- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse (RN) Manager , Appeals and Grievances General Operations (Clinical) Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... to support the safety net required to achieve that purpose. Job Summary The Manager , Appeals & Grievances (A&G) & General Operations (Clinical) is responsible… more
- Molina Healthcare (Houston, TX)
- …set by the department are met. * Maintains call tracking system of correspondence and outcomes for provider and member appeals /grievances; oversees/monitors ... Manages team responsible for the submission/resolution of member and provider appeals and grievances; ensures resolutions are compliant with applicable standards and… more
- BronxCare Health System (Bronx, NY)
- …the analysis and preparation of responses to payor denials and develop strong appeals for the purpose of securing reimbursement for acute care services provided to ... identification of patterns and trends identified during the course of appeals preparation. Conduct departmental performance improvement audits, analyze findings and… more
- Elevance Health (Indianapolis, IN)
- …for system edits. + Coordinates research and responds to system inquiries and appeals . + Conducts research of claims systems and system edits to identify ... reviews to ensure proper coding was used. + Prepares correspondence to providers regarding coding and fee schedule updates....Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Fallon Health (Worcester, MA)
- …those correspondence to providers. + Filing of individual provider appeals files in accordance with department standards. Maintain provider appeal database and ... on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** Fallon Health (FH) Appeals and Grievance process is an essential function to FH's compliance with… more
- State of Colorado (Denver, CO)
- Traffic Safety Project Manager - Denver Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5144593) Apply Traffic Safety Project Manager - ... performance. About the Position The Safety Performance and Engineering Unit project manager position will handle the unit's consultant contracts and serve as a… more
- State of Colorado (Denver, CO)
- Safety Communications Manager Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5136618) Apply Safety Communications Manager Salary ... Department of Transportation (CDOT) has a vacancy for a Safety Communications Manager (Marketing and Communications Specialist IV) position located in our Denver… more
- State of Colorado (Denver, CO)
- Budget & Policy Analyst III, Business Operations Manager - Denver Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5135878) Apply Budget & ... Policy Analyst III, Business Operations Manager - Denver Salary $82,836.00 - $95,244.00 Annually Location Denver, CO Job Type Full Time Job Number HAA-50138001-11/25… more
- State of Colorado (Denver, CO)
- Environmental Project Manager , NEPA (EPS III) - Denver Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5130138) Apply Environmental Project ... Manager , NEPA (EPS III) - Denver Salary $88,104.00 -...do, including hiring, employment, and advancement opportunities. Notifications: All correspondence regarding your status in the selection/examination process will… more
- State of Colorado (Fremont County, CO)
- CDOC - Correction Case Manager I (CCF) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5131315) Apply CDOC - Correction Case Manager I ... establish an eligible list for referral to the hiring manager for final consideration. Use of artificial intelligence (AI)...of the department's action. For more information about the appeals process, the official appeal form, and how to… more