- Molina Healthcare (Vancouver, WA)
- …and evaluate appeal and grievance request to identify and classify member grievances , hand-off to appropriate department for appeals ; regulatory complaints as ... for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member grievances… more
- CareOregon (Portland, OR)
- …following areas: Provider relations, managed care operations (eg, claims, appeals , grievances , customer service), medical/behavioral health clinic operations, ... Job Title Provider Relations Specialist , Senior Requisition # 25025 Exemption Status Exempt...administrative processes and regulatory requirements. + Autonomously develop and lead group training sessions and presentations. Provider Relations +… more