• Grievances and Appeals 3

    Humana (Harrisburg, PA)
    **Become a part of our caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by ... trained skillsets and/or partnerships with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced… more
    Humana (09/09/25)
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  • Coordinator, Appeals and Grievances

    Evolent (Harrisburg, PA)
    …for the mission. Stay for the culture. **What You'll Be Doing:** The **Coordinator** **,** ** Appeals and Grievances ** at Evolent will serve as a point of contact ... for processing post determination reviews and appeals requests in accordance with departmental policies, regulatory requirements,...A high school diploma or GED is required. + 3 years of experience in an Intake Coordinator role… more
    Evolent (09/05/25)
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  • Appeals Referee

    Commonwealth of Pennsylvania (PA)
    …do you possess in the determination of unemployment compensation claims, including adjustments, overpayments, and appeals ? + 4 years or more + 3 but less than 4 ... Appeals Referee Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5055524) Apply  Appeals...the office, as well as resolve any complaints or grievances received. Work also includes a variety of administrative… more
    Commonwealth of Pennsylvania (09/09/25)
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  • Appeals & Grievance Specialist (remote)

    Cognizant (Harrisburg, PA)
    …any qualified applicant in the United States. **Job Summary:** We are seeking a dedicated Appeals & Grievance Specialist with 2 to 3 years of experience to join ... processes to improve efficiency and patient satisfaction. **Responsibilities:** Reviewing available Appeals & Grievances for the pending claims to verify… more
    Cognizant (09/09/25)
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  • Human Resource Analyst 1

    Commonwealth of Pennsylvania (PA)
    …collective bargaining contracts, and other relevant information for classification grievances , classification appeals , and requests to reclassify positions. ... opportunity to work from home (telework) part-time, up to 3 days per week. In order to telework, you...+ Course Title + Credits/Clock Hours 17 WORK BEHAVIOR 3 - TECHNICAL ASSISTANCE Provides guidance, verbally and in… more
    Commonwealth of Pennsylvania (09/10/25)
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  • Records Specialist 1 - SCI Laurel Highlands

    Commonwealth of Pennsylvania (PA)
    …Maintains inmate files for compliance with applicable laws and regulations and tracks appeals , misconducts, and grievances in electronic databases and paper case ... files. Updates inmate files with all corresponding legal documents when necessary and files appropriately. Ensures files contain all legally required documentation. Levels of Performance Select the Level of Performance that best describes your claim. + A. I… more
    Commonwealth of Pennsylvania (09/10/25)
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