- Banner Health (AZ)
- …care and accessibility concerns and inquiries on the various levels of the grievance and appeals process. CORE FUNCTIONS 1. Determines which claim disputes ... related to grievance and appeal issues. 7. Reports at Grievance / Appeals meetings, as appropriate, all incoming, attended and scheduled State Fair Hearings.… more
- Centene Corporation (Raleigh, NC)
- …Remote position. Must Reside in North Carolina **2+ years of healthcare grievance or appeals , claims, managed care experience, or relevant experience.** ... and appeals + Maintain files on individual appeals and grievances + May coordinate the Grievance and Appeals Committee + Support the pay-for-performance… more
- TEKsystems (Long Beach, CA)
- …reside in CA, AZ, TX, NM, or NV JOB PURPOSE: Facilitates the member grievance and appeal process by investigating, documenting and preparing case files to meet all ... regulatory requirements. ESSENTIAL JOB RESULTS: Investigates member grievance and appeal by gathering supporting documentation from internal departments, contracted… more
- CoreCivic (Watonga, OK)
- …and a responsibility to better the public good. We are currently seeking a ** Grievance Coordinator ** who has a passion for providing the highest quality care ... dedicated to making an impact for the people and communities we serve. The Grievance Coordinator oversees the inmate/resident grievance process and ensures… more
- AmeriHealth Caritas (Philadelphia, PA)
- …of medical management authorizations.; + Research and Investigate member and/or provider appeals and grievance requests, including review of UM/claim denial ... in a Managed Care environment + 1 to 3 years' experience in grievance / appeals environment required **The Ideal Person will have:** + Proven experience as a… more
- City of New York (New York, NY)
- …engagement with Union Partners, and will serve as the Agency's Health & Safety Coordinator . Responsibilities include but are not limited to: - Serves as liaison to ... arise with CFB employees. - Serve as the CFB's grievance representative and administer the contractual grievance ...process. Serve as Hearing Officer for grievances and disciplinary appeals . Represent the agency at hearings before the Office… more
- State of Colorado (Adams County, CO)
- …team meetings in collaboration with CYSO III + Ensure that youth grievance policy and procedure are followed. Review of grievances to include investigation, ... of the department's action. For more information about the appeals process, the official appeal form, and how to...this position, please direct your inquiries to our ADAAA Coordinator , Nancy Schmelzer, at cdhs_###@state.co.us or call ###. ~THE… more
- City of Eugene (Eugene, OR)
- …administers disciplinary actions; handles sensitive personnel matters and recommends grievance responses; exercises full supervision over employees. + Resolve work ... + Administer the SDC program, including rate analysis, collection, and response to appeals . + Oversee and coordinate the department's GIS system. + Review minor… more