- Molina Healthcare (Albuquerque, NM)
- …Management, Program Integrity, Risk Adjustment, Provider Resolution Team, Provider Appeal and Grievances , Member Appeals and Grievances , and other ... position plans, organizes, staffs, and coordinates the operations of state Medicaid/CHIP, Medicare and Marketplace Health Plan operations. * Works with staff and… more
- Commonwealth Care Alliance (Boston, MA)
- …or more core operational functions, including call centers, enrollment functions, and appeals / grievances . Knowledge, Skills & Abilities Required: + Knowledge of ... department and provides strategic direction and operational insight for CCA's Medicaid/ Medicare Dual Eligible enrollees and MAPD Plan members. + Oversee Member… more