matter expert. +… more
    Centene Corporation (07/31/25)
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  • Medicare/Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    …schedule issues. + Collaborate closely with Provider Relations, Contracting, Payment Integrity, Appeals & Grievances , and Configuration teams to validate and ... resolve reimbursement concerns. + Conduct retrospective audits to identify systemic payment issues and recommend resolution pathways. + Interpret and apply MassHealth fee schedules, All-Payer Rate Setting regulations, and CMS payment methodologies (eg, DRG,… more
    Commonwealth Care Alliance (05/31/25)
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  • CDOC Mid Level Provider / Nurse Manager - (Denver)

    State of Colorado (Denver, CO)
    …DOC departments; + Responsible for budget, reporting, conflict resolution, inmate grievances , and maintaining a comprehensive inmate medical record; + Responsible ... daily monitoring, performance management (planning, reviewing and evaluating), resolving complaints/ grievances at the informal level, responsibility for scheduling and… more
    State of Colorado (07/25/25)
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  • Health Facilities Evaluator III

    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
    The County of Los Angeles (05/10/25)
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  • Social Work/Counselor IV - Fort Logan

    State of Colorado (Denver, CO)
    …referrals to potential discharge locations. + Works closely with the benefits specialist and reintegration specialist , assists in the completion and monitoring ... performance plans, corrective and disciplinary actions, assist resolving informal grievances , staff scheduling, position descriptions, recruitment, retention, interviewing and… more
    State of Colorado (07/22/25)
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  • CDOC Dentist - (Canon City)

    State of Colorado (Canon City, CO)
    …plans; + Diagnose and treat dental disease of offenders or refer offenders to specialist for treatment; + This position may be required to participate in restraining ... special diets and work restrictions; + Respond to offender grievances ; + Participate in the daily dental clinic operations...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
    State of Colorado (07/03/25)
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  • Transition Escalation Administrator

    State of Colorado (Denver, CO)
    …for overtime compensation. Department Contact Information Jessica Bosick, Talent Acquisition Specialist ~ ###@state.co.us How To Apply Please submit an online ... years of relevant experience related to handling escalations, complaints, or grievances , data entry experience, basic computer skills, and customer service… more
    State of Colorado (07/25/25)
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  • CDOC Budget and Policy Analyst IV

    State of Colorado (Colorado Springs, CO)
    …5 Budget Analysts, including conducting necessary corrective actions, performance plans, grievances , interviewing, and hiring; + Work in conjunction with the Office ... of the department's action. For more information about the appeals process, the official appeal form, and how to...position, please direct your inquiries to our Employee Relations Specialist , Kristen Lange, at doc_###@state.co.us or call ###. ALL… more
    State of Colorado (08/01/25)
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  • CDOC Journeyman Electrician Lieutenant Cslts II…

    State of Colorado (Limon, CO)
    …and ensuring the completion of annual training. + Resolve conflict and informal grievances at the lowest level possible + Ensure safe, efficient, compliant and cost ... of the department's action. For more information about the appeals process, the official appeal form, and how to...position, please direct your inquiries to our Employee Relations Specialist , Kristen Lange, at doc_###@state.co.us or call ###. ALL… more
    State of Colorado (07/28/25)
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