• Dispute Resolution Reviewer

    St. George Tanaq Corporation (Boise, ID)
    Dispute Resolution Reviewer III Fully...Must have 2-3 years of medical dispute resolution or Medicare appeals, medical review , clinical, or ... and shareholders. **About the Role** We are seeking a ** Dispute Resolution Reviewer III (DRR...and impartial and supports the determination made, and documents review + Makes sound, independent decisions based on medical… more
    St. George Tanaq Corporation (05/07/25)
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  • Dispute Resolution Reviewer I

    St. George Tanaq Corporation (Boise, ID)
    Dispute Resolution Reviewer I Fully Remote*GA Job Type Full-time Description **Overview** Tanaq Support Services (TSS) delivers professional, scientific, and ... and shareholders. **About the Role** We are seeking a ** Dispute Resolution Reviewer I (DRR...and impartial and supports the determination made, and documents review + Makes sound, independent decisions based on medical… more
    St. George Tanaq Corporation (05/07/25)
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  • Director, Appeals & Grievances (Texas)

    Molina Healthcare (ID)
    …recognition and timely routing of member complaints. * Trains each state's provider dispute resolution unit on CMS standards and requirements, including the ... experience. **Required Experience** * 7 years experience in healthcare claims review and/or member appeals and grievance processing/ resolution , including 2… more
    Molina Healthcare (05/16/25)
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  • Senior Representative, Customer Service Operations

    Cardinal Health (Boise, ID)
    …other services by acting as a liaison in problem-solving, research and problem/ dispute resolution . **_Job Summary_** The Senior Representative, Customer Service ... by acting as a liaison in problem-solving, research and problem/ dispute resolution . + Collects and reviews customer...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
    Cardinal Health (05/23/25)
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  • Support & Monitoring Coordinator

    Idaho Division of Human Resources (Boise, ID)
    …to student achievement for charter schools, private schools, and educational programs. Dispute Resolution and Support + Address inquiries on charter school ... visits and follow up action plans. General Supervision Fil Review (GSFR) + Serve as the department lead for...startups, IDEA regulations, Idaho Special Education Manual policies, and dispute resolution . + Support new administrators, special… more
    Idaho Division of Human Resources (05/09/25)
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  • Representative II, Customer Care

    Cardinal Health (Boise, ID)
    …other services by acting as a liaison in problem-solving, research and problem/ dispute resolution . **_Job Summary_** Responsible for answering inbound calls from ... customer business through contract administration, customer orders, and problem resolution . Customer Service Operations is responsible for providing outsourced… more
    Cardinal Health (05/15/25)
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  • Bilingual Representative, Customer Service…

    Cardinal Health (Boise, ID)
    …and/or other services by acting as a liaison in problem-solving, research and problem/ dispute resolution **_Job Summary_** This position is a customer care ... customer business through contract administration, customer orders, and problem resolution . Customer Service Operations is responsible for providing outsourced… more
    Cardinal Health (05/09/25)
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  • Representative, Customer Service - Insurance…

    Cardinal Health (Boise, ID)
    …services by acting as a liaison in problem-solving, research and problem/ dispute resolution **Responsibilities:** + Conducts in-depth insurance verifications for ... customer business through contract administration, customer orders, and problem resolution . Customer Service Operations is responsible for providing outsourced… more
    Cardinal Health (05/13/25)
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  • Representative, Customer Service - New Patient…

    Cardinal Health (Boise, ID)
    …other services by acting as a liaison in problem-solving, research and problem/ dispute resolution **_Job Summary_** The Representative II, Customer Service ... customer business through contract administration, customer orders, and problem resolution . Customer Service Operations is responsible for providing outsourced… more
    Cardinal Health (05/02/25)
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  • Senior Manager, Network Management, National…

    CVS Health (Boise, ID)
    …you will manage negotiations, conduct high-level reviews and analysis, and manage dispute resolution and settlement negotiations of contracts, with large and ... and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement… more
    CVS Health (05/16/25)
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