- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... to support the safety net required to achieve that purpose. Job Summary The Supervisor , Customer Solution Center Appeals & Grievances is responsible for direct… more
- The Cigna Group (Nashville, TN)
- …regarding Medicare appeals and related issues, implications and decisions. The Appeals Processing Analyst reports to the Supervisor /Manager of Appeals ... **Cigna Medicare Part C Appeals Reviewer: Appeals Processing Analyst** We...Director. + Determine whether additional pre service, appeal or grievance reviews are required and/or whether additional appeal rights… more
- Apex Health Solutions (Houston, TX)
- Job Title: Appeals & Grievances Coordinator Department: Appeals and Grievances Supervisor : Manager, Appeals & Grievances FLSA Status: Nonexempt Summary ... efficiency and a commitment to the Continuous Quality Improvement Process. The Appeals & Grievance Coordinator will interact on a daily basis with the Customer… 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, CA, US, ... required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member… more
- State of Colorado (Pueblo, CO)
- Mental Health Transitional Living Homes Program Supervisor - PUEBLO Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4448967) Apply Mental ... Health Transitional Living Homes Program Supervisor - PUEBLO Salary $74,892.00 - $80,556.00 Annually Location Pueblo, CO Job Type Full Time Job Number IIC 06986… more
- Transdev (Dorchester, MA)
- …be called upon to testify on behalf of the Company during the Union grievance process, Accident Review Committee meetings, Safety appeals meetings, and other ... Hiring Immediately - Road Safety Supervisor Transdev is seeking a Road Safety Supervisor (position hours 10:30 pm - 7:30 pm) for its Boston Public Schools… 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 ... **Cigna Healthcare Medicare Appeals Reviewer:** We will depend on you to...Director. + Determine whether additional pre service, appeal or grievance reviews are required and/or whether additional appeal rights… more
- CareOregon (Portland, OR)
- …appeals and notify members and providers of outcome. + Assist the Appeals & Grievance Coordinators, Pharmacists, Medical Directors and Quality Improvement ... Job Code A133 Department Pharmacy Manager Title Pharmacy Benefit Operations Supervisor Direct Reports n/a Exemption Status Non-Exempt Management Level n/a… more
- Humana (Tallahassee, FL)
- …improvement in the areas of contributions, competencies and performance for the Grievance & Appeals Department. + Provide guidance, direct and coordinates ... organization's efficiency and accuracy related to Medicare Part C/D Grievance and Appeals and to minimize compliance...Senior Leadership + 2 or more years of leadership ( Supervisor , Manager or above) experience + Strong knowledge of… more
- MTA (New York, NY)
- …and participate in monthly conferences with union representatives to discuss contract grievance and employee discipline appeals ; perform analytical review of ... $100,000 HAY POINTS : 551 DEPT/DIV : Labor Relations SUPERVISOR : Assistant Director, Labor Relations LOCATION : 420...sanctioned by the National Mediation Board for all contract grievance and employee discipline cases. + Provide leadership and… 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, ... are applying. Incomplete employer information (address, phone number, and supervisor ) or omission of former employers may result in...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- …youth, in accordance with the living unit master schedule, shift supervisor and/or other administrative direction. Provide corrective cognitive, emotional or ... team meetings in collaboration with CYSO III + Ensure that youth grievance policy and procedure are followed. Review of grievances to include investigation,… more
- State of Colorado (Golden, CO)
- …team meetings in collaboration with CYSO III + Ensure that youth grievance policy and procedure are followed. Review of grievances to include investigation, ... are applying. Incomplete employer information (address, phone number, and supervisor ) or omission of former employers may result in...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Greeley, CO)
- …team meetings in collaboration with CYSO III + Ensure that youth grievance policy and procedure are followed. Review of grievances to include investigation, ... are applying. Incomplete employer information (address, phone number, and supervisor ) or omission of former employers may result in...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- City of Lakeland (Lakeland, FL)
- …claims processing and represents the City of Lakeland in unemployment claims and appeals hearings, securing the participation of the HR Director and HR counsel for ... Skill in establishing and maintaining effective, professional working relationships with supervisor , co-workers, employees, and the general public. + Ability to… more
- CDS Life Transitions (Webster, NY)
- …in at least one of the following areas: call center operations, MLTC, grievance and appeals , and/or authorizations. The listed salary range represents the ... timeframes, and proper procedures, ensuring errors are identified and corrected. Keeps supervisor apprised of any concerns or errors. + Document complaints in the… more
- Veterans Affairs, Veterans Health Administration (IN)
- …direction necessary for accomplishing the work of the team. Assisting the supervisor in distributing and balancing the workload among employees. Coaching with ... to inquiries and procedures for disciplinary actions, grievances, and appeals concerning timeliness, documentation, and other requirements. Advising management on… more
- CareOregon (Portland, OR)
- …Oregon Health Plan Fee For Service program benefits). + Report member complaints to Appeals and Grievance team for investigation and follow-up, per protocol. + ... (Community) Exemption Status Exempt Department Care Management Manager Title Care Team Supervisor Direct Reports n/a Requisition # 24208 Pay & Benefits Estimated… more