- Point32Health (NH)
- …general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations ... for the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual… more
- CVS Health (Columbus, OH)
- …experience + 1+ years of External Audit Experience + 1+ years of Grievance and Appeals Experience + 1+ Medicare and/or Medicaid experience **Education** ... matter and independently coaches others on matters regarding complaints and appeals , ensuring compliance with federal and/or state regulations. Ensures compliance… more
- Corewell Health (Grand Rapids, MI)
- …+ Intermediate or advanced level using Microsoft Office Suite + Previous experience with grievance and appeals processes. About Corewell Health As a team member ... Essential Functions + Responsible for complex and thorough investigation of appeals , external complaints, and fair hearing reviews including: formulate action plan… more
- CVS Health (Hartford, CT)
- …(PO) is responsible for leading the MHK product development and configuration for the Grievance & Appeals (G&A) Department. This role contributes to the product ... vision and translate it for the product development team. They are responsible for team backlog development and prioritization, maintaining integrity of features or components, and collaborating closely with Engineering, Design, and other members of the team.… more