- CVS Health (Tallahassee, FL)
- …units. Ensure timely, customer focused response to appeals, complaints and grievance . Identify trends and emerging issues and report and recommend solutions. ... -Research incoming electronic appeals, complaints and grievance to identify if appropriate for unit based upon published business responsibilities. Identify correct… more
- Sharp HealthCare (San Diego, CA)
- …accounting, finance, marketing, and health care administration). **Essential Functions** + Appeal and Grievance ProcessingUnder limited supervision, reviews and ... documents and data files, participates in audit interviews to describe Plan appeal and grievance processes.Participates in Plan workgroups as assigned. Provides… more
- Sharp HealthCare (San Diego, CA)
- …accounting, finance, marketing, and health care administration) **Essential Functions** + Appeal and grievance processingUnder limited supervision, reviews and ... IDX Customer Service Module to ensure accurate and thorough documentation of appeals/ grievance process.Communicates both in written and oral form in a professional… more
- Commonwealth Care Alliance (Boston, MA)
- …pharmacy, dental, reporting, and member services. + Supports the Senior Appeals & Grievance Coordinator and A/G Coordinator in day-to-day tasks and ... Grievances & Appeals: + Responsible for the progress of grievance and appeal intervention and resolution. +...+ 0-2 years **Knowledge, Skills & Abilities (Required)** + Must be a self-starter with a high degree of… more
- State of Colorado (Denver, CO)
- …spb.colorado.gov under Rules. A standard appeal form is available at:www.colorado.gov/spb. If you appeal , your appeal must be submitted in writing on the ... quality. The position monitors the team's performance in reviewing grievance information, auditing providers and completing investigations. In this...request a review by the State Personnel Director. An appeal or review must be submitted on… 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 ... to carry out job-related essential functions. To compete in this examination process, applicants must have a license to practice as a Registered Nurse issued by the… more