- LA Care Health Plan (Los Angeles, CA)
- Manager , Customer Solution Center Appeals and Grievances Job Category: Management/Executive Department: CSC Appeals & Grievances Location: Los ... that purpose. Job Summary The Manager , Customer Solution Center Appeals and Grievances is responsible for the centralized intake, logging and triage process… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC ... Appeals & Grievances Location: Los Angeles, CA,...Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type:...Specialist II is responsible for assisting the Appeal and Grievances Compliance, Training and QA Manager to… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Coordinator I(Temp) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Coordinator I supports the...staff to render decisions, assists the Customer Solution Center Appeals & Grievance Manager and Director in… more
- Elevance Health (Los Angeles, CA)
- …that reviews, analyzes and processes non-complex pre service and post service grievances and appeals requests from customer types (ie member, provider, ... an impact:** + Reviews, analyzes and processes non-complex grievances and appeals in accordance with external...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Tampa, FL)
- …or deny appeal and forwards to Medical Director for approval. + Ensures that appeals and grievances are resolved timely to meet regulatory timeframes. + ... skills and serves as a subject matter expert for appeals / grievances /quality of care issues and is a...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Fallon Health (Worcester, MA)
- …of Coverage, departmental policies and procedures, and regulatory standards. The Member Appeals & Grievances Intake Administrator is responsible for triaging and ... assigning all incoming appeals and grievances...clerical/administrative responsibilities at the discretion of the Director or Manager . * Providing administrative assistance in support of the… more
- CUNY (Brooklyn, NY)
- …Rules); tracking student conduct reports; coordinating the student conduct process, grievances , and appeals . + Oversee the Faculty Student Disciplinary ... Manager of Student Advocacy and Accountability (HEA) **POSITION...intervention student support service process, the resolution of student grievances , appeals , and complaints, and the utilization… more
- State of Colorado (Canon City, CO)
- CDOC - Parole Release Case Manager (South Centennial) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5053519) Apply CDOC - Parole Release ... Case Manager (South Centennial) Salary $5,546.00 - $7,766.00 Monthly Location Canon City, CO Job Type Full Time Job Number PAR RCMI 84069 Cen 08.2025 Department… more
- State of Colorado (Denver, CO)
- Essential Safety Net Licensing Manager Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5058003) Apply Essential Safety Net Licensing ... Manager Salary $71,544.00 - $93,024.00 Annually Location Denver, CO...as requested to the BHA Advisory Council on provider grievances , quality data, or other items as appropriate. Policy,… more
- Transdev (North Las Vegas, NV)
- …abreast of internal policies and procedures and regulations for accurate resolution of appeals , complaints, and grievances . + Work with Internal and outside ... Labor Relations Manager The Labor Relations Manager provides...the grievance process and provide comprehensive responses to complaints, grievances , and arbitrations that support the Company's decision and… more
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