- Cognizant (Honolulu, HI)
- ** Member Appeals & Grievances Specialist ** (remote) This is a remote position open to any qualified applicant that lives in the United States. ... **Summary:** We are seeking a dedicated Member Appeals & Grievance Specialist ...directly with CMS Billing and Coding-Medical Insurance Knowledge of Member /Provider Appeals and Grievances , processes,… more
- TEKsystems (Honolulu, HI)
- …critical analysis of highly complex and sensitive member and provider appeals , inquiries and grievances and applies internal policies and procedures, ... any new regulation, standard, business change, etc. affecting the member advocacy and/or appeals process. At direction of management, assists in the coordination… more