- Centene Corporation (New York, NY)
- … appeals and grievances from a clinical perspective. Ensure that the clinical Appeals and Grievance department processes all cases in accordance with ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …referrals generated to care management programs + Provides administrative support to the grievance and appeals process within the + Medical Services department ... Plan Essential Accountabilities: Level I + Review / prep clinical case for clinical staff. + Navigates...The care manager provides feedback to the non-care manager's supervisor , as needed, at the time of the annual… more