• Specialist , Appeals…

    Molina Healthcare (Warren, MI)
    …+ Responsible for the comprehensive research and resolution of the appeals , dispute, grievances , and/or complaints from Molina members, providers ... that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance outcomes. +… more
    Molina Healthcare (08/21/25)
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  • Associate Specialist , Appeals…

    Molina Healthcare (Warren, MI)
    …and prepare responses to appeals and grievances . + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. ... systems and other available resources. + Assures timeliness and appropriateness of appeals according to state and federal and Molina Healthcare guidelines. +… more
    Molina Healthcare (08/30/25)
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  • Appeals & Grievance Specialist…

    Cognizant (Lansing, MI)
    ** Appeals & Grievance Specialist (remote)** This is a remote position open to any qualified applicant in the United States. **Job Summary:** We are seeking a ... dedicated Appeals & Grievance Specialist with 2 to...to improve efficiency and patient satisfaction. **Responsibilities:** Reviewing available Appeals & Grievances for the pending claims… more
    Cognizant (09/04/25)
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  • Sr Specialist , Member Engagement (Remote)

    Molina Healthcare (Ann Arbor, MI)
    …Represents Member issues in areas involving member impact and engagement including: Appeals and Grievances , Member Problem Research and Resolution, and the ... advocate organizations, subcontractors and enrollees. * Monitors all formal and informal grievances with Grievance personnel to identify trends or problem areas of… more
    Molina Healthcare (08/08/25)
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  • Principal Compliance Investigator | Full Time

    Henry Ford Health System (Detroit, MI)
    …Operations, Compliance, FDR oversight activities, Quality Management, Care Management, and/or Grievances and Appeals . + Demonstrated experience at a professional ... Professional Coder-Hospital (CPC-H), Certified Professional Coder-Payer (CPC-P), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based… more
    Henry Ford Health System (07/29/25)
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