• Coordinator , Appeals…

    Evolent (Columbus, OH)
    …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Appeals and Grievances ** at Evolent is responsible for reviewing ... prior authorization experience. This role is distinct from other coordinator positions in that it is dedicated to case...required. + Minimum of 3 years' experience in an Appeals and Grievances role or comparable administrative… more
    Evolent (10/11/25)
    - Related Jobs

  • Grievance & Appeals Intake…

    CVS Health (Columbus, OH)
    …the AOR process on required cases. **What you will do** + Reviews, and processes appeals and grievances filed by patients. + Assists with adherence to regulatory ... and metrics to evaluate the effectiveness and efficiency of the appeals and grievances process. + Documents patient billing questions and concerns. + Prepares… more
    CVS Health (10/15/25)
    - Related Jobs

  • LTSS Transition Concierge Coordinator

    Elevance Health (Columbus, OH)
    …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals and state audits. **Minimum Requirements:** + Requires BA/BS ... **LTSS Concierge Coordinator (Case Manager)** **Hiring statewide across Ohio** **This...and supports, and psychosocial needs. The **LTSS Transition Concierge Coordinator ** is responsible for supporting the LTSS Transition … more
    Elevance Health (09/27/25)
    - Related Jobs

  • LTSS Service Coordinator (Case Manager)

    Elevance Health (Marietta, OH)
    …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals , and state audits. **Minimum Requirements:** + Requires BA/BS ... **LTSS Service Coordinator (Case Manager)** **Hiring near Akron, Cambridge, Canton,...services and supports, and psychosocial needs. The **LTSS Service Coordinator ** is responsible for managing service coordination for a… more
    Elevance Health (10/13/25)
    - Related Jobs

  • Pharmacy Coordinator

    Highmark Health (Columbus, OH)
    …through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a resource for technical ... staff. + Other duties as assigned or requested. **QUALIFICATIONS:** **Minimum** + High school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician certification… more
    Highmark Health (09/09/25)
    - Related Jobs