• Complaint & Appeals

    CVS Health (Phoenix, AZ)
    …to all callers. + Assist with special projects as assigned. **Required Qualifications** + Must reside in Arizona. + At least 6 months of experience with Medicare and ... Medicaid programs. + At least 6 months of experience with behavioral health systems related to individuals with serious mental illness. + Proficiency with typing and basic computer knowledge. + Ability to navigate multiple systems to retrieve data during… more
    CVS Health (11/01/25)
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  • Coordinator , Complaint

    CVS Health (Springfield, IL)
    …conducts internal audits, and addresses any identified compliance issues with the Complaint and Appeals policies and procedures. + Conducts reviews of ... do it all with heart, each and every day. Must live in IL Job Description Summary + Prepares...information and reports needed to address matters regarding complaints, appeals , and grievances. Carries out policies, procedures, and programs… more
    CVS Health (10/29/25)
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  • Complaint Intake Coordinator Work…

    State of Colorado (Denver, CO)
    Complaint Intake Coordinator Work Lead, Acute Care...weekend, or holidays depending upon circumstances of survey or complaint . + Must be able to lift and ... - FAA00086 (Health Professional IV) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5126436) Apply  Complaint Intake Coordinator Work Lead, Acute Care… more
    State of Colorado (10/31/25)
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  • Registered Nurse Health Compliance Inspector Home…

    State of Colorado (Denver, CO)
    …to work occasional evening, night, weekend, or holidays depending upon circumstances of survey or complaint . + Must be able to lift and carry up to 45lbs. of ... in the Enhanced Nurse Licensure Compact (eNLC). This experience and education must be substantiated within the Work Experience & Education section of your… more
    State of Colorado (10/25/25)
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  • Nurse Consultant, Health Compliance Inspector…

    State of Colorado (Denver, CO)
    …to work occasional evening, night, weekend, or holidays depending upon circumstances of survey or complaint . + Must be able to exert up to 45 lbs. of equipment ... care facilities through observations, interviews, and record review. This position must have specialized clinical experience. Uses expertise, training and clinical… more
    State of Colorado (10/28/25)
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  • Health Compliance Inspector, Nursing Facilities…

    State of Colorado (Denver, CO)
    …to work occasional evening, night, weekend, or holidays depending upon circumstances of survey or complaint . + Must be able to lift and carry up to 45lbs. of ... that the deficiency should be cited under. + Investigates complex complaint allegations, analyzes the data gathered during the investigation, determines whether… more
    State of Colorado (10/24/25)
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  • Registered Nurse Health Compliance Inspector,…

    State of Colorado (Denver, CO)
    …to work occasional evening, night, weekend, or holidays depending upon circumstances of survey or complaint . + Must be able to lift and carry up to 45lbs. of ... regulation that the deficiency should be cited under. + Investigates complex complaint allegations, analyzes the data gathered during the + investigation, determines… more
    State of Colorado (10/24/25)
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  • Assistant Director, Strategic Operations

    Western Kentucky University (Bowling Green, KY)
    …analytical, reporting, and forecasting practices. The Assistant Director of Strategy and Appeals reports to the Executive Director of Strategic Operations and ... Appeals . Essential Job Functions: The following duties are customary...industry. Knowledge and Skills Considered Essential for Success: + Must be a self-starter, organized and detail oriented. +… more
    Western Kentucky University (10/30/25)
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  • Health Facilities Evaluator III

    The County of Los Angeles (Los Angeles, CA)
    …One position provides first level technical and administrative supervision to the complaint or advanced-level appeals unit. Essential Job Functions + Supervises ... within fifteen (15) calendar days of filing. The required license and/or certificate must be active and unrestricted or your application will not be accepted.… more
    The County of Los Angeles (09/21/25)
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  • Grand Junction, Co* LPN or RN Health Compliance…

    State of Colorado (Grand Junction, CO)
    …to work occasional evening, night, weekend, or holidays depending upon circumstances of survey or complaint . + Must be able to lift and carry up to 45lbs. of ... in the Enhanced Nurse Licensure Compact (eNLC). This experience and education must be substantiated within the Work Experience & Education section of your… more
    State of Colorado (10/30/25)
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