• Appeals Associate

    BronxCare Health System (Bronx, NY)
    Overview Appeals associate will be responsible for coordinating and monitoring the administrative and non-clinical servicesfor the clinical appeals team. ... results (15 to 20 cases per day) pertaining to Appeals and mail them out to the corresponding Payor...conducting of monthly meetings with the staff of clinical appeals . Confers with the Director and/or designee in the… more
    BronxCare Health System (05/14/25)
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  • Development Associate

    Whitney Young Health Center (Albany, NY)
    …support for WYH and its sister agency (Equinox), including direct mail and digital appeals . The Associate assists the CDO in managing existing relationships with ... Development Associate (Req 100909) Albany, NY (http://maps.google.com/maps?q=4+Airline+Drive+Albany+NY+USA+12205) Apply Description GENERAL RESPONSIBILITIES: The… more
    Whitney Young Health Center (05/01/25)
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  • Director, Appeals & Grievances (Texas)

    Molina Healthcare (Yonkers, NY)
    …for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member complaints and ... **Knowledge/Skills/Abilities** * Leads, organizes, and directs the activities of the Appeals & Grievances unit that is responsible for reviewing and resolving… more
    Molina Healthcare (05/16/25)
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  • QA Auditor, Appeals and Grievances

    Healthfirst (NY)
    + Conduct quality audits of A&G items including grievances, pre-service appeals , and post service appeals utilizing appropriate sources of information; including ... improve processes and performance to ensure quality. + Review and investigate appeals and grievances requests to ensure all requests are identified, classified, and… more
    Healthfirst (05/02/25)
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  • Appeals Bureau: Trial Preparation Assistant…

    City of New York (New York, NY)
    …Attorney is seeking two Attorney Assistants (TPA 1) to assist Appeals Bureau Assistant District Attorneys with post-conviction matters. JOB RESPONSIBILITIES: - ... motions, subpoenas, and other legal documents. - Maintain various Appeals Bureau databases and calendars. - All other duties...- High school diploma or GED required; bachelor's or associate degree preferred. - A valid New York State… more
    City of New York (05/14/25)
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  • Appeals Bureau: Trial Preparation Assistant…

    City of New York (New York, NY)
    …Attorney is seeking an Attorney Assistants (TPA 2) to assist Appeals Bureau Assistant District Attorneys with post-conviction matters. JOB RESPONSIBILITIES: Specific ... all other duties as assigned. QUALIFICATIONS: - A baccalaureate degree or Associate 's Degree preferred. - Familiarity with general court services - Ability to… more
    City of New York (03/04/25)
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  • Medical Director - Medicare Grievances…

    Humana (Albany, NY)
    …Medical Director relies on medical background and reviews health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope and ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (05/14/25)
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  • Trial Preparation Assistant Level II…

    City of New York (New York, NY)
    …BXDA seeks experienced and enthusiastic Trial Preparation Assistant Level II in the Appeals Bureau. Specific duties will include, but are not limited to the ... required and must be maintained for the duration of employment COMMUNITY ASSOCIATE - 56057 Qualifications Qualification Requirements 1. High school graduation or… more
    City of New York (04/30/25)
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  • Appeals Bureau: Trial Preparation…

    City of New York (New York, NY)
    …enthusiastic Trial Preparation Assistant, Level II (TPA 2) to assist Appeals Bureau Assistant District Attorneys with post-conviction matters. JOB RESPONSIBILITIES: ... a cover letter, resume, and high school and college transcripts. COMMUNITY ASSOCIATE - 56057 Qualifications Qualification Requirements 1. High school graduation or… more
    City of New York (04/25/25)
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  • Corporate Medical Director - Medicare Grievances…

    Humana (Albany, NY)
    …Director (CMD) relies on medical background to review health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope and ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (04/24/25)
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