- Texas Health Resources (Dallas, TX)
- Program Manager of Compliance and Grievances - THPG Program Manager of Compliance and Grievances - Full Time/ Days _Bring your passion to ... to leaders and staff for patient safety event investigation, complaints/ grievances management, relevant regulatory compliance , high reliability, and all… more
- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse (RN) Manager , Appeals and Grievances General Operations (Clinical) Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... to support the safety net required to achieve that purpose. Job Summary The Manager , Appeals & Grievances (A&G) & General Operations (Clinical) is responsible… more
- LA Care Health Plan (Los Angeles, CA)
- … Quality Auditing (QA) Specialist II is responsible for assisting the Appeal and Grievances Compliance , Training and QA Manager to develop a successful ... Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & … more
- Actalent (Sacramento, CA)
- Job Title: Appeals and Grievances Registered Nurse Job Description We are seeking a skilled professional to join our team and handle member appeals and grievances ... assessing appeals for benefit coverage, medical necessity, coding accuracy, and policy compliance . You will collaborate with medical directors and internal teams to… more
- Beth Israel Lahey Health (Beverly, MA)
- …a job, you're making a difference in people's lives.** The Patient Experience (PEX) Manager for Beverly, Addison Gilbert and the Anna Jaques hospitals reports to the ... HCAPHS and Press Ganey Survey process, analysis and reporting. The Patient Experience Manager will be the organization's expert in Press Ganey resources, and advise… more
- Elevance Health (Columbus, OH)
- …within the regulatory timeframes. + Ensures programs support overall QI program and meet regulatory compliance /accreditation and the company standards. ... ** Manager II Grievance/Appeals** **- Claims Support** **Office Locations:**...II Grievance & Appeals** responsible for management oversight of grievances and appeals departmental units to investigate, resolve, and… more
- Arnot Health (Elmira, NY)
- …the overall operation and management of the Comprehensive Psychiatric Emergency Program (CPEP) staff and their unit functions/needs in accordance with Hospital ... survey (inspections) made by authorized government agencies . Is responsible for ensuring compliance with all New York State Department of Health (NYSDOH), Office of… more
- Washington Metropolitan Area Transit Authority (New Carrollton, MD)
- Program Manager Job ID: 250607 Location: MD-Metro Bldg New Carrollton Full/Part Time: Full-Time Posting Open-Close 07/17/2025 - 07/30/2025 Union NRP ... of this particular position either with or without reasonable accommodation(s). **SUMMARY** The Program Manager is the Subject Matter Expert and possesses the… more
- NANA Regional Corporation (Miami, FL)
- … tracking system is in place and utilized to maintain adequate records of all grievances and responses. + Ensures compliance with PBNDS, ACA and all other rules ... FL. The position is a member of the contract Program Management Office and requires confidentiality and discretion. The...grievance tracking system. + Maintains copies of all investigations, grievances , and reports. + Ensures compliance with… more
- Howmet Aerospace (Whitehall, MI)
- Responsibilities + With the assistance of the Labor Relations Manager , administers the Labor Agreement by overseeing the consistent enforcement of work rules, ... + Reviews and/or prepares employment related documents related to grievances ; work with managers/supervisors to collect documentation/data for responding to… more
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