- Molina Healthcare (NM)
- …+ 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
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist...to computer learning. Time management and priority setting skills. Must be organized and a team player Able to… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist ...of Medical terminology and strong advocacy experience. Skills Required: Must be organized, detail oriented, able to exercise strong… more
- Generac Power Systems (Waukesha, WI)
- ** Appeals & Grievances Specialist ...stoop, bend or reach above the shoulders. The employee must occasionally lift up to 25 pounds. Specific conditions ... I** **Company** Generac Power Systems **Name** Appeals & Grievances Specialist I **Req #** 64199 **Employment Type** Full Time **Shift** 1st It's a… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Training Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: ... achieve that purpose. Job Summary The Customer Solutions Center Appeals and Grievances (A&G) Training Specialist...data, processes, operating and maintenance instructions and procedure manuals. Must be a strong team player willing to work… more
- CareOregon (Portland, OR)
- …customer service, claims processing, prior authorizations, formulary exceptions, appeals , grievances , and project participation. Essential Responsibilities ... Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona,...decisions. + Perform prior authorization reviews with pharmacist oversight. Appeals and Grievances + Explain pharmacy appeal… more
- Naval Air Systems Command (Orlando, FL)
- …matters including but not limited to performance issues, disciplinary actions, grievances , and appeals . You will provide comprehensive labor-management advisory ... or public sector in order to perform the duties of a Human Resources Specialist . Specialized experience must demonstrate duties related to the following: 1)… more
- State of Colorado (Denver, CO)
- …Position There are two positions available. One position will be CDOT's litigation specialist for State Personnel Board or Director appeals or other employment ... Employee Relations Specialist (HR Specialist IV) - Denver...Professional-level employee relations experience. Please Note: The required experience must be substantiated within the work experience section of… more
- Maryland Department of Transportation (Baltimore City County, MD)
- …and local Employment laws, advising and representing management on employee disciplinary appeals and grievances , as well as experience interacting with ... Labor Relations Specialist (Administrator III) Salary $64,828.00 - $108,780.00 Annually...of experience advising and representing management on employee disciplinary appeals and grievances , as well as experience… more
- State of Colorado (Lakewood, CO)
- …employment laws, progressive discipline, records management, recruitment, responding to grievances , appeals , charges of discrimination, reorganization matters, ... Website and Digital Accessibility Specialist Temporary Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4516347) Apply Website and Digital… more
- Federal Transit Administration (Washington, DC)
- …advice and counseling in the areas of complex conduct and discipline issues; grievances and appeals ; adverse actions; and labor relations. Responsibilities As a ... Awards/Telework/ and Leave policy Team. You will serve as a Human Resources Specialist (Employee Relations/Labor Relations) and be responsible for delivering expert… more
- Justice, Bureau of Prisons/Federal Prison System (Grand Prairie, TX)
- …regulations and applicable labor contract provisions. Experience responding to grievances , unfair labor practice complaints, disciplinary decision appeals , ... to Human Resource Managers and Chief Executive Officers on matters involving grievances , unfair labor practices and the interpretation and application of federal… more
- Ventura County (Ventura, CA)
- …the state and federal governing entities, and resolves, tracks, and monitors grievances , appeals and Notices of Actions. This position continually collaborates ... Behavioral Health Quality Assurance Specialist Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4470488) Apply Behavioral Health Quality… more
- Justice, Bureau of Prisons/Federal Prison System (Annapolis Junction, MD)
- …Profiles (ICP), as well as other work related travel. Investigates grievances submitted as administrative remedy appeals , regarding unit/case management ... of this qualifying experience are: Experience with investigations which involves grievances submitted as administrative remedy appeals , regarding unit/case… more
- Naval Sea Systems Command (Pascagoula, MS)
- …anticipated vacancies. Applications will not be accepted through this flyer. Interested applicants must follow the directions in the "How to Apply" section of this ... respond to this flyer. You will be a PARALEGAL SPECIALIST in the Office of Counsel (Code 130) of...disciplinary action and preparing responses to union and employee grievances . You will assist attorneys responding to EEO complaints,… more
- Department of the Navy/Assistant for Administration (GU)
- …to management on issues such as handling and resolution of adverse actions, grievances and appeals . You will advise supervisors about techniques for using ... Summary You will serve as a HUMAN RESOURCES SPECIALIST (LABOR RELATIONS/EMPLOYEE RELATIONS) in the Command Joint Region Marianas (CJRM) of OCHR OVERSEAS PROGRAM… more
- Commonwealth of Pennsylvania (PA)
- …Maintains inmate files for compliance with applicable laws and regulations and tracks appeals , misconducts, and grievances in electronic databases and paper case ... Records Specialist 1 - SCI Mahanoy Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4506789) Apply Records Specialist 1 - SCI Mahanoy… more
- LA Care Health Plan (Los Angeles, CA)
- …experience in a patient care setting and/or combination in utilization management, appeals and grievances , delegation oversight, and/or CNA experience. At least ... Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization...and commercial lines of business. Skills Required: Technical skills: Must be computer literate, with expertise in Outlook, Word,… more
- FLACRA (Clifton Springs, NY)
- …closely with all Managed Care insurance providers and their policies and procedures on grievances and appeals , and assists the client in pursuing advocacy as ... UTILIZATION MANAGEMENT SPECIALIST Finger Lakes Addiction Counseling and Referral Agency...and efficiency of the use of FLACRA Residential services. Must Have Qualifications: + Associates Degree in Business Administration… more
- Environmental Protection Agency (Denver, CO)
- …Codes, and the Code of Federal Regulations. Experience responding to disciplinary actions, grievances and appeals . Your answers to the online assessment will be ... Division, Human Resources Branch. About Region 8 This is an office-centered position*--you must physically report to the duty station stated in this announcement on… more