- State Bar of Texas (Houston, TX)
- …Commission for Lawyer Discipline in attorney disciplinary proceedings before District Grievance Committees, District Courts, and the Board of Disciplinary Appeals. ... in attorney discipline litigation, including hearings before evidentiary panels of the grievance committee, district court trials and proceedings before the Board of… more
- Fresenius Medical Care (Newport Beach, CA)
- …support services that are available. Reviews patient rights and responsibilities, grievance information (company and network) and other facilities policies with ... Admission and Continuity of Care Reviews Patient Rights and Responsibilities, Grievance Procedure & Important Numbers Handout, FKC Non-discrimination policy, DNR… more
- Harbor Health Services, Inc. (Mattapan, MA)
- …knowledge of all aspects of managed care medical management including UM/CM, Grievance and Appeals, inpatient and outpatient services, medical policy, and clinical ... claims review In-depth experience of Mass Health and CMS requirements Knowledge of and experience utilizing Electronic Medical Record (EPIC preferred) Intermediate knowledge of Office 365 including Word, Excel, Outlook and Teams Excellent written and verbal… more
- Point32Health (FL)
- …. **Job Summary** Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State ... and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works collaboratively with… more
- CVS Health (Baton Rouge, LA)
- …units. Ensure timely, customer focused response to appeals, complaints and grievance . Identify trends and emerging issues and report and recommend solutions. ... -Research incoming electronic appeals, complaints and grievance to identify if appropriate for unit based upon...work items that do not meet appeals, complaints and grievance criteria. -Research Standard Plan Design or Certification of… more
- Point32Health (MA)
- …. **Job Summary** SUMMARY Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per ... and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works collaboratively with… more
- Centene Corporation (Phoenix, AZ)
- …Purpose:** Analyze and resolve verbal and written claims and authorization grievance /appeals from providers and members. Resolve all State inquires related to ... state and organizational regulations and policies and procedures + Review claim grievance for reconsideration and either approve/deny based on determination level or… more
- CoreCivic (Mason, TN)
- …and a responsibility to better the public good. We are currently seeking a ** Grievance Coordinator** who has a passion for providing the highest quality care in an ... to making an impact for the people and communities we serve. The Grievance Coordinator oversees the inmate/resident grievance process and ensures that both… more
- BayCare Health System (Clearwater, FL)
- …and medical records. Triage, plan, and execute intake of Appeals and Grievance submissions. + Keeping track of deadlines, ensuring all necessary documentation is ... assurance activities and contribute to the development of best practices for grievance and appeal resolution. + Adhere to HIPAA requirements, guidance on… more
- CVS Health (Frankfort, KY)
- …units. Ensure timely, customer focused response to appeals, complaints and grievance . Responsible for day-to-day implementation of Aetna's appeals, complaints and ... including but not limited to: -Research incoming electronic appeals, complaints and grievance to identify if appropriate for unit based upon published business… more
Related Job Searches:
Appeals Grievance Manager,
Assistant Grievance Manager,
Director Grievance Appeals,
Grievance Appeals Analyst,
Grievance Appeals Coordinator,
Grievance Appeals Representative,
Grievance/appeals Analyst II,
Manager Grievance Appeals RN,
Manager II Grievance Appeals,
Specialist Grievance Appeals