- Evolent (Tallahassee, FL)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator ** **,** ** Appeals and Grievances ** at Evolent will serve as a ... point of contact for processing post determination reviews and appeals requests in accordance with departmental policies, regulatory requirements, and client… more
- Elevance Health (Pinellas Park, FL)
- …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals , and state audits. **Minimum Requirements:** + Requires BA/BS ... **LTSS Service Coordinator ** **Location** _:_ This is primarily a field...law._ **Schedule** _:_ Monday-Friday 8am-5pm EST The **LTSS Service Coordinator ** is responsible for conducting service coordination functions for… more
- Highmark Health (Tallahassee, FL)
- …through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a resource for technical ... staff. + Other duties as assigned or requested. **QUALIFICATIONS:** **Minimum** + High school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician certification… more
- University of Miami (Coral Gables, FL)
- …Retired Faculty. + Assists the Vice Provost in managing salary review and appeals . + Reviews and process Coral Gables and Rosenstiel Schools requests for courtesy ... University sponsorship. Employee Relations: + Serves as the Deputy Title IX Coordinator for faculty. Responsible for reviewing Title IX complaints and allegations… more
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