• Health Plan Grievance…

    Banner Health (AZ)
    … care and accessibility concerns and inquiries on the various levels of the grievance and appeals process. CORE FUNCTIONS 1. Determines which claim disputes meet ... Pay Transparency Rules. Great careers are built at Banner Health . We're looking for the best and brightest to... grievance and appeal issues. 7. Reports at Grievance / Appeals meetings, as appropriate, all incoming, attended… more
    Banner Health (10/10/25)
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  • Grievances and Appeals 3

    CenterWell (Phoenix, AZ)
    **Become a part of our caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by ... customer service experience + 1 - 3 years of grievance and appeals experience + Previous experience...provides medical, dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… more
    CenterWell (10/08/25)
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  • Medical Director - Florida

    Humana (Phoenix, AZ)
    …Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within ... part of our caring community and help us put health first** The Medical Director relies on medical background...member population, or condition type. May also engage in grievance and appeals reviews. May participate on… more
    Humana (10/03/25)
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  • Medical Director-Payment Integrity

    Humana (Phoenix, AZ)
    …Some roles include an overview of coding practices and clinical documentation, dispute/ grievance and appeals processes, and outpatient services and equipment, ... part of our caring community and help us put health first** The Medical Director actively uses their medical...and care received. May also engage in disputes and grievance and appeals reviews. May participate on… more
    Humana (09/26/25)
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  • Medical Director - Mid West Region

    Humana (Phoenix, AZ)
    …in an assigned market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational ... part of our caring community and help us put health first** The Medical Director actively uses their medical...year This job is eligible for a bonus incentive plan . This incentive opportunity is based upon company and/or… more
    Humana (09/16/25)
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  • Medical Director - Northeast Region

    Humana (Phoenix, AZ)
    …in an assigned market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational ... part of our caring community and help us put health first** The Medical Director relies on medical background...year This job is eligible for a bonus incentive plan . This incentive opportunity is based upon company and/or… more
    Humana (07/25/25)
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