- Sharecare (Springfield, IL)
- …open enrollment / new hire plan selection, claims issues, ID card issues, grievances / appeals , utilization management (UM) status, including but not limited to ... payers or 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management...Physical Therapy Assistant + Nursing Assistant + Medical Secretary/Clinic Manager + Radiology Technician + Home Health Aide +… more
- CVS Health (Springfield, IL)
- …each and every day. **Position Summary** The Medicaid Network Provider Relations Manager oversees our Medicaid Provider Experience programs to oversee and maintain ... building. + Coordinate with Network Management to issue provider CAP + Monitor Grievances according NCQA standards categories (3 grievances per QTR), including… more