- TEKsystems (Baltimore, MD)
- … and appeal intake specialist background ! Description Job Profile Summary: The Grievance and Appeal Intake Specialist supports the Appeals and Grievance ... TekSystems is currently hiring for a FULLY REMOTE Grievance and Appeal Intake Specialist! This position must...Work involves a review of recorded calls relating to appeals and grievances and prepares written transcripts, as appropriate.… more
- Point32Health (Watertown, MA)
- …Point32Health (https://www.point32health.org/) . **Job Summary** Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and ... for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual… more
- LA Care Health Plan (Los Angeles, CA)
- …Required: At least 5 years of experience resolving health care eligibility, access, grievance and appeals issues, preferably in health services, legal services ... Manager, Customer Solution Center Appeals and Grievances Job Category: Management/Executive Department: CSC Appeals & Grievances Location: Los Angeles, CA, US,… more
- CVS Health (Springfield, IL)
- …Processes claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance and appeals (member/provider) via target system. Educates ... Service group. Responsibilities below include, but not limited to: Customer Service Representative is the face of Aetna and impacts members' service experience by… more
- BrightSpring Health Services (Louisville, KY)
- …to Member and Provider issues. Refer all unresolved issues to the next level including grievance and appeals . + Actively market plan to new senior care partners ... Our Company Signature Advantage Overview Seeking a Sales Account Representative /Executive for our Signature Advantage Plan who will work with senior care partners to… more
- Transdev (North Las Vegas, NV)
- …ensure consistency in language and interpretation of collective bargaining agreements, grievance management, and arbitration preparation. Transdev is proud to offer: ... + Research, compile, and prepare data for use in grievance hearings, arbitration proceedings, labor/management initiatives, collective bargaining negotiations, and… more
- City of Stockton, CA (Stockton, CA)
- …in labor negotiations; provides strategic guidance to staff on disciplinary appeals , grievance /arbitration appeals and labor negotiations proposals. ... activities and recommends policy and procedural improvements. + May serve as a City representative at the bargaining table or serve as back up as assigned. +… 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
- Walworth County (Elkhorn, WI)
- …or community Provide information on consumer rights, complaints, grievances and appeals processes and assistance in preparing and filing complaints, grievances and ... appeals at the local, state and federal levels. Represent...hearings as well as in other formal or informal grievance steps. Refer individuals to program attorneys for consideration… more
- Roper St. Francis (Charleston, SC)
- …resolutions, receives & forwards compliments, issues acknowledgement letters, forwards grievance forms within the designated timeframe, assists with accreditation ... or healthcare preferred. Prior experience working with grievances and appeals strongly preferred. Knowledge of RSFH organizational structure strongly preferred.… more
- Commonwealth Care Alliance (Boston, MA)
- …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 necessary information to start...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...grievances and disciplinary proceedings as well as student disciplinary appeals ; advocates the College's position at appeal hearings. -… more
- State of Colorado (CO)
- …referrals and consultations, medical reporting, medical co-signature and inmate grievance requirements are completed in accordance with DOC Administrative ... the official appeal form, signed by you or your representative . This form must be delivered to the State...of the department's action. For more information about the appeals process, the official appeal form, and how to… more