• Medicaid Appeals & Grievance

    CVS Health (Baton Rouge, LA)
    …from multiple business units. Ensure timely, customer focused response to appeals , complaints and grievance . Responsible for day-to-day implementation of ... case load including but not limited to: -Research incoming electronic appeals , complaints and grievance to identify if appropriate for unit based upon published… more
    CVS Health (07/10/25)
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  • Customer Solution Center Appeals

    LA Care Health Plan (Los Angeles, CA)
    …required by clinical staff to render decisions, assists the Customer Solution Center Appeals & Grievance Manager and Director in meeting regulatory ... clarification on initial responses. (25%) Under the supervision of the Appeals and Grievance Manager , assist with soliciting non-clinical information from… more
    LA Care Health Plan (07/06/25)
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  • IRE Grievance & Appeals Mgr II

    Elevance Health (Durham, NC)
    ** Manager II Grievance / Appeals ** **- Claims Support** **Office Locations:** _The selected candidate must reside within a reasonable commuting distance of the ... unless an accommodation is granted as required by law._ The ** Manager II Grievance / Appeals ** responsible for management oversight of grievances and … more
    Elevance Health (07/15/25)
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  • Member Appeal & Grievance

    Fallon Health (Worcester, MA)
    …on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Fallon Health (FH) Appeals and Grievance process is an essential function to FH compliance ... & Grievances Coordinator serves to administer the FH Appeals and Grievance process as outlined in...calendar or at the direction of a supervisor or manager . Answers telephone calls via ACD queue, as needed,… more
    Fallon Health (05/29/25)
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  • Manager , Customer Solution Center…

    LA Care Health Plan (Los Angeles, CA)
    Manager , Customer Solution Center Appeals and Grievances Job Category: Management/Executive Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Manager , Customer Solution Center Appeals and Grievances...5 years of experience resolving health care eligibility, access, grievance and appeals issues, preferably in health… more
    LA Care Health Plan (07/08/25)
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  • Labor Relations Manager

    Transdev (Readville, MA)
    Overview: Transdev in Boston, MA is seeking a Labor Relations Manager for its Boston Public Schools transportation contract. The Labor Relations Manager provides ... Responsibilities: + Manage labor relations program of the property jointly with the General Manager . + Research, compile, and prepare data for use in grievance more
    Transdev (07/03/25)
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  • Manager of Student Advocacy…

    CUNY (Brooklyn, NY)
    …assessment, BIT/student support case management, freedom of expression oversight, and grievance and appeals resolution. + Collaborate with various departments ... Manager of Student Advocacy and Accountability (HEA) **POSITION...conduct reports; coordinating the student conduct process, grievances, and appeals . + Oversee the Faculty Student Disciplinary Committee to… more
    CUNY (06/10/25)
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  • Senior Manager , Labor Relations…

    MTA (Jamaica, NY)
    Senior Manager , Labor Relations & Arbitration Job ID: 11392 Business Unit: MTA Headquarters Location: Jamaica, NY, United States Regular/Temporary: Regular ... Date Posted: Jul 8, 2025 Description POSTING NO. 11392 JOB TITLE: Senior Manager , Labor Relations & Arbitration DEPT/DIV: Labor Relations WORK LOCATION: Jamaica, NY… more
    MTA (07/16/25)
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  • Human Services Division Manager Range A/B

    Sacramento County (Sacramento, CA)
    Human Services Division Manager Range A/B Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/2234944) Apply  Human Services Division Manager ... $12,042.50 - $14,636.88/month Under executive direction, the Human Services Division Manager plans, coordinates and administers a human services division comprised… more
    Sacramento County (07/08/25)
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  • Member Appeal Analyst

    Corewell Health (Grand Rapids, MI)
    …or advanced level using Microsoft Office Suite preferred + Previous experience with grievance and appeals processes. Preferred How Corewell Health cares for you ... Federal decisions are properly implemented. Assist the Lead, Supervisor and/or Manager in coordinating activities and in the development/collection of materials… more
    Corewell Health (06/27/25)
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