- Elevance Health (Columbus, OH)
- ** Manager II Grievance / Appeals ** **- Claims Support** **Office Locations:** _The selected candidate must reside within a reasonable commuting distance of ... unless an accommodation is granted as required by law._ The ** Manager II Grievance & Appeals ** responsible for management oversight of grievances and … more
- Elevance Health (Atlanta, GA)
- …by achieving performance thresholds within budgetary guidelines. + Monitors trends and analyzes grievance and appeals data to identify and recommend plan and ... Requirements:** Bachelor's degree and a minimum of 5+ years grievance & appeals experience and a minimum...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist II...This position will focus on quality review of non-clinical grievance and appeals cases for all line… more
- LA Care Health Plan (Los Angeles, CA)
- …all due dates for each file. Inform nurses of a new case received from Grievance and Appeals Specialist.; submit all Grievances and Appeals response letters ... Authorization Technician II Job Category: Clinical Department: Utilization Management Location:...required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in… more