- buyer (New York, NY)
- …Care, MetroPlus Gold, Essential Plan , etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, ... Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If...with its members and providers.Position OverviewAs a Claims Adjustment Specialist I, this individual will be responsible for analyzing… more
- BayCare Health System (Clearwater, FL)
- …member be working remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Grievance Specialist - Health Plan **Location** ... + Requires deep understanding of gap closure specifications. + Knowledge of health plan operations, benefit coverage, and claims processing. Familiarity with… more
- Actalent (Dallas, TX)
- Job Title: Specialist , Appeals & GrievancesJob Summary: Responsible for reviewing and resolving member and provider complaints and communicating resolutions. Key ... care (call center, appeals, or claims) + Experience in health claims processing, coordination of benefits, and eligibility +...to change and may be subject to specific elections, plan , or program terms. If eligible, the benefits available… more
- LA Care Health Plan (Los Angeles, CA)
- …$67,186.00 (Min.) - $87,342.00 (Mid.) - $107,498.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Administrative, HR, Business Professionals...County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million… more
- LA Care Health Plan (Los Angeles, CA)
- …$77,265.00 (Min.) - $100,445.00 (Mid.) - $123,625.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... Customer Solution Center Training Specialist II Job Category: Administrative, HR, Business Professionals...County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million… more
- Howard University Hospital (Washington, DC)
- … health , disability, vacation, sick leave, and 403B retirement plan .) COVID-19 Vaccination Howard University Hospital requires all external applicants to ... outcomes. Howard University Hospital seeks to hire a Labor & Employee Relations Specialist who will embrace our rich and historic tradition of excellence. If you… more
- PeaceHealth (Bellingham, WA)
- **Description** PeaceHealth is seeking a Patient Relations Specialist for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth ... **Job Summary** Responsible for managing the organization's patient complaint and grievance process to ensure timely, thorough, and compassionate resolution of… more
- Metropolitan Council (St. Paul, MN)
- …staff, and business leaders on labor/employee relations matters to include contract/ plan interpretation, grievance resolution, and other related matters + ... Labor Relations Program Manager or Specialist Print (https://www.governmentjobs.com/careers/metrocouncil/jobs/newprint/5051196) Apply Labor Relations Program… more
- Maxim Healthcare (Daytona Beach, FL)
- Maxim Healthcare is looking for a RN Clinical Operations Specialist to join our team in Daytona Beach, FL The Clinical Operations Specialist is responsible for ... + In consultation with office leadership (clinical and operations) assist in grievance concerns, reports and issues + In consultation with office leadership… more
- Hilton (Coronado, CA)
- The iconic Hotel del Coronado is looking for a **Labor & Employee Relations Specialist ** to join the team\! Joinone of the last surviving wooden Victorian beach ... **What will I be doing?** As the Labor and Employee Relations Specialist , you will be responsible forpreliminary andadministrativedutiesof the Labor and Employee… more
- AmeriHealth Caritas (Harrisburg, PA)
- **Responsibilities:** The Behavioral Health Member Services Specialists are responsible for PerformCare's intake processes. They are the first point of contact for ... requests; Addressing Member complaints through the initialization of the PerformCare Grievance and Complaint process; Explaining a Member's rights as requested;… more
- HCA Healthcare (Atlantis, FL)
- …**Introduction** Do you have the career opportunities as a(an) Risk Management Specialist you want with your current employer? We have an exciting opportunity ... Hospital offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9%… more
- University of Pennsylvania (Philadelphia, PA)
- …professional development opportunities, supportive work and family benefits, a wealth of health and wellness programs and resources, and much more. Posted Job Title ... Senior Staff and Labor Relations Specialist Job Profile Title Labor and Staff Relations ...the expertise, business process, policies and standards required to plan , design, construct, operate, maintain and renew the physical… more
- Cedars-Sinai (CA)
- …functions and providing feedback on departmental activities, to assure compliance with all health plan and regulatory agencies, including CMS, DMHC, and DHCS. ... **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation... plans and current CSHS departments to ensure both health plan regulations and CSHS policies are… more
- State of Colorado (Colorado Springs, CO)
- Youth Services Specialist II - Spring Creek Youth Services Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5096121) Apply Youth ... Services Specialist II - Spring Creek Youth Services Center Salary...and review) + Conduct and document safety, fire, and health inspections + Review all logs, shift reports, daily… more
- City of Detroit (Detroit, MI)
- Civil Rights & Language Access Specialist Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/5089898) Apply Civil Rights & Language Access ... Specialist Salary $57,311.00 - $80,021.00 Annually Location Coleman A...Questions Description The purpose of this class is to plan , coordinate and facilitate activities related to the enforcement… more
- Ramsey County (St. Paul, MN)
- Planning Specialist (Unclassified Limited Duration) Print (https://www.governmentjobs.com/careers/ramsey/jobs/newprint/5074432) Apply Planning Specialist ... system and community partners to develop a holistic care plan . The coordinator will then advise on operating goals...in the unclassified service have no right to a grievance appeal from discharge or other disciplinary action under… more
- UPMC (Pittsburgh, PA)
- …and regulatory excellence! This role collaborates closely with the Patient Safety Specialist , Regulatory Specialist , Patient Relations team, and the Privacy and ... follow-up. The candidate will contribute to regulatory readiness, Department of Health investigations, Joint Commission compliance, and assist with complaint and … more
- City of New York (New York, NY)
- …- Benefits: City employees are entitled to unmatched benefits such as: oa premium-free health insurance plan that saves employees over $10K annually, per a 2024 ... ATGs are correct and updated for audit request and grievance processes. Includes supplying documentation on salary adjustments for...assessment. o additional health , fitness, and financial benefits may be available based… more
- LA Care Health Plan (Los Angeles, CA)
- …Range: $47,840.00 (Min.) - $57,062.00 (Mid.) - $68,474.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million...file. Inform nurses of a new case received from Grievance and Appeals Specialist .; submit all Grievances… more
