- Molina Healthcare (Dallas, TX)
- …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
- Molina Healthcare (Austin, TX)
- …+ Responsible for the comprehensive research and resolution of the appeals , dispute, grievances , and/or complaints from Molina members, providers ... that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance outcomes. +… more
- Baylor Scott & White Health (Temple, TX)
- …and/or level **Job Summary** **Hybrid position - limited time working onsite** The Appeals and Grievance Specialist reviews member and provider complaints, ... resolution of cases. They also review, research, and coordinate complaints, grievances , appeals , and reconsiderations following statutory and federal guidelines.… more