- Elevance Health (Durham, NC)
- ** Manager II Grievance/ Appeals ** **-...by law._ The ** Manager II Grievance/ Appeals ** responsible for management oversight of grievances ... departmental units to investigate, resolve, and respond to grievances and appeals , manages inventory and production...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- LA Care Health Plan (Los Angeles, CA)
- Technical Applications Manager II Job Category: Information Technology Department: IT Solutions Delivery Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Technical Application Manager II reports to the Senior ...of Membership Eligibility and Enrollment, Member Maintenance, PCP assignment, Appeals and Grievances preferred. EDI 5 years… more
- State of Colorado (Limon, CO)
- CDOC Journeyman Electrician Lieutenant CSLTS II (Limon) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4927659) Apply CDOC Journeyman ... Electrician Lieutenant CSLTS II (Limon) Salary $5,824.00 - $8,153.00 Monthly Location Limon,...completion of annual training. + Resolve conflict and informal grievances at the lowest level possible + Ensure safe,… more
- Elevance Health (Richmond, VA)
- …to manage Claim Payment Appeal escalations and may serve as a liaison between grievances & appeals and /or medical management, legal, service operations and/or ... **Provider Payment Appeal Analyst II ** **Location:** This role enables associates to work...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Atlanta, GA)
- …relevant parties of all prior authorization determinations. + Provides resolution to grievances and appeals issues. + Responds to inquiries from physicians, ... **Title:** Pharmacy Technician II **Schedule:** 10:30am - 7:00pm eastern time zone...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- LA Care Health Plan (Los Angeles, CA)
- …care setting. Experience in health care auditing and monitoring (preferably in Appeals , Grievances , Quality Improvement, Utilization Management (UM) and so ... Compliance Advisor II Job Category: Administrative, HR, Business Professionals Department:...Compliance unit, the Advisor also advises and supports the Manager , Director, and Chief Compliance Officer on other duties… more
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