- Molina Healthcare (Grand Rapids, MI)
- Molina Healthcare is hiring for an Appeals & Grievance Specialist . This role is remote and will be working an Eastern Time Zone schedule. The Appeals & ... Specialist will be responsible for reviewing and resolving member disputes/complaints and communicating resolution to members or authorized representatives) in… more
- Molina Healthcare (Detroit, MI)
- …evaluate appeal and grievance request to identify and classify member grievances , hand-off to appropriate department for appeals ; regulatory complaints as ... organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving... Unit that is responsible for reviewing and resolving member grievances , regulatory complaints, Medicaid Fair Hearings… more
- Molina Healthcare (Grand Rapids, MI)
- …research and resolution of the complex or escalated and high dollar appeals , grievances , and/or complaints from Molina members, providers and related ... Unit that is responsible for reviewing and resolving member and provider complaints and communicating resolution to members...outside agencies. + Research claims appeals and grievances using support systems to… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- …to access services and rights processes + Assist with resolution of local complaints, grievances , and appeals processes + Survey, track, trend, and report on ... Intake & Customer Service Specialist Department: Community Health & Research Center Location:...member /provider experiences + Provide behavioral health, customer service, outreach,… more