- ManpowerGroup (Durham, NC)
- **Title:** **Clinical Appeals Analyst ** **Location: 4613 University Drive Durham NC 27707 United States (Onsite)** **Duration: 6+ months** **Pay rate: $41.75/hr ... as required. + Analyse complex/non-routine member and provider appeals and grievances for all lines of...required by mandates and legislation. + Identify trends and high- risk issues to make recommendations to address future exposure.… more
- City and County of San Francisco (San Francisco, CA)
- …bargaining agreements. + Key duties include negotiating resolutions to grievances , investigating complaints of serious employee misconduct, and conferring with ... professional human resources experience, similar to 1241 Human Resources Analyst , in one or more of the following areas...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- LA Care Health Plan (Los Angeles, CA)
- …Grievance Compliance Advisor Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... timeliness of ID Card and member materials, outbound health risk assessment (HRA) calls for Seniors and People with...and categorization, service authorization request and coverage determination , Appeals and Grievances across all lines of… more