- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Appeals and Grievances Clinical Operations RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... support the safety net required to achieve that purpose. Job Summary The Supervisor of Appeals and Grievances Clinical Operations (A&G) RN is responsible for… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... that purpose. Job Summary The Supervisor , Customer Solution Center Appeals & Grievances is responsible for direct supervision and support of the team… 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 Angeles, ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will...Monitors closure of complaints and works with Quality Control Supervisor to resolve all database issues. Prepare and analyze… more
- Generac Power Systems (Waukesha, WI)
- ** Appeals & Grievances Specialist I** **Company** Generac Power Systems **Name** Appeals & Grievances Specialist I **Req #** 64199 **Employment Type** ... want to be challenged and enjoy a fast-paced, high-performance culture. **Job Summary:** The Appeals and Grievances Specialist is a critical team player who is… more
- Commonwealth of Pennsylvania (PA)
- Clerical Supervisor 2 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4500624) Apply Clerical Supervisor 2 Salary $44,010.00 - $66,348.00 ... Unit in the Workers' Compensation Office of Adjudication as Clerical Supervisor 2, overseeing subordinates' tasks, ensuring office efficiency, and serving as… more
- State of Colorado (Brighton, CO)
- Correctional Youth Security Supervisor III - Prairie Vista Youth Services Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4508977) Apply ... Correctional Youth Security Supervisor III - Prairie Vista Youth Services Center Salary $32.52 - $33.50 Hourly Location Brighton, CO Job Type Full Time Job Number… more
- State of Colorado (Pueblo, CO)
- Behavioral Health Supervisor - Pueblo Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4500403) Apply Behavioral Health Supervisor - Pueblo ... and synthesizes information pertaining to conflict resolution; + Resolves offender grievances whenever possible; + Acts as a consultant and provides training… more
- State of Colorado (Denver, CO)
- Java Development Supervisor (Hybrid) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4509332) Apply Java Development Supervisor (Hybrid) ... foreign corporations, notary, campaign finance, and lobbyist systems. As the Java Development Supervisor , you will be a valued leader of the Java Development Team,… more
- CareOregon (Portland, OR)
- …customer service, claims processing, prior authorizations, formulary exceptions, appeals , grievances , and project participation. Essential Responsibilities ... formulary exception decisions. + Perform prior authorization reviews with pharmacist oversight. Appeals and Grievances + Explain pharmacy appeal and … more
- State of Colorado (Golden, CO)
- Radio Communications Technician Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4499821) Apply Radio Communications Technician ... approve leave requests. Manage employee conflicts and respond to employee grievances (informally) as delegated. Participate in team hiring process. Staff scheduling… more
- State of Colorado (Canon City, CO)
- Float Labor Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4497723) Apply Float Labor Supervisor Salary $4,788.00 - $6,703.00 ... with an emphasis on excellent customer service. This position is a Float Supervisor , Correctional Support Trades Supervisor I (CSTS I), that will assist… more
- Sacramento County (Sacramento, CA)
- Liability and Property Insurance Supervisor Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/4458114) Apply Liability and Property Insurance ... Supervisor Salary $105,026.40 - $127,660.32 Annually Location Sacramento, CA...Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days… more
- State of Colorado (Denver, CO)
- Evidential Breath Alcohol Testing Program Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4502634) Apply Evidential Breath Alcohol ... Testing Program Supervisor Salary $92,448.00 - $101,688.00 Annually Location Denver Metro,...performance problems and issues, disputes, and informal (Step 1) grievances ; recommends corrective actions and discipline to management as… more
- LA Care Health Plan (Los Angeles, CA)
- …Previous experience in Managed Care preferably in Customer Service, Care Management, Appeals and Grievances and/or Claims. Participated in a 2-year management ... Supervisor , Care Management Coordinator Job Category: Administrative, HR,...net required to achieve that purpose. Job Summary The Supervisor of Care Management Coordinator is responsible for direct… more
- State of Colorado (Denver, CO)
- Accessioning Supervisor - Technician IV Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4488243) Apply Accessioning Supervisor - ... Resolves employee performance problems and issues, disputes, and informal (Step 1) grievances ; issue corrective actions and initiate discipline as needed. Data and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …functions and performance improvement activities for the case managers. The Supervisor Case Management is accountable for the department's designated staff caseload ... case management process, including LOS, throughput, patient flow and denials and appeals follow up. i. Responsible for staff productivity and ongoing education. j.… more
- Transdev (Hyattsville, MD)
- …policy. + May be called upon to testify on behalf of the company at union grievances or safety appeals meetings. + Ensures all required reports are submitted in ... watch an overview video at https://youtu.be/ilO5cv0G4mQ We're Hiring for a Road Supervisor ! Transdev is proud to offer: + $22.64/hour + Attractive benefits package,… more
- The Cigna Group (Bloomfield, CT)
- …regarding Medicare appeals and related issues, implications and decisions. The Appeals Reviewer reports to the Supervisor /Manager of Appeals and ... in Medicare Part C + Ability to differentiate different types of requests Appeals , Grievances , coverage determination and Organization Determinations in order to… more
- State of Colorado (Pueblo, CO)
- …working at the San Carlos Correctional Facility. This position is an Administrative Supervisor with direct field of influence and accountability on all aspects of ... reviews, and completing performance evaluations per CDOC regulations, and resolves complaints/ grievances at the informal level; + Ensures staff compliance with the… more
- State of Colorado (Lakewood, CO)
- …employment laws, progressive discipline, records management, recruitment, responding to grievances , appeals , charges of discrimination, reorganization matters, ... retention, selection and selection appeals , worker's compensation, settlement advice, strategic planning and overall...as a backup in the absence of the Payroll Supervisor . Key Responsibilities + Develops and maintains requisite knowledge… more