- The City University of New York (New York, NY)
- …assessment, BIT/student support case management, freedom of expression oversight, and grievance and appeals resolution. Collaborate with various departments and ... Brooklyn offering associate and baccalaureate degrees, invites applications for a Manager of Student Advocacy and Accountability. Reporting to the Vice President… more
- Covenant College Students (Lookout Mountain, GA)
- …summarized in the Staff Manual policy on Fair Treatment as well as the Grievance and Appeals Procedure . (Integrity, Faithfulness) Attend chapel services at ... as well as in-person interactions during visit events. Also communication with your manager ! Critical Thinkin g is in the form of learning problem solving when… more
- CAPPS (Austin, TX)
- …youth grievances, as needed; and develops and assists with developing responses to grievance appeals and alleged mistreatments related to dietary and nutrition ... (senior-level) nutrition services work assisting the agency's Nutrition Services Manager in the planning, developing, implementing, coordinating, and monitoring/evaluating… more
- LA Care Health Plan (Los Angeles, CA)
- …required by clinical staff to render decisions, assists the Customer Solution Center Appeals & Grievance Manager and Director in meeting regulatory ... clarification on initial responses. (25%) Under the supervision of the Appeals and Grievance Manager , assist with soliciting non-clinical information from… more
- Elevance Health (Durham, NC)
- ** Manager II Grievance / Appeals ** **- Claims Support** **Office Locations:** _The selected candidate must reside within a reasonable commuting distance of the ... unless an accommodation is granted as required by law._ The ** Manager II Grievance / Appeals ** responsible for management oversight of grievances and … more
- Elevance Health (Cerritos, CA)
- **Title: Grievance / Appeals Analyst I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... accommodation is granted as required by law._ " The ** Grievance / Appeals Analyst I** is an entry level...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Columbus, GA)
- ** Grievance / Appeals Analyst Senior** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... onboarding and skill development. Shift hours: 8:00am - 4:30pm EST** The ** Grievance / Appeals Analyst Senior** is responsible for reviewing, analyzing, and… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Customer Solution Center Appeals and Grievances Job Category: Management/Executive Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Manager , Customer Solution Center Appeals and Grievances...5 years of experience resolving health care eligibility, access, grievance and appeals issues, preferably in health… more
- Molina Healthcare (San Antonio, TX)
- …years' experience in healthcare claims review and/or Provider appeals and grievance processing/resolution, including 2 years in a manager role. * Experience ... Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member… more
- Molina Healthcare (St. Petersburg, FL)
- …7 years experience in healthcare claims review and/or member appeals and grievance processing/resolution, including 3 years in a manager role. * Experience ... for leading, organizing and directing the activities of the Medicare Duals Grievance and Appeals Unit that is responsible for reviewing and resolving member and… more
- LA Care Health Plan (Los Angeles, CA)
- …consistent and accurate manner. This position will focus on quality review of non-clinical grievance and appeals cases for all line of business (LOB) to identify ... assisting the Appeal and Grievances Compliance, Training and QA Manager to develop a successful and cohesive unit with...the Management Team. Duties Focus on quality review of grievance and appeals cases for all LOB… more
- Point32Health (MA)
- …Point32Health (https://www.point32health.org/) . **Job Summary** Under the direction of the A&G Manager , the Appeals & Grievances QA Auditor audits the quality ... of letters and keyed entries from the Grievance and Appeals systems. Checks cases built by other associates to ensure highest level of quality and timeliness.… more
- Point32Health (MA)
- …Point32Health (https://www.point32health.org/) . **Job Summary** Under the general direction of the Manager , Appeals and Grievances the Supervisor, Appeals ... ensure all cases are processed timely. + Work with Manager to ensure that employees have the requisite information...+ Preferred: Experience + Required (minimum): 4-6 years of Appeals and Grievance experience.1-2 years of prior… more
- Elevance Health (Tampa, FL)
- **Nurse Appeals - Medicare** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... unless an accommodation is granted as required by law. The **Nurse Appeals - Medicare** is responsible for investigating and processing and medical necessity… more
- Transdev (Readville, MA)
- Overview: Transdev in Boston, MA is seeking a Labor Relations Manager for its Boston Public Schools transportation contract. The Labor Relations Manager provides ... Responsibilities: + Manage labor relations program of the property jointly with the General Manager . + Research, compile, and prepare data for use in grievance … more
- CUNY (Brooklyn, NY)
- …assessment, BIT/student support case management, freedom of expression oversight, and grievance and appeals resolution. + Collaborate with various departments ... Manager of Student Advocacy and Accountability (HEA) **POSITION...conduct reports; coordinating the student conduct process, grievances, and appeals . + Oversee the Faculty Student Disciplinary Committee to… more
- MTA (Jamaica, NY)
- Senior Manager , Labor Relations & Arbitration Job ID: 11392 Business Unit: MTA Headquarters Location: Jamaica, NY, United States Regular/Temporary: Regular ... Date Posted: Jul 8, 2025 Description POSTING NO. 11392 JOB TITLE: Senior Manager , Labor Relations & Arbitration DEPT/DIV: Labor Relations WORK LOCATION: Jamaica, NY… more
- Sacramento County (Sacramento, CA)
- Human Services Division Manager Range A/B Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/2234944) Apply Human Services Division Manager ... $12,042.50 - $14,636.88/month Under executive direction, the Human Services Division Manager plans, coordinates and administers a human services division comprised… more
- CVS Health (Olympia, WA)
- …(PO) is responsible for leading the Medicare innovation product development for the Grievance & Appeals (G&A) Department. This role contributes to the product ... vision and translates it for the product development team. They are responsible for team backlog development and prioritization, maintaining integrity of features or components, and collaborating closely with Engineering, Design, and other stakeholders. They… more
- Corewell Health (Grand Rapids, MI)
- …or advanced level using Microsoft Office Suite preferred + Previous experience with grievance and appeals processes. Preferred How Corewell Health cares for you ... Federal decisions are properly implemented. Assist the Lead, Supervisor and/or Manager in coordinating activities and in the development/collection of materials… more
