• 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 (10/15/25)
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  • Human Resources Specialist

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    …process for LDH, while also supporting critical statewide programs including grievances , EEOC matters, Civil Service appeals , ADA accommodations, Affirmative ... for managers, supervisors, and employees to ensure compliance. + Investigates employee grievances , Civil Service appeals , and EEOC complaints; prepares findings… more
    Louisiana Department of State Civil Service (10/28/25)
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  • Customer Solution Center Training…

    LA Care Health Plan (Los Angeles, CA)
    Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position ... to achieve that purpose. Job Summary The Customer Solution Center Training Specialist II is responsible for conducting functional training Customer Solution Center… more
    LA Care Health Plan (09/09/25)
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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 (10/07/25)
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  • CDOC Food Service Lieutenant Csts II

    State of Colorado (Limon, CO)
    …plans, and conducts performance evaluations; resolves informal staff and/or inmate grievances . Assigns tasks, monitors and inspects work progress and ensures ... inmate hours and pay, creates schedule and assigns tasks and resolves informal grievances according to agency policy; reduces inmate idleness and creates real life… more
    State of Colorado (10/24/25)
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  • Provider Relations Lead Analyst - Cigna…

    The Cigna Group (Tallahassee, FL)
    …Complete onsite quality assessments + Respond to provider inquiries, concerns, complaints, appeals and grievances + Provide ongoing product education to dentists ... procedures to routine instructions that require professional knowledge in specialist areas. Provides standard professional advice and creates initial… more
    The Cigna Group (10/29/25)
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  • CDOC Journeyman Plumber Supervisor Cslts…

    State of Colorado (Denver, CO)
    …promotes a safe and secure environment. Supervision - provides supervisory or work lead duties for assigned inmate workers; promotes a high level of performance by ... pay, creates schedule and assigns tasks and resolves informal grievances according to agency policy; reduces inmate idleness and...with other staff members and inspire teamwork. + Supervisory/Work Lead Skills - ability to motivate inmates to work… more
    State of Colorado (10/21/25)
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  • Senior Manager, Audit and Business Oversight

    CVS Health (Springfield, IL)
    …Integrated Product Experience + Experience with Part D Coverage Determination, Appeals and Grievances and/or Formulary Administration regulatory requirements and ... **What you will do** + Acts as a top-level specialist on project management and develops a comprehensive plan...D reporting requirements + 3+ years serving as project lead + Adept at problem solving and decision making… more
    CVS Health (10/25/25)
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