• Provider Appeals & Grievances…

    Cognizant (Albany, NY)
    ** Provider Appeals & Grievances Specialist ** (remote) This is a remote position open to any qualified applicant that lives in the United States. ... **Summary:** We are seeking a dedicated Provider Appeals & Grievance Specialist ...directly with CMS Billing and Coding-Medical Insurance Knowledge of Member/ Provider Appeals and Grievances , processes,… more
    Cognizant (10/07/25)
    - Related Jobs

  • Specialist , Appeals…

    Molina Healthcare (Buffalo, NY)
    …+ Responsible for the comprehensive research and resolution of the appeals , dispute, grievances , and/or complaints from Molina members, providers ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
    Molina Healthcare (10/03/25)
    - Related Jobs

  • Clinical Reviewer

    Independent Health (Buffalo, NY)
    …Director. This position will prepare written responses to appeals and complaints/ grievances , establish plans of correction and provide education to members ... responsible for the collection and review of medical records specific to quality complaints/ grievances and appeals as indicated in support of a high performing… more
    Independent Health (10/07/25)
    - Related Jobs