• Coordinator Appeals…

    AmeriHealth Caritas (Philadelphia, PA)
    …more about us at www.amerihealthcaritas.com. **Responsibilities:** Reporting to the Supervisor, Appeals and Grievances , this position is responsible for the ... complaints/issues to management + Monitors to ensure that all problems with appeals / grievances presented by plan members/participants are resolved in accordance… more
    AmeriHealth Caritas (10/09/25)
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  • Grievance & Appeals Coordinator I

    Centene Corporation (Raleigh, NC)
    …and authorization appeals from providers and pursue resolution of formal grievances from members. + Gather, analyze and report verbal and written member and ... provider complaints, grievances and appeals + Prepare response letters for member and provider complaints, grievances and appeals + Maintain files on… more
    Centene Corporation (10/08/25)
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  • Grievance And Appeals Coordinator

    TEKsystems (Long Beach, CA)
    …structure and maintains current and additional information as it relates to Grievances and Appeals services. Utilizes department desktop procedures, workflows, ... High School Diploma, Required 2 years of experience within grievances and appeals in a healthcare setting Experience Level Expert Level #westpriority25… more
    TEKsystems (10/08/25)
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  • Grievance Coordinator

    CoreCivic (Watonga, OK)
    …a responsibility to better the public good. We are currently seeking a **Grievance Coordinator ** who has a passion for providing the highest quality care in an ... making an impact for the people and communities we serve. The Grievance Coordinator oversees the inmate/resident grievance process and ensures that both informal and… more
    CoreCivic (09/16/25)
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  • LTSS Concierge Coordinator

    Elevance Health (KS)
    …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals and state audits. **Minimum Requirements:** + Requires BA/BS ... **LTSS Concierge Coordinator ** **Location: This position is fully remote but...is granted as required by law._** The **LTSS Concierge Coordinator ** is responsible for supporting the LTSS Coordinator… more
    Elevance Health (10/07/25)
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  • LTSS Transition Concierge Coordinator

    Elevance Health (Columbus, OH)
    …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals and state audits. **Minimum Requirements:** + Requires BA/BS ... **LTSS Concierge Coordinator (Case Manager)** **Hiring statewide across Ohio** **This...and supports, and psychosocial needs. The **LTSS Transition Concierge Coordinator ** is responsible for supporting the LTSS Transition … more
    Elevance Health (09/27/25)
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  • LTSS Service Coordinator - Case Manager…

    Elevance Health (Tallahassee, FL)
    …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals , and state audits. **Minimum Requirements:** + Requires BA/BS ... **LTSS Service Coordinator (Bilingual in Spanish/English)** **Schedule:** Monday-Friday 8am-5pm **Location**...is granted as required by law._ The **LTSS Service Coordinator ** is responsible for conducting service coordination functions for… more
    Elevance Health (10/09/25)
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  • LTSS Service Coordinator (Case Manager)

    Elevance Health (Worthington, OH)
    …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals , and state audits. **Minimum Requirements:** + Requires BA/BS ... **LTSS Service Coordinator (Case Manager)** **Hiring statewide across Ohio** **Location**...services and supports, and psychosocial needs. The **LTSS Service Coordinator ** is responsible for managing service coordination for a… more
    Elevance Health (09/11/25)
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  • RN Care Coordinator - Inpatient Specialty…

    Cedars-Sinai (Beverly Hills, CA)
    …the payor + Investigates, processes and assists with the resolution of provider grievances and appeals in accordance with contractual requirements and corporate ... Initiative for Hiring. **Req ID** : 12511 **Working Title** : RN Care Coordinator - Inpatient Specialty Program - 8-Hour Days - $5,000 Hiring Incentive!!… more
    Cedars-Sinai (09/28/25)
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  • Correctional Program Specialist (National Policy…

    Justice, Bureau of Prisons/Federal Prison System (Washington, DC)
    …Some examples of this qualifying experience are: GS-13: Experience investigating grievances submitted as administrative remedy appeals , regarding Women and ... Special Populations policies and procedures. Experience implementing and/or evaluating evidence-based programs for women or members of other special populations (aging offenders, parents or pregnant inmates, inmates living with disabilities, and/or veterans);… more
    Justice, Bureau of Prisons/Federal Prison System (10/03/25)
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