- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The Lead Appeal & Grievance Support is responsible for daily oversight of inventory management for the Appeal & Grievance (A&G) ... with updates as needed and speak to team performance. The Lead Appeal & Grievance Support will also be responsible for assisting with Monitoring and… more
- Elevance Health (Columbus, GA)
- …+ Utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to ... to nursing and/or medical staff for review. + The grievance and appeal work is subject to...information. + Identify opportunities for improvement and any provide support and assistance to G&A Analyst I associates as… 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, ... County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose....Unit and other general operations units. + Ensures timely appeal and grievance reporting to regulatory agencies,… more
- Elevance Health (Indianapolis, IN)
- …internal and external sources, coordinates investigative and discovery activities specific to Grievance and Appeal functions. + Assists with compliance issues as ... ** Grievance and Appeals Analyst II (Executive Concierge Analyst)**...week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured… more
- ARAMARK (Durham, NC)
- …at management appeal interviews + Act as company representative at management grievance appeal interviews + Represent the company at all employment tribunals ... **Job Description** The HR Generalist Manager will provide vital support to the Senior Managers and Department Heads across the Business and will ensure that the… more
- Humana (Helena, MT)
- …in meetings involving care management, provider relations, quality of care, audit, grievance and appeal and policy review. The Behavioral Health Medical ... contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana… more
- AdventHealth (Minneola, FL)
- …Career Development + Whole Person Wellbeing Resources + Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being part of ... charm and friendly atmosphere makes this an exceptional destination. This community's appeal continues to grow as exciting new developments are underway near the… more