• Customer Solution Center Audit Readiness…

    LA Care Health Plan (Los Angeles, CA)
    …Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: ... call documentation and categorization, service authorization request and coverage determination , Appeals and Grievances across all lines of business). This… more
    LA Care Health Plan (07/17/25)
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  • CDOC - Human Resources Specialist V (Human…

    State of Colorado (CO)
    CDOC - Human Resources Specialist V (Human Resources Manager) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4994350) Apply  CDOC - Human ... Resources Specialist V (Human Resources Manager) Salary $7,610.00 - $12,177.00...develop performance plans and sign performance documents; resolve informal grievances ; provide coaching, mentoring, approve leave, manage workloads; +… more
    State of Colorado (07/22/25)
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  • Clinical Reviewer

    Independent Health (Buffalo, NY)
    …responsible for the collection and review of medical records specific to quality complaints/ grievances and appeals as indicated in support of a high performing ... plan and physician network. The Clinical Reviewer will investigate quality complaints/ grievances and appeals , document research of initial coverage… more
    Independent Health (07/09/25)
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  • Senior Employee and Labor Relations…

    Tufts Medicine (Boston, MA)
    …a variety of areas including employee discipline/corrective action and employee appeals and the grievance process. 2. Develops and modifies Employee Relations ... 5. Provides union contract administration including the investigation of grievances , drafting grievance responses, MOA preparation. 6. Coordinates and prepares… more
    Tufts Medicine (07/09/25)
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  • Lead Medical Support Assistant

    Veterans Affairs, Veterans Health Administration (Fredericksburg, VA)
    …Resolves simple, informal complaints of employees and refers others, such as formal grievances and appeals , to the supervisor or appropriate management official. ... Summary This position is located in Primary Care in Fredericksburg. The Lead Medical Support Assistant provides guidance and technical direction for accomplishing… more
    Veterans Affairs, Veterans Health Administration (07/13/25)
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  • CDOC Journeyman Electrician Lieutenant Cslts II…

    State of Colorado (Limon, CO)
    …and inmates; ensuring safe, efficient, and effective electrical operations and supervision/work lead duties of assigned staff and inmates. Position promotes the CDOC ... 'use of force' techniques. + Provide supervision or work lead duties of assigned staff, promoting a high level...completion of annual training. + Resolve conflict and informal grievances at the lowest level possible + Ensure safe,… more
    State of Colorado (07/11/25)
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  • Emory Health Plan, Vice President - Plan…

    Emory Healthcare/Emory University (Atlanta, GA)
    …card distribution, accurate provider directories, performance on VBC contracts, benefit adjudication, appeals , and grievances . + Collaborate with the TPA to ... our academic community. **Description** The Vice President of Plan Operations will lead the team responsible for product and plan design, member engagement, member… more
    Emory Healthcare/Emory University (07/03/25)
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