- Point32Health (MA)
- …the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for ... responsible for the accurate coordination, efficient administration and resolution of member appeals and member grievances submitted by Point32Health members for… more
- Point32Health (Canton, MA)
- …general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations ... responsible for the accurate coordination, efficient administration and resolution of member appeals and member grievances submitted by Point32Health members for… more
- Elevance Health (Columbus, GA)
- **Grievance/ Appeals Analyst II** **Virtual:** This role... analyst may serve as a liaison between grievances & appeals and /or medical management, ... an accommodation is granted as required by law._ The **Grievance/ Appeals Analyst II** is responsible for reviewing,...non-complex and some complex pre service and post service grievances and appeals requests in the Enterprise… more
- City and County of San Francisco (San Francisco, CA)
- …bargaining agreements. + Key duties include negotiating resolutions to grievances , investigating complaints of serious employee misconduct, and conferring with ... professional human resources experience, similar to 1241 Human Resources Analyst , in one or more of the following areas...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- Elevance Health (Indianapolis, IN)
- **Grievance and Appeals Analyst II (Executive Concierge Analyst )** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering ... unless an accommodation is granted as required by law. The **Grievance and Appeals Analyst II** is responsible for providing support services for multiple… more
- CVS Health (Harrisburg, PA)
- …verbal communication skills. -2-5 years of experience in Medicare operations, appeals , grievances , or escalated member complaint resolution. -Strong attention ... heart, each and every day. **Position Summary** The Medicare Executive Resolution Analyst is responsible for reviewing and responding to Medicare executive member… more
- LA Care Health Plan (Los Angeles, CA)
- …Solution Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position ... call documentation and categorization, service authorization request and coverage determination , Appeals and Grievances across all lines of business). This… more
- Henry Ford Health System (Troy, MI)
- …& Grievance Support will assist A&G staff with determining appropriate outcomes for grievances and appeals by working with internal support departments and in ... manner. + Serve as first line contact for A&G Analyst for day to day operational issues. + Function...Information + Organization: HAP (Health Alliance Plan) + Department: Appeals and Grievances + Henry Ford Health… more
- The County of Los Angeles (Los Angeles, CA)
- …personnel in their unit and effectively recommending the adjustment of grievances and disciplinary problems. Other positions are assigned such functions as: ... first level technical and administrative supervision to the complaint or advanced-level appeals unit. Essential Job Functions + Supervises the activities of all… more
- State of Colorado (Golden, CO)
- …conflicts, investigates and problem solves internal and external complaints and grievances from staff, youth, family, and other customers. Scheduling of clinic ... and minimum requirements. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online… more