• Appeals & Grievances…

    Molina Healthcare (Waterbury, CT)
    …(CMS). **Essential Job Duties** * Facilitates comprehensive research and resolution of appeals , disputes, grievances , and/or complaints from Molina members, ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals… more
    Molina Healthcare (12/14/25)
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  • Provider Contracting Senior Analyst - Cigna…

    The Cigna Group (Bloomfield, CT)
    …networks + Complete onsite quality assessments + Respond to provider inquiries, concerns, complaints , appeals and grievances + Provide ongoing product ... procedures to routine instructions that require professional knowledge in specialist areas. Provides standard professional advice and creates initial… more
    The Cigna Group (12/12/25)
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