- Motion Recruitment Partners (Birmingham, AL)
- Appeals and Grievance Analyst Birmingham, Alabama **Onsite** Contract $18/hr - $28/hr Are you detail-oriented, highly organized, and passionate about making a ... difference in healthcare? We are seeking several Appeals and Grievances Consultants s for an onsite contract opportunity in Birmingham, AL. In this role, your… more
- City and County of San Francisco (San Francisco, CA)
- …bargaining agreements. + Key duties include negotiating resolutions to grievances , investigating complaints of serious employee misconduct, and conferring with ... professional human resources experience, similar to 1241 Human Resources Analyst , in one or more of the following areas...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- Insight Global (Mayfield Heights, OH)
- …Authorization/Gold Carding, Eligibility/Benefits Verification, Claim Submission, Adjudication, Payment, Appeals / Grievances ) * Clear and confident communicator, ... and features to be passed off to a systems analyst who will write the user stories for the...pieces and parts. Other Responsibilities include: * The Business Analyst III is responsible for understanding the stakeholder's business… more
- Evolent (Carson City, NV)
- …supporting Evolent's clinical services (ie, specialty care, utilization management, care management, appeals & grievances ) + Using analytical tools to integrate ... Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Analyst , Client Analytics** Integrate and analyze claims and enrollment data from multiple… more
- The Cigna Group (Tallahassee, FL)
- …Complete onsite quality assessments + Respond to provider inquiries, concerns, complaints, appeals and grievances + Provide ongoing product education to dentists ... and their staff + Work to achieve contract discounts with new providers and current providers through thoughtful negotiation + Use data and facts to identify and overcome objections + Prioritize and organize own work to meet deadlines, and reach established… more
- LA Care Health Plan (Los Angeles, CA)
- …Solution Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position ... call documentation and categorization, service authorization request and coverage determination , Appeals and Grievances across all lines of business). This… more
- The County of Los Angeles (Los Angeles, CA)
- …personnel in their unit and effectively recommending the adjustment of grievances and disciplinary problems. Other positions are assigned such functions as: ... first level technical and administrative supervision to the complaint or advanced-level appeals unit. Essential Job Functions + Supervises the activities of all… more
- State of Colorado (Grand Junction, CO)
- …to staff, including hiring, training, evaluations, disciplinary actions, and resolving grievances . - Direct staff resources to ensure effective delivery of ... of state service experience. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online job… more
- State of Colorado (Jefferson County, CO)
- …a minimum of two methods. + Addresses individual/family/guardian complaints and resolves grievances at the lowest level. + Provide nursing care in conjunction with ... of state service experience. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online job… more
- State of Colorado (Golden, CO)
- …conflicts, investigates and problem solves internal and external complaints and grievances from staff, youth, family, and other customers. Scheduling of clinic ... and minimum requirements. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online… more