- 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 (A Limited Duration) Job Category: Customer Service Department: CSC Appeals & Grievance ... recruitment process. 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)
- 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
- Apex Health Solutions (Houston, TX)
- Job Title: Appeals & Grievances Coordinator Department: Appeals and Grievances Supervisor : Manager, Appeals & Grievances FLSA Status: ... Nonexempt Summary The Appeals and Grievances coordinator position is focused on the processing of...the processing of customer and provider Medicare and Commercial appeals and grievances . This associate may screen… more
- AmeriHealth Caritas (Philadelphia, PA)
- …services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** Reporting to the Supervisor , Appeals & Grievances , the Team Lead, ... process related questions. Secondarily, responsible for providing support to the Supervisor , Appeals & Grievances with inventory management and staffing… 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 #** 64663 **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
- AmeriHealth Caritas (Philadelphia, PA)
- ** Appeals and Grievances Administrator** Location: Philadelphia, PA Primary Job Function: Medicare ID**: 31552 **Job Brief** This position screens calls from ... purpose of the job is to: Under the general supervision of the Supervisor of Grievances , CTM and Critical Incidents, this position screens calls from members and… more
- Centene Corporation (Phoenix, AZ)
- …load. + Ensure that the Appeals & Grievance department processes all appeals , grievances and complaints in accordance with standards and the corporation's ... degree in a related field or equivalent experience. 2+ years of appeals and grievances processing experience in a healthcare or managed care setting preferred.… more
- LA Care Health Plan (Los Angeles, CA)
- … are handled with the required deadline and/or submitted within the guidelines of Appeals and Grievances . The Supervisor is involved in all Lines ... Supervisor , Customer Solution Center Member Relations Navigator Job...net required to achieve that purpose. Job Summary The Supervisor , Customer Solution Center Member Relations Navigator is responsible… more
- Universal Health Services (Reno, NV)
- …pertaining to enrollment and remediation of enrollment escalations such as CTM Complaints, Appeals and Grievances . The supervisor partners with various ... patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Supervisor of Medicare Enrollment is responsible for supervising the day-to-day… more
- Colorado State (Golden, CO)
- Correctional Youth Security Supervisor III - Summit Main Swing Shift in Golden Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4452562) Apply ... Correctional Youth Security Supervisor III - Summit Main Swing Shift in Golden Salary $32.52 - $33.50 Hourly Location Golden, CO Job Type Full Time Job Number IKA… 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
- Colorado State (Arapahoe County, CO)
- Heavy Equipment Mechanic IV - Shop Supervisor - Aurora Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4463644) Apply Heavy Equipment Mechanic ... IV - Shop Supervisor - Aurora Salary $58,836.00 - $64,704.00 Annually Location...necessary to resolve issues including interpersonal conflicts and informal grievances . + Schedule work for the field team including… more
- Colorado State (Chaffee County, CO)
- CDOC Labor Grounds Maintenance Supervisor CSTS I (Buena Vista) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4451581) Apply CDOC Labor ... Grounds Maintenance Supervisor CSTS I (Buena Vista) Salary $4,788.00 Monthly Location...inspects work and performs inmate evaluations and resolves inmate grievances ; reduces inmate idleness and creates real life work… more
- Colorado State (Canon City, CO)
- Float Labor Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4392939) 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
- Colorado State (Canon City, CO)
- Wildland Fire Fighting Supervisor CSTS I (Canon City) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4448960) Apply Wildland Fire Fighting ... Supervisor CSTS I (Canon City) Salary $4,788.00 - $6,703.00...pay, creates schedule and assigns tasks and resolves informal grievances according to agency policy; reduces offender idleness and… more
- Colorado State (Denver, CO)
- Food Service Supervisor - (CSTS I) - Mount View Youth Services Center - Denver Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4463294) Apply ... Food Service Supervisor - (CSTS I) - Mount View Youth Services...This supervision entails assigning and evaluating work, handling informal grievances , initiating corrective and disciplinary actions, and participating in… more
- Sacramento County (Sacramento, CA)
- Printing Services Supervisor Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/4374459) Apply Printing Services Supervisor Salary ... reproduced documents to County departments and special districts. Printing Services Supervisor is the full supervisory level class responsible for the planning,… 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