• Associate Specialist

    Molina Healthcare (Columbus, GA)
    …with research. * Determines appropriate language for letters and prepares responses to member appeals and grievances . * Elevates appropriate appeals to the ... in an efficient and timely manner. * Creates and/or maintains appeals and grievances related statistics and reporting. * Collaborates with provider and member… more
    Molina Healthcare (10/26/25)
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  • Associate Specialist

    Molina Healthcare (Austin, TX)
    …and prepare responses to appeals and grievances . + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. ... systems and other available resources. + Assures timeliness and appropriateness of appeals according to state and federal and Molina Healthcare guidelines. +… more
    Molina Healthcare (10/18/25)
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  • Member Engagement Specialist - Remote…

    Molina Healthcare (OH)
    …Represents Member issues in areas involving member impact and engagement including: Appeals and Grievances , Member Problem Research and Resolution, and the ... or problem; informs members of their rights in the complaints and appeals process; and advises/refers as appropriate for investigation and resolution. * Conducts… more
    Molina Healthcare (10/29/25)
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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 ... Education (must have):** + N/A **Desired Education (nice to have):** + Associate 's or Bachelor's degree in Health Administration, Finance, or related field… more
    Commonwealth Care Alliance (08/31/25)
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  • People Relations Partner Associate III

    Volunteers of America Los Angeles (Los Angeles, CA)
    …and resolution of facts and issues in matters affecting disciplinary actions, grievances , appeals , and complaints, refers complex matters to HR Employee ... People Relations Partner Associate III Location:Los Angeles, CA Job ID:4053 Salary:$80116.92...Relations Specialist or Senior Manager of Employee Relations as required… more
    Volunteers of America Los Angeles (08/29/25)
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