• Grievance / Appeals…

    Elevance Health (Cerritos, CA)
    ** Grievance / Appeals Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... employment, unless an accommodation is granted as required by law._ The ** Grievance / Appeals Representative I** is responsible for reviewing, analyzing and… more
    Elevance Health (11/07/25)
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  • Member Intake Admin - Hybrid $22/hr

    Fallon Health (Worcester, MA)
    …us on Facebook, Twitter and LinkedIn. **Brief summary or purpose:** Fallon Health (FH) Appeals and Grievance process is an essential function to FH's compliance ... standards, other applicable regulatory requirements and member expectations. The FH Member Appeals and Grievance Intake Administrator serves to administer the FH… more
    Fallon Health (11/12/25)
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  • Senior Labor Relations Representative

    MTA (New York, NY)
    Senior Labor Relations Representative Job ID: 12716 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: ... Date Posted: Aug 15, 2025 Description JOB TITLE: Senior Labor Relations Representative DEPT/DIV: Labor Relations WORK LOCATION: 420 Lexington Ave FULL/PART-TIME FUL… more
    MTA (08/16/25)
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  • Medicare Sales Account Representative

    BrightSpring Health Services (Bowling Green, KY)
    …to Member and Provider issues. Refer all unresolved issues to the next level including grievance and appeals . + Actively market plan to new senior care partners ... Health Plan was formerly Signature Advantage* We are seeking a Sales Account Representative /Executive for our Abilis Health Plan who will work with senior care… more
    BrightSpring Health Services (10/01/25)
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  • PA Office Support Representative

    Highmark Health (Buffalo, NY)
    …and member requests, received from Medical Management & Policy (MM&P) and Member Grievance Departments. * Responsible for management of Peer to Peer telephone line. ... timely receipt, review and assignment of all incoming physician reviewer referrals and appeals to ensure that NCQA, URAC, CMS, DOH, DOL and state specific regulatory… more
    Highmark Health (10/07/25)
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  • Labor Relations Manager

    Transdev (Dorchester, MA)
    …+ Research, compile, and prepare data for use in grievance hearings, arbitration proceedings, labor/management initiatives, collective bargaining negotiations, and ... Resources policies and governmental laws and regulations. + Manage the grievance process and provide comprehensive responses to complaints, grievances, and… more
    Transdev (10/06/25)
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  • Director Of Labor And Employee Relations

    City of New York (New York, NY)
    …contractual issues that may arise with CFB employees. - Serve as the CFB's grievance representative and administer the contractual grievance process. Serve ... as Hearing Officer for grievances and disciplinary appeals . Represent the agency at hearings before the Office of Labor Relations and arbitration sessions at the… more
    City of New York (11/12/25)
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  • CDOC Physician

    State of Colorado (CO)
    …referrals and consultations, medical reporting, medical co-signature and inmate grievance requirements are completed in accordance with DOC Administrative ... the official appeal form, signed by you or your representative . This form must be delivered to the State...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
    State of Colorado (11/11/25)
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  • Health Care Technician IV - Residential…

    State of Colorado (Jefferson County, CO)
    …Determines and responds to Step 1 grievances if staff supervised initiates a formal grievance . + Observes the individual for side effects or problems that may arise ... if your application is eliminated. You will find the appeals process, the official appeal form, and how to...State Personnel Board (https://spb.colorado.gov/) website. + You or your representative must sign and submit the official appeal form… more
    State of Colorado (11/05/25)
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  • CDOC - Correction Case Manager I (CCF)

    State of Colorado (Fremont County, CO)
    …providing opportunities for offenders to receive feedback, crisis intervention, and grievance resolution; + Stresses results oriented direction in guiding offender ... the official appeal form, signed by you or your representative . This form must be delivered to the State...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
    State of Colorado (11/04/25)
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