- Equitable (Charlotte, NC)
- Appeals and Complaints Team Leader , Disability and Absence Claims ( 25000055 ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : ... potential? Equitable is seeking an influential and dynamic Appeals and Complaints Team Leader to join our Disability and Absence Claims organization. The… more
- Equitable (Charlotte, NC)
- …Appeals Specialist to join our Disability and Absence Claims organization. The Appeals , Complaints , and Litigation Specialist is responsible for managing and ... and backgrounds. Those differences make us stronger as a team and a force for good in our communities....**Reporting and Analysis:** + Maintain detailed records of all appeals and complaints . + Analyze trends in… more
- Centene Corporation (Phoenix, AZ)
- …of the appeals function + Provide consultation for problem resolution for appeals staff and monitor team work output to ensure compliance with internal ... members as a clinical professional on our Medical Management/Health Services team . Centene is a diversified, national organization offering competitive benefits… more
- Molina Healthcare (Tacoma, WA)
- …Analytical review and validation as assigned + Policy and procedure updates + Support team lead with drafting Job aids development, research, coverage in absence ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct...and any opportunity identified by the Payment Integrity analytical team ; requires decision making pertinent to clinical experience. Documents… more
- Cardinal Health (Bismarck, ND)
- …+ Provides guidance to less experienced team members + May have team leader responsibilities but does not formally supervise **_Accountabilities_** + Monitor ... you and others at this level_** + Takes the lead in effectively applying and teaching new processes and...+ Preempts potential problems and provides effective solutions for team + Works independently to interpret and apply company… more
- State of Colorado (Denver, CO)
- …with other clinics requesting consultation and/or assistance with coverage. Serves as the lead medical liaison with the mental health team . Supervises and trains ... Lead Mid-Level Provider - Gilliam Youth Services Center...may include but is not limited to facility management team , medical leadership team , mental health … more
- WellSpan Health (York, PA)
- …in assessing team weaknesses and strengths. + Resolves simple or informal complaints and refers formal grievances or appeals to appropriate officials. + ... Logistics and Distribution Technician Lead - York Hospital - OR - Full...assignments and distributes workload; manages day-to-day work flow within team ; reports to supervisor regarding completion of work flow.… more
- State of Colorado (Denver, CO)
- …is supervised by the Placement Resources Administrator. This position exists to - lead , supervise, guide, develop, and design standardized child welfare services and ... services and resources for foster families and children/youth in foster care; to lead and supervise the county departments of human/social services in the operation… more
- Skookum Contract Services (Bremerton, WA)
- …Resources Partner, you'll The HR Partner performs HR related duties as a subject matter lead in support of a Cross Functional Team led by a Regional ... same. + Investigate, prepare documentation, and recommend Tessera's position on grievances, complaints , and appeals . Responds to employee relation issues such as… more
- State of Colorado (CO)
- …promotion to Compliance Investigator II positions. CI-II positions may be a leadership role (a Work Lead or Team Lead , etc.), or a Staff Authority (a CI who ... Wage and Hour Investigations unit is charged with investigating complaints of labor violations that workers file against their...their rights. + A CI on the Job Equity team conducts investigations of alleged violations of Part 2… more