- 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
- 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...Federal and State Regulations. Complete individual summary scorecards for Supervisor feedback. + Track monthly scores on spreadsheet and… more
- Corewell Health (Grand Rapids, MI)
- Job Summary Priority Health is seeking an Appeals Analyst Supervisor . The Appeals Analyst Supervisor is responsible for managing, supporting, and ... operational and strategic plans to achieve expected performance. The Appeals Analyst Supervisor provides leadership to direct...the Appeals & Grievance department processes all appeals , grievances , and complaints in accordance with… more
- Point32Health (MA)
- …colleagues and communities. **Job Summary** Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance ... responsible for the accurate coordination, efficient administration and resolution of member appeals and member grievances submitted by Point32Health members for… more
- State of Colorado (Denver, CO)
- CDOC Print Shop SUPERVISOR II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4945423) Apply CDOC Print Shop SUPERVISOR II Salary ... emphasis on excellent customer service. This Correctional Support Trades Supervisor (CSTS II) is a supervisor at...schedules and assigning tasks; + Resolving conflict and informal grievances at the lowest level possible; + If necessary,… more
- State of Colorado (Golden, CO)
- Food Service Supervisor - (CSTS I) -Campus at Lookout Mountain Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4962758) Apply Food Service ... Supervisor - (CSTS I) -Campus at Lookout Mountain Salary...This supervision entails assigning and evaluating work, handling informal grievances , initiating corrective and disciplinary actions, and participating in… more
- Commonwealth of Pennsylvania (PA)
- Clerical Supervisor 1 - Bucks CAO Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4961609) Apply Clerical Supervisor 1 - Bucks CAO Salary ... have exceptional organizational and leadership skills, then the position of Clerical Supervisor 1 at the Department of Human Services (DHS), Bucks County Assistance… more
- Fallon Health (Worcester, MA)
- …NCQA standards, other applicable regulatory requirements and member expectations. The FH Member Appeals & Grievances Coordinator serves to administer the FH ... departmental policies and procedures, and regulatory standards. The Member Appeals & Grievances Coordinator serves as a...rotational in-office calendar or at the direction of a supervisor or manager. Answers telephone calls via ACD queue,… more
- State of Colorado (Sterling, CO)
- CDOC Journeyman Plumber Supervisor CSLTS I (Sterling) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4958402) Apply CDOC Journeyman Plumber ... Supervisor CSLTS I (Sterling) Salary $5,179.00 - $7,250.00 Monthly...pay, creates schedule and assigns tasks and resolves informal grievances according to agency policy; reduces inmate idleness and… more
- State of Colorado (Chaffee County, CO)
- CDOC Labor Grounds Maintenance Supervisor CSTS I (Buena Vista) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4926697) Apply CDOC Labor ... Grounds Maintenance Supervisor CSTS I (Buena Vista) Salary $4,932.00 - $6,904.00...inspects work and performs inmate evaluations and resolves inmate grievances ; reduces inmate idleness and creates real life work… more
- State of Colorado (Denver, CO)
- Back Office Cashiering Supervisor - Vehicle Services Program Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4953840) Apply Back Office ... Cashiering Supervisor - Vehicle Services Program Salary $54,960.00 - $60,588.00...needed + Resolve problems, performance issues, disputes, and informal grievances and initiate corrective action or recommend discipline as… more
- Mohegan Sun (Uncasville, CT)
- …This position clarifies company policies and procedures, investigates employee grievances and assists management in the proper interpretation and consistent ... employee performance improvement plans + Investigates and documents employee complaints and grievances to ensure compliance and a fair resolution + Assists in… more
- State of Colorado (Limon, CO)
- …at this location. Description of Job This Correctional Support Licensed Trades Supervisor II (CSLTS II) is a Journeyman Electrician at the Limon Correctional ... completion of annual training. + Resolve conflict and informal grievances at the lowest level possible. + Ensure safe,...duties of other crews in the absence of another supervisor and/or assisting other trades/crews on additional projects; working… more
- State of Colorado (Denver, CO)
- …conflicts, investigates and problem solves internal and external complaints and grievances from staff, youth, family, and other customers. Scheduling of clinic ... of the department's action. For more information about 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
- CHS (Clearwater, FL)
- …client trust. * Investigates and participates in formal responses relating to complaints, grievances and appeals received by or applicable to PAS. Participates ... * Establishing production requirements for Examiners, and along with the Supervisor monitoring performance against the requirements. * Establishing and monitoring… more
- Commonwealth of Pennsylvania (PA)
- …Maintains inmate files for compliance with applicable laws and regulations and tracks appeals , misconducts, and grievances in electronic databases and paper case ... Duties are initially performed under the close supervision of a Records Supervisor with increasing independence as procedures are learned. Work results will be… more
- Beth Israel Lahey Health (Westwood, MA)
- …address information. Escalates calls to pharmacists for clinical inquiries and escalates grievances to supervisor . 7. Maintains new and existing patient profiles ... Support health care providers with required prior authorization and required appeals . Manage all mail/delivery of Rx orders including addressing problems/issues with… more
- University of Rochester (Albany, NY)
- …of claims. Collaborate with appropriate departments to generate a detailed rational for appeals and grievances to the insurance companies. + 10% Keeps management ... Receivable Management. **ESSENTIAL FUNCTIONS** With general direction of the Manager/ Supervisor /Lead: + 40% Follows department policies and procedures and maintains… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- …NEXCOM exempt and nonexempt associates in the areas of discipline, grievances , counseling and related functions. Answers and resolves inquiries regarding ... and when necessary assists with responding in writing to appeals and/or prepares documents for hearings. - Develops and...matters, as needed. - R eports to a designated supervisor . Assignments are reviewed while in progress and upon… more
Related Job Searches:
Appeals,
Appeals Grievances,
Grievances,
Supervisor,
Supervisor Appeals,
Supervisor Appeals Grievances Clinical