- VNS Health (Manhattan, NY)
- …navigating the complexities of healthcare? VNS Health Plans is seeking a dedicated Manager , Grievance and Appeals (RN)to lead the daily operations ... of our grievance and appeals processes. You will play a crucial role in...Relations, Claims, Medical Director, third party administrator, pharmacy benefit manager , to achieve resolution of appeals and… more
- Fallon Health (Worcester, MA)
- …us on Facebook, Twitter and LinkedIn. **Brief summary or purpose:** Fallon Health (FH) Appeals and Grievance process is an essential function to FH's compliance ... standards, other applicable regulatory requirements and member expectations. The FH Member Appeals and Grievance Intake Administrator serves to administer the FH… more
- Elevance Health (Tampa, FL)
- ** Grievance / Appeals Analyst Lead** **Candidates must be located within 50 miles an Elevance Health PulsePoint office. This position is primarily work from home ... you to work in the office quarterly.** **Schedule: Monday-Friday 8am-5pm EST** The ** Grievance / Appeals Analyst Lead** is responsible for leading and coaching a… more
- CareFirst (Baltimore, MD)
- …**ESSENTIAL FUNCTIONS:** + Develops, establishes and implements a compliant appeal, grievance and other member/provider type complaints process with dynamic goals ... resulting in the full and fair review of appeals and grievances designed to achieve corporate objectives and advance departmental capabilities. Accountable for… more
- Fallon Health (Worcester, MA)
- …For more information, visit fallonhealth.org. **Brief Summary of Purpose:** Fallon Health's (FH) Appeals and Grievance process is an essential function to FH's ... FH Appeals and Grievances Triage Administrator serves to administer the FH Appeals and Grievance process as outlined in the FH Member Handbook/Evidence of… more
- Elevance Health (Walnut Creek, CA)
- **Nurse Appeals Lead (RN)** **Location** : This role requires associates to be in-office **1-2 days per week** , fostering collaboration and connectivity, while ... may be considered. **Shift:** Monday to Friday from 8:00am-5:00pm **PST** The **Nurse Appeals Lead** is responsible for serving as a team lead and for investigating… more
- Elevance Health (Los Angeles, CA)
- …business leaders passionate about transforming American healthcare delivery. **Nurse Appeals Associate** **Location:** This role enables associates to work virtually ... be able to rotate on mandatory holidays. The **Nurse Appeals Associate** is responsible for supporting the development and...reports complaint and grievances issues. + Prepares complaint and grievance files for Fair Hearings and serves as a… more
- University of Delaware (Newark, DE)
- Manager , Employee & Labor Relations Job no: 501883 College / VP Area:Office of Human Resources Work type: Staff Location: Newark/Hybrid Categories: Human Resources, ... Director, Employee and Labor Relations, the Employee and Labor Relations Manager , is responsible for managing day-to-day employee and labor relations functions.… more
- 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: May 5, 2025 Description POSTING NO. 11392 JOB TITLE: Senior Manager , Labor Relations & Arbitration DEPT/DIV: Labor Relations WORK LOCATION: Jamaica, NY… more
- State of Colorado (Chaffee County, CO)
- CDOC Corrections Case Manager I (Buena Vista) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4921223) Apply CDOC Corrections Case Manager ... providing opportunities for offenders to receive feedback, crisis intervention, and grievance resolution; + Stresses results oriented direction in guiding offender… more
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