- 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... department through many NCQA and other related quality program activities including: monthly case quality monitoring, coordination of… more
- Immigration and Customs Enforcement (Washington, DC)
- …Enforcement (ICE). These teams are part of ICE's Office of the Principal Legal Advisor (OPLA) and are hiring multiple attorneys for the position of Associate Legal ... Advisor (ALA) in Washington DC Additional information about these...and retention bonuses. Responsibilities OPLA is the largest legal program in the Department of Homeland Security (DHS), employing… more
- Sharp HealthCare (San Diego, CA)
- …policy as needed. + Completes and/or supervises the completion of all clinical appeals and grievances . Collaborates with Customer Care Manager to identify trends ... the membership. Serves as a medical manager and policy advisor to SHP and its Chief Medical Officer. Is...plan Chief Medical Officer) in short and long range program planning, total quality management (quality improvement), and external… more
- Sharp HealthCare (San Diego, CA)
- …to Plan policy as needed.Completes and/or supervises the completion of all clinical appeals and grievances . Collaborates with Customer Care Manager to identify ... of care foundation for our NCQA required population health management program . Additionally, this position provides the representation of physician's insight,… more
- State of Montana (Butte, MT)
- …and advises about new laws that have no case precedent * Serves as a legal advisor across multiple fields of law; may develop expertise in specific fields of law and ... assignment requirements * Ensures appropriate and timeliness of pleadings, motions, appeals , case preparation, scheduling, and follow-up by Public Defenders *… more
- Air National Guard Units (Garden City, GA)
- …simple, informal complaints from SAPR VAs and refer other complaints, such as formal grievances and appeals , to the Supervisory Principal SARC or an appropriate ... in the community as assigned by the Supervisory Principal SARC. Assist in program evaluation and improvement initiatives by providing feedback and suggestions to the… more
- University of Utah Health (Salt Lake City, UT)
- …**Strategic Consultation & Leadership Support** + Serve as a trusted advisor to team members and leaders on employee relations strategy, organizational ... policy-aligned documentation including but not limited to corrective actions, terminations, appeals . + Interpret and apply policies, procedures, and employment laws… more