- CenterWell (Little Rock, AR)
- **Become a part of our caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by ... trained skillsets and/or partnerships with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced… more
- Cognizant (Little Rock, AR)
- …or clinic operations . Experience in utilization management to include Clinical Appeals and Grievances , precertification, initial and concurrent reviews . ... . Maintain working knowledge of applicable health insurers' internal claims, appeals , and retro-authorization as well as timely filing deadlines and processes.… more
- Centene Corporation (Little Rock, AR)
- …and Systems), HOS (Health Outcomes Survey), CTMs (Complaints to Medicare), Disenrollments, Appeals , and Grievances . + Collaborates with Provider Relations and ... engage providers and drive quality outcomes + Willingness to travel up to 75% (up to 3 hours from home) + Must reside in Arkansas Pay Range: $19.04 - $32.35 per hour… more