- Commonwealth Care Alliance (Boston, MA)
- 011540 CCA- Appeals & Grievances **Position Summary:** Appeals and Grievances Program Advisor monitors and supports the operations and compliance ... of the Appeals and Grievances department through many NCQA... department through many NCQA and other related quality program activities including: monthly case quality monitoring, coordination of… more
- US Coast Guard (Washington, DC)
- …activities before the Office of Personnel Management, MSPB, EEOC on mediations, employee grievances , appeals , adverse actions, and EEO complaints and the Federal ... before these tribunals. Act as the reviewing authority for grievances and appeals made by civilian employees...least equivalent to that gained in conventional US education program . It is your responsibility to provide such evidence… more
- Sharp HealthCare (San Diego, CA)
- …to Plan policy as needed.Completes and/or supervises the completion of all clinical appeals and grievances . Collaborates with Customer Care Manager to identify ... of care foundation for our NCQA required population health management program . Additionally, this position provides the representation of physician's insight,… more
- State of Montana (Lewistown, MT)
- …and advises about new laws that have no case precedent * Serves as a legal advisor across multiple fields of law; may develop expertise in specific fields of law and ... assignment requirements * Ensures appropriate and timeliness of pleadings, motions, appeals , case preparation, scheduling, and follow-up by Public Defenders *… more
- University of Colorado (Aurora, CO)
- …and appeals processes and serve as a neutral party and advisor in faculty grievances , promotion disputes, performance reviews, and departmental conflicts. ... and engagement. + Develop key performance metrics to measure faculty affairs program success and guide data-driven decision-making. + Recommend and lead new faculty… more