- Intermountain Health (Murray, UT)
- …appeals and grievances and serves as a resource to various departments regarding appeal and grievance issues. This position: + Conducts research and analysis ... and grievance resolution standards. + Educates various departments on current appeal and grievance trends along with applicable regulatory and accreditation… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The Lead Appeal & Grievance Support is responsible for daily oversight of inventory management for the Appeal & Grievance (A&G) ... as needed and speak to team performance. The Lead Appeal & Grievance Support will also be...manner. + Serve as first line contact for A&G Analyst for day to day operational issues. + Function… more
- Point32Health (FL)
- …direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for the ... to the member outlining final disposition of the member's appeal or grievance providing further appeal...the judgment to seek out guidance as needed. The Analyst is responsible for the accurate coordination, efficient administration… more
- Point32Health (MA)
- …of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional ... to the member outlining final disposition of the member's appeal or grievance providing further appeal...the judgment to seek out guidance as needed. The Analyst is responsible for the accurate coordination, efficient administration… more
- Elevance Health (Cerritos, CA)
- **Title: Grievance /Appeals Analyst I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... an accommodation is granted as required by law._ The ** Grievance /Appeals Analyst I** is an entry level...review tools to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims… more
- Corewell Health (Grand Rapids, MI)
- Job Summary Responsible for the analysis, research and completion of complex member appeal investigations. Effectively administer all steps of the member appeal ... hearing processes for all non-Medicare products to thoroughly investigate appeal requests, leveraging critical thinking skills, gathering relevant information from… more
- State of Colorado (Jefferson County, CO)
- …Determines and responds to Step 1 grievances if staff supervised initiates a formal grievance . + Observes the individual for side effects or problems that may arise ... business needs. Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights MINIMUM QUALIFICATIONS: Education/Licensure/Certification/Experience: + High school diploma… more
- The County of Los Angeles (Los Angeles, CA)
- …as needed. + Evaluates the performance of subordinates and resolves problems involving grievance and discipline. + Advises nurse managers and other nursing staff on ... CALIFORNIA RELAY SERVICES PHONE ### DEPARTMENT CONTACT Gabriela Caudillo, Exam Analyst ### ###@dhs.lacounty.gov COUNTY OF LOS ANGELES Employment Information Any… more