- Cognizant (Boston, MA)
- **Appeals & Grievance Specialist (remote)** This is a remote position open to any qualified applicant in the United States. **Job Summary:** We are seeking a ... dedicated Appeals & Grievance Specialist with 2 to 3 years of experience to join our team. The ideal candidate will have strong technical skills in MS Excel and… more
- Commonwealth Care Alliance (Boston, MA)
- 011540 CCA-Appeals & Grievances **Position Summary** Appeals and Grievances Specialist supports the Operations Department and the Appeals and Grievances team in a ... Processing of Grievances & Appeals: + Responsible for the progress of grievance and appeal intervention and resolution. + Assure verbal and written responses… more
- Healthfirst (FL)
- …+ Independently manage a caseload of grievances through the full case lifecycle, from written acknowledgement to investigation, resolution, and written member ... resolution letters. + Conduct detailed research by collaborating cross-functionally with internal departments (eg, Member Services, Provider Operations, Clinical, Enrollment, Pharmacy) to identify root causes and recommend appropriate resolutions. + Partner… more
- LA Care Health Plan (Los Angeles, CA)
- …all due dates for each file. Inform nurses of a new case received from Grievance and Appeals Specialist .; submit all Grievances and Appeals response letters to ... Summary The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the… more
- Howard University Hospital (Washington, DC)
- …outcomes. Howard University Hospital seeks to hire a Labor & Employee Relations Specialist who will embrace our rich and historic tradition of excellence. If you ... $67,482 - $107,971 based on experience Labor and Employee Relations Specialist : Investigates and research labor relations matters, employee and union complaints,… more
- Dana-Farber Cancer Institute (Boston, MA)
- …to the Director of Patient/Family Relations, the Patient / Family Relations (P/FR) Specialist serves as an integral member of the Quality and Patient Safety ... personalization and humanization of the hospital experience. The P/FR Specialist will support the Patient / Family Relations program...families, and staff by ensuring an effective complaint and grievance process. The role will engage in intake and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Position Title:** **Senior Labor Relations Specialist -HR Labor Relations-Mount Sinai Morningside/Mount Sinai West-In Person-Full Time-Days** ... **Position Summary:** The Senior Labor Relations Specialist is responsible for leading and managing complex labor relations activities within the organization. This… more
- New York State Civil Service (Albany, NY)
- …Agency Information Technology Services, Office of Title Human Resource Specialist 1 (Labor Relations)/Trainee Occupational Category Administrative or General ... Zip Code 12220 Duties Description Under the direction of the Human Resources Specialist 2 Labor Relations, SG-23, the incumbent will assist with planning and… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & ... Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist II is responsible for assisting the Appeal and Grievances Compliance,… more
- Trinity Health (Maywood, IL)
- …the direction of the Regional Manager of Patient Relations, the Patient Relations Specialist plays a crucial role in leading Saint Joseph Health System in complaint ... and grievance resolution, service recovery, and patient family experience improvement....coaching on service recovery. + Analyzes and presents complaint, grievance , service recovery, and patient experience data to leaders… more
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