- Centene Corporation (Phoenix, AZ)
- …provider regulatory agencies and internal staff. + Correspond with key individuals regarding grievance and appeal decisions. + Act as subject matter expert ... Purpose:** Analyze and resolve verbal and written claims and authorization grievance /appeals from providers and members. Resolve all State inquires related to… more
- Commonwealth Care Alliance (Boston, MA)
- …completion of member verbal and written correspondence. + Thoroughly document all member appeal and grievance related interactions and interventions into ... member services. + Supports the Senior Appeals & Grievance Coordinator and A/G Coordinator ...needed. + Supports the maintenance of updated data in Appeal / Grievance application of the member … more