• Appeals Nurse - Behavioral…

    Actalent (New York, NY)
    Job Title: Medical Necessity Appeals and Denials FacilitatorJob Description This role involves facilitating medical necessity appeals and denials, managing ... decisions. + Request additional information from providers to facilitate timely appeals resolution. + Gather and prepare case information for Administrative Law… more
    Actalent (11/18/25)
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  • Chief Medical Officer - Managed Long-Term Care…

    CVS Health (Albany, NY)
    …FIDE, MAP, PACE). + Lead innovation initiatives such as dementia care, telehealth, behavioral health integration, and home-based care. + Represent the MLTC plan ... competent, person-centered care that reflects member preferences and social determinants of health . + Address clinical grievances and appeals ; ensure timely… more
    CVS Health (10/29/25)
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