- Point32Health (MA)
- …(https://www.point32health.org/) . **Job Summary** Under the general direction of the Manager, Appeals and Grievances the Supervisor , Appeals ... will coordinate and provide leadership for the daily operations of the Appeals and Grievances department. The supervisor represents the Appeals and… more
- Point32Health (Watertown, MA)
- …(https://www.point32health.org/) . **Job Summary** Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance ... responsible for the accurate coordination, efficient administration and resolution of member appeals and member grievances submitted by Point32Health members for… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will...Monitors closure of complaints and works with Quality Control Supervisor to resolve all database issues. Prepare and analyze… more
- Commonwealth Care Alliance (Boston, MA)
- 011540 CCA- Appeals & Grievances **Position Summary:** Appeals and Grievances Program Advisor monitors and supports the operations and compliance of the ... Appeals and Grievances department through many NCQA...Federal and State Regulations. Complete individual summary scorecards for Supervisor feedback. + Track monthly scores on spreadsheet and… more
- CareFirst (Baltimore, MD)
- …for collecting, organizing and tracking information to facilitate and expedite processing of appeals and/or grievances received from a variety of sources. We are ... stakeholders, without breaching confidentiality of medical information. + Assists Supervisor and Appeals Specialist II and III with unit projects and other… more
- State of Colorado (Golden, CO)
- CORRECTIONAL, YOUTH, SUPERVISOR III at CALM Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5014202) Apply CORRECTIONAL, YOUTH, SUPERVISOR ... professional development training (as available) + Resolves informal staff grievances . Provide formal/informal performance feedback. Initiate progressive discipline, in… more
- State of Colorado (Pueblo, CO)
- Correctional Youth Security Supervisor III - Pueblo Youth Services Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5016924) Apply ... Correctional Youth Security Supervisor III - Pueblo Youth Services Center Salary $2,601.69 Biweekly Location Pueblo, CO Job Type Full Time Job Number IKA 00888… more
- TEKsystems (Reston, VA)
- …claims to assist medical professional staff in performing the review of appeals grievances and reconsiderations. Prioritize research analyze and perform accurate ... Specialist II will be responsible for the initial intake analysis of appeals / grievances correspondence and determination of next steps with minimal supervision… more
- State of Colorado (Canon City, CO)
- CDOC General Maintenance Supervisor CSTS I (Canon City) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5018302) Apply CDOC General ... Maintenance Supervisor CSTS I (Canon City) Salary $5,031.00 - $7,043.00...pay, creates schedule and assigns tasks and resolves informal grievances ; inspects work and performs inmate evaluations; reduces inmate… more
- State of Colorado (Chaffee County, CO)
- CDOC/Licensed Boiler Operator Supervisor CSLTS II BVCC Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5015642) Apply CDOC/Licensed Boiler ... Operator Supervisor CSLTS II BVCC Salary $5,824.00 - $8,153.00 Monthly...employee evaluations and plans; conducts performance evaluations, resolves informal grievances ; creates schedules, assigns tasks, inspects work; approves time,… more
- State of Colorado (Pueblo, CO)
- Custodian Supervisor - Pueblo Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4999663) Apply Custodian Supervisor - Pueblo Salary $24.45 - ... by the State Personnel Director. You will find the appeals process, theofficial appeal form (https://spb.colorado.gov/sites/spb/files/documents/Consolidated%20Appeal%20-%20Form%20-%202024.pdf) , and how… more
- Sacramento County (Sacramento, CA)
- Stormwater Utility Supervisor Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/4994535) Apply Stormwater Utility Supervisor Salary ... years of full-time experience as a lead worker or supervisor over crews performing duties which have included (1)...Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days… more
- State of Colorado (Denver, CO)
- RESIDENCY WAIVER - Engineering Operating Permit Unit Supervisor - PE II - HYBRID Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4994502) Apply ... RESIDENCY WAIVER - Engineering Operating Permit Unit Supervisor - PE II - HYBRID Salary $8,923.00 -...performance problems and issues, disputes, and informal (Step 1) grievances ; issue corrective actions and initiate discipline as needed.… more
- State of Colorado (Sterling, CO)
- …Job This position is a Housekeeping Lieutenant, Correctional Support Trades Supervisor II at a Sterling Correctional Facility. Primary responsibilities include, but ... plans, and conducts performance evaluations; resolves informal staff and/or inmate grievances . Assigns tasks, monitors and inspects work progress and ensures… more
- Walworth County (Elkhorn, WI)
- …contact, in home 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...are available for use, subject to approval of your supervisor . As a full-time employee you earn scheduled time… more
- State of Colorado (Limon, CO)
- …at this location. Description of Job This Correctional Support Licensed Trades Supervisor II (CSLTS II) is a Journeyman Electrician at the Limon Correctional ... completion of annual training. + Resolve conflict and informal grievances at the lowest level possible + Ensure safe,...duties of other crews in the absence of another supervisor and/or assisting other trades/crews on additional projects; working… more
- State of Colorado (Denver, CO)
- …the social work department and in collaboration with leadership. As a supervisor , the Social Worker IV is responsible for clinical and administrative supervision, ... performance plans, corrective and disciplinary actions, assist resolving informal grievances , staff scheduling, position descriptions, recruitment, retention, interviewing and… more
- State of Colorado (Denver, CO)
- …conflicts, investigates and problem solves internal and external complaints and grievances from staff, youth, family, and other customers. Scheduling of clinic ... of the department's action. For more information about the appeals process, the official appeal form, and how to...many years of experience do you have as clinical supervisor ? + 2 or more years + 1 -… more
- CHS (Clearwater, FL)
- …client trust. * Investigates and participates in formal responses relating to complaints, grievances and appeals received by or applicable to PAS. Participates ... * Establishing production requirements for Examiners, and along with the Supervisor monitoring performance against the requirements. * Establishing and monitoring… more
- Beth Israel Lahey Health (Westwood, MA)
- …address information. Escalates calls to pharmacists for clinical inquiries and escalates grievances to supervisor . 7. Maintains new and existing patient profiles ... Support health care providers with required prior authorization and required appeals . Manage all mail/delivery of Rx orders including addressing problems/issues with… more