- BayCare Health System (Clearwater, FL)
- …member be working remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Grievance Specialist - Health Plan **Location** ... + Requires deep understanding of gap closure specifications. + Knowledge of health plan operations, benefit coverage, and claims processing. Familiarity with… more
- Intermountain Health (Murray, UT)
- …and negotiating issues. **Minimum Qualifications** + Demonstrated experience as a SelectHealth Health Benefit Specialist , (HBS), or demonstrated experience in ... appeals and grievances for highly regulated insurance plans with unique plan designs, compliance requirements, regulatory legislation and NCQA, (National Committee… more
- Tufts Medicine (Boston, MA)
- **About Tufts Medicine** Tufts Medicine is an innovative, mission-driven health system that unites the best of academic and community medicine to deliver ... MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Tufts Medicine Behavioral Health Hospital (opening Fall 2025), Tufts Medicine Care at Home, Tufts… more
- LA Care Health Plan (Los Angeles, CA)
- …Range: $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department:...County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million… more
- Howard University Hospital (Washington, DC)
- … health , disability, vacation, sick leave, and 403B retirement plan .) COVID-19 Vaccination Howard University Hospital requires all external applicants to ... outcomes. Howard University Hospital seeks to hire a Labor & Employee Relations Specialist who will embrace our rich and historic tradition of excellence. If you… more
- North Carolina Central University (Durham, NC)
- …Details** Position Information **Position/Classification Title** Broadcast and Emerging Media Specialist II **Working Title** Broadcast and Emerging Media ... image of the station. The Broadcast and Emerging Media Specialist develops and/or selects some or all of the...national and international issues is preferred -Demonstrated ability to plan and meet deadlines, working with materials from a… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …and that everyone in our community has the right to expert care for mental health and substance use disorders. We are much more than just the third largest ... non-profit behavioral health system in the country, our 220-acre main campus,...incredible work. What Will You Do? The Patient Experience Specialist is responsible for advocacy on behalf of individuals… more
- Maxim Healthcare (Memphis, TN)
- Maxim Healthcare is looking for a RN Clinical Education Specialist to join our team in Memphis, TN The Clinical Education Specialist is responsible for the ... + In consultation with office leadership (clinical and operations) assist in grievance concerns, reports and issues + In consultation with office leadership… more
- HCA Healthcare (Atlantis, FL)
- …**Introduction** Do you have the career opportunities as a(an) Risk Management Specialist you want with your current employer? We have an exciting opportunity ... Hospital offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9%… more
- Cedars-Sinai (CA)
- …functions and providing feedback on departmental activities, to assure compliance with all health plan and regulatory agencies, including CMS, DMHC, and DHCS. ... **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation... plans and current CSHS departments to ensure both health plan regulations and CSHS policies are… more