• Appeals & Grievances Program…

    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
    Commonwealth Care Alliance (05/21/25)
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  • Online Graduate Program Advisor

    University of Colorado (Boulder, CO)
    …Assists students with problem-solving and campus resources. Advances appeals or grievances to the senior program manager as appropriate. + Creates ... **Online Graduate Program Advisor ** **Requisition Number:** 65804 **Location:** Boulder Colorado **Employment Type:** University Staff **Schedule:** Full Time… more
    University of Colorado (07/10/25)
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  • Medical Director - Sharp Health Plan - Hybrid…

    Sharp HealthCare (San Diego, CA)
    …policy as needed. + Completes and/or supervises the completion of all clinical appeals and grievances . Collaborates with Customer Care Manager to identify trends ... the membership. Serves as a medical manager and policy advisor to SHP and its Chief Medical Officer. Is...plan Chief Medical Officer) in short and long range program planning, total quality management (quality improvement), and external… more
    Sharp HealthCare (05/18/25)
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  • Senior Medical Director - Sharp Health Plan…

    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
    Sharp HealthCare (04/20/25)
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  • Associate Dean for Faculty Affairs Open…

    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
    University of Colorado (06/28/25)
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