- Optum (San Juan, PR)
- …This position will communicate with appropriate parties regarding appeals and grievance issues, implications and decisions. In addition, analyze and identifies ... resolutions Share and submit reports on case status, resolution times, and appeal to supervisors and other relevant stakeholders Triage requests and determine the… more
- Prince George's County, MD (Upper Marlboro, MD)
- …should refer to their respective collective bargaining agreement and/or union representative for their grievance procedure. Prince George's County Government ... in accordance with Section 16-200 of the Personnel Law, you have the right to appeal a rejection rating within five (5) working days of receiving a rejection notice.… more
- Ramsey County, MN (St. Paul, MN)
- …or without cause. Employees in the unclassified service have no right to a grievance appeal from discharge or other disciplinary action under sections 383A.281 ... outcome measures for departmental activities Serve as a department representative during contract negotiations with collective bargaining agreements; research issues… more
- Prince George's County, MD (Upper Marlboro, MD)
- …should refer to their respective collective bargaining agreement and/or union representative for their grievance procedure. Prince George's County Government ... in accordance with Section 16-200 of the Personnel Law, you have the right to appeal a rejection rating within five (5) working days of receiving a rejection notice.… more
- Point32Health (Watertown, MA)
- …documentation and correspondence to the member outlining final disposition of the member's appeal or grievance providing further appeal options as ... of business. **Job Description** + Act as a member advocate; clearly communicating the appeal and grievance process and procedures both orally and in writing. +… more
- Willamette Dental (Hillsboro, OR)
- …understand how to facilitate the process with the Practice or Member Services Grievance , Appeal and Care Coordination. + Supports various outreach programs ... **Position Summary** The Member Services Representative communicates with members via incoming calls to efficiently and effectively answer membership questions… more
- LA Care Health Plan (Los Angeles, CA)
- …timely and culturally-appropriate manner. Coordinates, tracks, and resolves internal and external appeal and grievance complaints for LA Care Plan Partners, ... including identifying opportunities for improvement. Ensures timely appeal and grievance reporting to regulatory agencies, internal Regulatory Affairs and… more
- State of Colorado (Greeley, CO)
- …Personnel Director. An appeal or review must be submitted on the official appeal form, signed by you or your representative . This form must be delivered ... team meetings in collaboration with CYSO III + Ensure that youth grievance policy and procedure are followed. Review of grievances to include investigation,… more
- State of Colorado (Pueblo, CO)
- …and assistance in ensuring individual rights are protected, implementation of grievance processes, transition planning, and obtaining benefits as needed. + Assists ... other duties as assigned. Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights Mon-Fri 8-5 PM (work from home 3 days/office 2 days)… more
- State of Colorado (CO)
- …Personnel Director. An appeal or review must be submitted on the official appeal form, signed by you or your representative . This form must be delivered ... referrals and consultations, medical reporting, medical co-signature and inmate grievance requirements are completed in accordance with DOC Administrative… more
- Commonwealth Care Alliance (Boston, MA)
- …any requested documents including provider listings in their areas. * Complete comprehensive appeal and grievance intakes. * Collaborate with the member to ... accurately document their appeal or grievance concern by ensuring all...of concerns or complaints conveyed by members and their representative . * Conduct research to provide accurate and informed… more
- CUNY (New York, NY)
- …immigration. The Special Counsel serves as hearing officer of disciplinary and grievance proceedings and represents the College at higher levels of the disciplinary ... and grievance processes. The Special Counsel also serves as the...as student disciplinary appeals; advocates the College's position at appeal hearings. - Works with attorneys in CUNY's Office… more
- City and County of San Francisco (San Francisco, CA)
- …Duties: According to Civil Service Commission Rule 109, the duties specified below are representative of the range of duties assigned to this job code/class and are ... of understanding; implements pay provisions of arbitration awards, mediated and grievance settlements; and reviews, analyzes, and processes requests for special pay… more
- MyFlorida (Sanderson, FL)
- …the proper handling of contractual processes, which includes the discipline process, PERC appeal process, grievance process and step 1 responses. Also supports ... the Warden as a representative for voting as it relates to FS 447.307. + Supervises subordinates in all areas of responsibility. Provides technical assistance and… more
- Kelly Services (Fairport, NY)
- …administrative and member support tasks. + Utilizing your understanding of the Grievance & Appeal process and other relevant terms. **Essential Qualifications:** ... - 6 month project **What's a typical day as a Medicare Customer Service Representative ? You'll be:** + Under the general direction of the Supervisor, performs a… more
- Ramsey County (Maplewood, MN)
- …or without cause. Employees in the unclassified service have no right to a grievance appeal from discharge or other disciplinary action under sections 383A.281 ... measures for departmental activities + Serve as a department representative during contract negotiations with collective bargaining agreements; research issues… more
