• CHS Utilization and Appeals…

    Catholic Health Services (Melville, NY)
    …Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Coordinator will perform activities to help facilitate utilization ... management and appeals functions to include coordination of specific process and payment related activities. Position Responsibilities: Prepares necessary… more
    Catholic Health Services (09/09/25)
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  • RN Provider Appeals Coordinator…

    Henry Ford Health System (Troy, MI)
    RN PROVIDER APPEALS COORDINATOR - MEDICAL APPEALS - 40 HOURS WEEKLY - DAY SHIFT Full Time Benefit Eligible Schedule: Monday through Friday, 8:00AM to 4:30PM. ... Alliance Plan (HAP) is looking to grow our Medical Appeals Team with an experienced Registered Nurse! We are...and counting) and Utilization Review Coordinators (4) that review appeals for medical necessity using established medical criteria ,… more
    Henry Ford Health System (09/10/25)
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  • Appeals Coordinator

    Conduent (Baton Rouge, LA)
    …**Are you eager to learn new skills and help adults in need?** As an ** Appeals Coordinator ** you will represent the customer, the Louisiana Department of Health ... role, you will:** + **Review decision/denial letters on new appeals requests received, research data and materials to accumulate...to:** + Prepare summaries of evidence + Prepare for appeals + Document required reporting for position + Utilize… more
    Conduent (09/11/25)
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  • Appeals Operations Coordinator

    City of New York (New York, NY)
    …opportunities, improving health and safety, and increasing opportunities for equitable growth. The Appeals Operations Coordinator will be a key member of the ... families with moderate and middle incomes. Your Impact As the Appeals Operations Coordinator for the Division, you will bolster effective workflow and… more
    City of New York (09/10/25)
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  • Customer Solution Center Appeals…

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Appeals and Grievances Coordinator I(Temp) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Coordinator I supports the Customer Solution Center Appeals &… more
    LA Care Health Plan (09/02/25)
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  • Coordinator , Appeals and Grievances

    Evolent (Phoenix, AZ)
    …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator ** **,** ** Appeals and Grievances** at Evolent will serve as a point ... of contact for processing post determination reviews and appeals requests in accordance with departmental policies, regulatory requirements, and client contractual… more
    Evolent (09/05/25)
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  • Insurance Appeals Coordinator

    Munson Healthcare (Traverse City, MI)
    …experience in a revenue cycle role (billing, registration, insurance verification, referral coordinator , etc) . Ability to work independently and problem solve with ... of Utilization Management and works closely with the Utilization Management and Appeals team . Interacts independently with all Munson Health Care departments.… more
    Munson Healthcare (08/21/25)
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  • Grievance & Appeals Coordinator I

    Centene Corporation (Phoenix, AZ)
    …**Position Purpose:** Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. ... verbal and written member and provider complaints, grievances and appeals + Prepare response letters for member and provider...response letters for member and provider complaints, grievances and appeals + Maintain files on individual appeals … more
    Centene Corporation (09/12/25)
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  • Appeals and Grievance Specialist

    Commonwealth Care Alliance (Boston, MA)
    …clinical, operations, pharmacy, dental, reporting, and member services. + Supports the Senior Appeals & Grievance Coordinator and A/G Coordinator in ... 011540 CCA- Appeals & Grievances **Position Summary** Appeals and Grievances Specialist supports the Operations Department and the Appeals and Grievances team… more
    Commonwealth Care Alliance (08/20/25)
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  • Senior Coordinator Complaint Appeals…

    CVS Health (Phoenix, AZ)
    …issues and may require coordination of responses from multiple business units. Appeals are typically more complex and may require outreach and deviation from ... outside plan sponsors or regulators. * Research and resolves incoming electronic appeals as appropriate as a "single-point-of-contact" based on type of appeal. *… more
    CVS Health (09/10/25)
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