- AmeriHealth Caritas (Philadelphia, PA)
- …at www.amerihealthcaritas.com. **Position Overview:** The Appeals Specialist reports to the Supervisor of Appeals & Grievances and coordinates and ... and Part D drugs. ; **Key Responsibilities:** + Analyze and respond to appeals from members, member representatives, and providers regarding denials for services and… more
- Fallon Health (Worcester, MA)
- …other applicable regulatory requirements and member and provider expectations. The FH Appeals and Grievances Triage Administrator serves to administer the FH ... standards. The Triage Administrator is responsible for triaging and assigning all incoming appeals and grievances addressed to the Member Appeals &… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will...Monitors closure of complaints and works with Quality Control Supervisor to resolve all database issues. Prepare and analyze… more
- Commonwealth Care Alliance (Boston, MA)
- 011540 CCA- Appeals & Grievances **Position Summary:** Appeals and Grievances Program Advisor monitors and supports the operations and compliance of the ... Appeals and Grievances department through many NCQA...Federal and State Regulations. Complete individual summary scorecards for Supervisor feedback. + Track monthly scores on spreadsheet and… more
- Point32Health (MA)
- …colleagues and communities. **Job Summary** Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance ... responsible for the accurate coordination, efficient administration and resolution of member appeals and member grievances submitted by Point32Health members for… more
- Skookum Contract Services (Bremerton, WA)
- …do attitude". + Investigate, prepare documentation, and recommend Tessera's position on grievances , EEOCs, complaints, and appeals . Responds to employee relation ... times depending on scheduling needs) As a Human Resources Partner and Recruiting Supervisor , you'll The HR Partner and Recruiting Supervisor role provides… more
- State of Colorado (Denver, CO)
- Heavy Equipment Mechanic IV- Field Mechanic Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4912613) Apply Heavy Equipment Mechanic ... IV- Field Mechanic Supervisor Salary $84,708.00 - $89,292.00 Annually Location Denver Metro,...necessary to resolve issues including interpersonal conflicts and informal grievances ; + Assist in conducting monthly safety and general… more
- State of Colorado (Chaffee County, CO)
- CDOC Labor Grounds Maintenance Supervisor CSTS I (Buena Vista) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4926697) Apply CDOC Labor ... Grounds Maintenance Supervisor CSTS I (Buena Vista) Salary $4,932.00 - $6,904.00...inspects work and performs inmate evaluations and resolves inmate grievances ; reduces inmate idleness and creates real life work… more
- State of Colorado (Denver, CO)
- CDOC Journeyman Plumber Supervisor CSLTS I (Denver) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4760825) Apply CDOC Journeyman Plumber ... Supervisor CSLTS I (Denver) Salary $5,179.00 - $7,250.00 Monthly...pay, creates schedule and assigns tasks and resolves informal grievances according to agency policy; reduces inmate idleness and… more
- State of Colorado (Denver, CO)
- Maintenance Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4924848) Apply Maintenance Supervisor Salary $5,845.00 - $7,015.00 ... in accordance with regulatory and departmental expectations/standards + The supervisor develops, implements and evaluates employee performance through the PMP… more
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