• Clinical Appeals Representative

    Adecco US, Inc. (Ontario, CA)
    Adecco is assisting a local client recruiting for Clinical Appeals Representative opportunities in Ontario, CA (90% remote). This is an excellent opportunity to ... culture and make an impact in the healthcare industry. If a Clinical Appeals Representative role sounds like something you would be interested in, and you meet… more
    Adecco US, Inc. (08/23/25)
    - Related Jobs

  • Appeals Representative

    Humana (Helena, MT)
    …a part of our caring community and help us put health first** The Appeals Representative 4 Investigates and resolves member and practitioner issues. manages ... determine if an a grievance, appeal or further request is warranted. The Appeals Representative 4 + Review documents + Building cases + Inventory Management +… more
    Humana (09/10/25)
    - Related Jobs

  • Transportation Injury Prevention Manager - Term…

    State of Colorado (Denver, CO)
    …review must be submitted on the official appeal form, signed by you or your representative . Appeals to the State Personnel Board or the State Personnel Director ... must be received or postmarked within the filing period: Appeals shall be filed with the Board no later...### Email filings: dpa_###@state.co.us For more information about the appeals process, the official appeal form, and how to… more
    State of Colorado (08/30/25)
    - Related Jobs

  • Appeals Referee

    Commonwealth of Pennsylvania (PA)
    Appeals Referee Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5055524) Apply  Appeals Referee Salary $77,379.00 - $117,497.00 Annually ... of Labor & Industry is excited to welcome an Appeals Referee to our dedicated team in the Hermitage...B. I have experience as a legal or non-legal representative of parties to quasi-judicial administrative hearings conducting direct… more
    Commonwealth of Pennsylvania (09/09/25)
    - Related Jobs

  • Appeals and Grievance Analyst

    Point32Health (MA)
    …(https://www.point32health.org/) . **Job Summary** Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst ... the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works… more
    Point32Health (08/16/25)
    - Related Jobs

  • Coord Appeals & Grievances

    AmeriHealth Caritas (Newark, DE)
    …about us at www.amerihealthcaritas.com. **Responsibilities:** Reporting to the Supervisor, Appeals and Grievances, this position is responsible for the ... administrative tasks for coordination of member and/or provider appeals , the analysis of claims and appeals ,... system and documents, all correspondence with a member/participant, representative and/or a provider, related to an appeal or… more
    AmeriHealth Caritas (09/03/25)
    - Related Jobs

  • Manager, Customer Solution Center Appeals…

    LA Care Health Plan (Los Angeles, CA)
    Manager, Customer Solution Center Appeals and Grievances Job Category: Management/Executive Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... to achieve that purpose. Job Summary The Manager, Customer Solution Center Appeals and Grievances is responsible for the centralized intake, logging and triage… more
    LA Care Health Plan (07/08/25)
    - Related Jobs

  • Clinical Denials & Appeals Specialist…

    Northwell Health (Melville, NY)
    …and medical necessity for assigned case. Collaborates with physician advisor, payor representative and site case managers to facilitate appropriate level of care ... current state, federal, and third-party payer regulations. Ensures clinical reviews and appeals are up to date and accurately reflect patient's severity of illness… more
    Northwell Health (09/04/25)
    - Related Jobs

  • Bilingual Immigration Coordinator - Spanish…

    HANAC, Inc. (Astoria, NY)
    …integral part of a team with the immigration attorney, Board of Immigration Appeals (BIA) accredited representative , and support staff. The Immigration Paralegal ... will assist the staff attorney and the Program Director in providing legal services, education, and outreach, including coordination of community events, and working under attorney supervision to assist clients on Immigration law matters. The Paralegal will… more
    HANAC, Inc. (08/08/25)
    - Related Jobs

  • Gaming Representative

    Iowa Department of Administrative Services (Bettendorf, IA)
    Gaming Representative Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5073573) Apply  Gaming Representative Salary $26.54 - $40.23 Hourly ... IA Job Type Full-time Job Number 26-00629 Agency 429 Department of Inspections, Appeals & Licensing - Racing & Gaming Commission Opening Date 09/09/2025 Closing Date… more
    Iowa Department of Administrative Services (09/10/25)
    - Related Jobs