- Molina Healthcare (Columbus, OH)
- …for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member and provider ... responsible for the submission/resolution of member and provider inquiries or grievances . Ensures resolutions are compliant. + Assesses and audits business processes… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Customer Solution Center Appeals and Grievances (Temporary) Job Category: Management/Executive Department: CSC Appeals & Grievances ... that purpose. Job Summary The Supervisor , Customer Solution Center Appeals and Grievances is responsible for direct supervision and support of the team… more
- AmeriHealth Caritas (Philadelphia, PA)
- …services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** Reporting to the Supervisor , Appeals and Grievances , this position is ... complaints/issues to management + Monitors to ensure that all problems with appeals / grievances presented by plan members/participants are resolved in accordance… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor directs and coordinates the accurate implementation of the clinical appeal process for ... the activities and serves as a resource for associates within the Appeals and Grievances Department for Government Programs. We are looking for an experienced… more
- State of Colorado (Golden, CO)
- CORRECTIONAL, YOUTH, SUPERVISOR III at Campus at Lookout Mtn Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5122470) Apply CORRECTIONAL, ... YOUTH, SUPERVISOR III at Campus at Lookout Mtn Salary $67,644.00...professional development training (as available) + Resolves informal staff grievances . Provide formal/informal performance feedback. Initiate progressive discipline, in… more
- State of Colorado (Denver, CO)
- Correctional Youth Security Supervisor III - Mount View Youth Service Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5120377) Apply ... Correctional Youth Security Supervisor III - Mount View Youth Service Center Salary $5,637.00 Monthly Location Denver, CO Job Type Full Time Job Number IKA 05373… more
- State of Colorado (Durango, CO)
- Traffic Maintenance Supervisor (TM III) - Durango Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5097484) Apply Traffic Maintenance ... Supervisor (TM III) - Durango Salary $74,244.00 - $76,944.00...conducts and signs performance plans and appraisals; resolves informal grievances ; interviews applicants and recommends hires, promotions and transfers.… more
- State of Colorado (Denver, CO)
- CDOC Journeyman Plumber Supervisor CSLTS I (Denver) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5116855) Apply CDOC Journeyman Plumber ... Supervisor CSLTS I (Denver) Salary $5,283.00 - $7,395.00 Monthly...pay, creates schedule and assigns tasks and resolves informal grievances according to agency policy; reduces inmate idleness and… more
- State of Colorado (Denver, CO)
- LTC Operations I - Maintenance Supervisor - Denver Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5116211) Apply LTC Operations I - ... Maintenance Supervisor - Denver Salary $71,544.00 - $85,872.00 Annually Location...actions, signing performance plans and appraisals, and resolving informal grievances . Positions start the hiring process, interview applicants, and… more
- State of Colorado (Denver, CO)
- Heat Plant Supervisor - Denver Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5116781) Apply Heat Plant Supervisor - Denver Salary ... and disciplinary actions. + Addresses employee complaints and resolves informal grievances . + Positions start the hiring process, interview applicants, and recommend… more
- Mohawk Valley Health System (New Hartford, NY)
- Supervisor , Denials Mgmt & Efficiency - Hybrid Flexible Department: ACCTS RECEIVABLE & COLLECTION Job Summary The Supervisor of Denials Management and Efficiency ... reviews, transfers, promotions, disciplinary actions, terminations and similar actions. Resolves grievances and other staff problems in a fair, timely and consistent… more
- State of Colorado (Limon, CO)
- …future vacancies at this location. Description of Job This Correctional Support Trades Supervisor II (CSTS II) is a Food Service Lieutenant for the Colorado ... plans, and conducts performance evaluations; resolves informal staff and/or inmate grievances . Assigns tasks, monitors and inspects work progress and ensures… more
- State of Colorado (Denver, CO)
- …at this location. Description of Job This Correctional Support Licensed Trades Supervisor I is a Boiler Operator with Stationary Engineer Certification at the ... inmate hours and pay, creates schedule and assigns tasks and resolves informal grievances according to agency policy; reduces inmate idleness, and creates real life… more
- LA Care Health Plan (Los Angeles, CA)
- …Training Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... CSC staff on identified areas of improvement, such as Appeals and Grievance processes, Claims, etc. Through various delivery...findings of surveys and performance studies to the training Supervisor , to analyze and identify areas of training needs… more
- Herkimer County Community College (Herkimer, NY)
- …and serve as the lead administrator for negotiations with bargaining units. Facilitate grievances and employee appeals related to working conditions and contract ... hiring procedures. D. Develop, offer, and maintain new employee orientation, new supervisor training, and other training as relevant. E. Maintain employee personnel… more
- State of Colorado (Sterling, CO)
- …at this location. Description of Job This Correctional Support Licensed Trades Supervisor IIII (CSLTS III) is a General Maintenance Captain for the Colorado ... procedures and security protocol. + Resolve informal staff and/or inmate grievances and initiating corrective/disciplinary action if needed + Ensure safe, code… more
- State of Colorado (Golden, CO)
- …youth, in accordance with the living unit master schedule, shift supervisor and/or other administrative direction. Provide corrective cognitive, emotional or ... hygiene practice. Ensure that youth are provided confidential access to grievances , medical assistance and mental health assistance as needed/requested without staff… more
- State of Colorado (Jefferson County, CO)
- …24 hours/day, 7 days a week. This position serves as a direct supervisor and appointing authority over Nursing staff. This position requires carrying a state-issued ... of two methods. + Addresses individual/family/guardian complaints and resolves grievances at the lowest level. + Provide nursing care...if your application is eliminated. You will find the appeals process, the official appeal form, and how to… more
- State of Colorado (Golden, CO)
- …conflicts, investigates and problem solves internal and external complaints and grievances from staff, youth, family, and other customers. Scheduling of clinic ... if your application is eliminated. You will find 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
- TEKsystems (Honolulu, HI)
- …Conducts critical analysis of highly complex and sensitive member and provider appeals , inquiries and grievances and applies internal policies and procedures, ... or provider's position and concerns to management and decision makers. Assists Supervisor and Coordinator in working as a liaison with providers, members and… more