• Coordinator , Appeals…

    Evolent (Nashville, TN)
    …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)
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  • LTSS Service Coordinator

    Elevance Health (Cleveland, TN)
    …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals , and state audits. **Minimum Requirements:** + Requires BA/BS ... an accommodation is granted as required by law._ The **LTSS Service Coordinator ** is responsible for conducting service coordination functions for a defined caseload… more
    Elevance Health (10/01/25)
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  • Pharmacy Coordinator

    Highmark Health (Nashville, TN)
    …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)
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