- CVS Health (Phoenix, AZ)
- …Mercy Care lines of business. Required Qualifications -Research incoming electronic disputes/ appeals to identify if appropriate for unit based upon published ... process.-Identify and research all components within member or provider/practitioner complaints/ appeals for all products and services.-Triage incomplete components of… more
- CVS Health (Harrisburg, PA)
- …unit. Work in a face paced environment to oversee the resolution of appeals , meeting the internal and external regulatory guidance. Required Qualifications We will ... be looking for candidates with strong communication and organization skills. Preferred Qualifications Experience with Medicare. Education High School Diploma Pay Range The typical pay range for this role is: $17.00 - $28.45 This pay range represents the base… more
- CVS Health (Fresno, CA)
- …Please replace this section with the Job Summary Required Qualifications Please replace this section with the Required Job Qualifications Preferred Qualifications ... Please replace this section with the Preferred Job Qualifications Education Please replace this section with the Education Requirements Pay Range The typical pay range for this role is: $17.00 - $29.88 This pay range represents the base hourly rate or base… more
- CVS Health (Fresno, CA)
- …between 9am-1pm. Responsible for Oversight of that that investigates and resolution of appeals scenarios for all products, which may contain multiple issues and, may ... responses from multiple business units. Ensure timely, customer focused response to appeals . Identify trends and emerging issues and report and recommend solutions.… more
- Bassett Healthcare (Cooperstown, NY)
- …2022! What you'll do The Patient Representative Services (PRS) Program Coordinator is responsible for developing a Patient Representative Services Program for ... Bassett Healthcare Network. The Program Coordinator processes and analyzes patient grievances and complaints through...Software System in relation to leadership mapping, grievance and complaint response and resolution, and is subject matter expert… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …all auditing are timely. Maintains records of auditing. + Oversight of complaint resolution. Ensures timely follow-up and documentation. Maintains the Agency's ... complaint log per DOH requirements. + Oversight of services...to obtain quality data. + Oversight of Medicare Expedited appeals and conventional Medicare appeals process. Maintains… more
- State of Colorado (Denver, CO)
- …policy contract provisions by investigating the allegations presented in a complaint ; + Reviewing policy contracts, insurer communication, and Colorado insurance ... general and specific targeted information. + Determining if an individual complaint case may represent wide-spread violation or non-compliance with Colorado statutes… more
- Veterans Affairs, Veterans Health Administration (Memphis, TN)
- …with investigations and hearings. Serve as technical expert for external complaint process. Conduct diversity and EEO training. Develop, implement, monitor, and ... potential violations of EEO infractions; Experience with a federal EO complaint resolution program and facilitating various complaint -related processes that… more
- State of Colorado (Denver, CO)
- …other assistance for laboratory study projects. This includes routine inspections, complaint investigations, working within a team to provide training and scientific ... consumers, repair technicians, or Department of Revenue personnel acting on a station complaint . Other Duties as Assigned Attends meetings, serves on task forces or… more
- State of Colorado (Denver, CO)
- …of staff. Position may be required to coordinate the investigation of a taxpayer complaint filed pursuant to |39-2-111, CRS, and may be required to coordinate the ... of staff. Position may be required to coordinate the investigation of a taxpayer complaint filed pursuant to |39-2-111, CRS, and may be required to coordinate the… more
- Brown University (Providence, RI)
- …process at the University, the Title IX process, and ADA accommodations appeals process. The AVP is responsible for maintaining compliance processes that are ... alumni and/or guests of the University seek information on equity-related complaint processes and non-discrimination policies of the University. In this role,… more
- Arkansas Government Job (Hope, AR)
- …1487 Location: Hope, AR, US, 71802 Category: OFC OF PROSECUTOR COORDINATOR Anticipated Starting Salary: $62,531.00 Position Information Summary The Deputy ... within the judicial district for consideration of prosecution. + Prepares complaint affidavits for filing in misdemeanor prosecutions. + Maintains misdemeanor case… more
- Missouri State University (Springfield, MO)
- …and use of University assets, issue permits, process parking tickets and appeals , etc. Description of Primary Duties This position will be responsible for ... Equal Opportunity/Affirmative Action/Minority/Female/Veterans/Disability/Sexual Orientation/Gender Identity employer. Inquiries concerning the complaint /grievance procedure related to sex discrimination, including sexual harassment… more
- Arkansas Government Job (El Dorado, AR)
- …Location: El Dorado, AR, US, 71730 Category: OFC OF PROSECUTOR COORDINATOR Anticipated Starting Salary: $85,273.00 6-15-24 Position Information Summary The Deputy ... within the judicial district for consideration of prosecution. + Prepares complaint affidavits for filing in misdemeanor prosecutions. + Maintains misdemeanor case… more
- State of Colorado (La Junta, CO)
- …available at the local workforce center, information on the employment-related law complaint system, provide information on the other organizations serving MSFWs in ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information For… more
- National Labor Relations Board (Oakland, CA)
- …and Notices of Hearing, including issuance and service of, or refusal to issue a complaint , subject to the right of the charging party to appeal to the General ... subpoenas and pass upon rulings and motions and special appeals made at hearings. Makes rulings on a wide...and hiring process should contact the Agency's Selective Placement Coordinator by email here. NLRB offers a wide array… more
- University of Miami (Coral Gables, FL)
- …illnesses. + Takes a thorough history, including but not limited to: chief complaint , vitals, pain score, mechanism of injury, past medical history, and review of ... direction and serves as liaison between patient, surgeon, and surgical coordinator . + Communicates with patients, other staff, and providers regarding patient… more
- Western Kentucky University (Bowling Green, KY)
- …Collaborate effectively with other members of the Philanthropy, Strategic Operations & Appeals , Alumni Engagement and Donor Engagement & Communications teams as part ... the office of Institutional Equity. To request an accommodation, report a complaint , or ask questions regarding WKU's Discrimination and Harassment Policy (#0.2040),… more
- Gwinnett County Public Schools (Suwanee, GA)
- …will assist in providing resolution in matters related to grievances and appeals , training and development to administrators and employees on equity, compliance, ... and Title IX.1. Leads equal opportunity and other legal related complaint processes including intake, case management, investigations, and preparation of external… more