- Centene Corporation (Sacramento, CA)
- …member and provider complaints, grievances and appeals + Maintain files on individual appeals and grievances + May coordinate the Grievance and Appeals ... High school diploma or equivalent. Associate's degree preferred. 2+ years grievance or appeals , claims, related managed care experience, or… more
- Commonwealth Care Alliance (Boston, MA)
- …clinical, operations, pharmacy, dental, reporting, and member services. + Supports the Senior Appeals & Grievance Coordinator and A/G Coordinator ... **Supervision Exercised:** No **Essential Duties & Responsibilities** Processing of Grievances & Appeals : + Responsible for the progress of grievance and appeal… more
- CVS Health (Frankfort, KY)
- …of responses from multiple business units. Ensure timely, customer focused response to appeals , complaints and grievance . Identify trends and emerging issues and ... At CVS Health , we're building a world of health...report and recommend solutions. -Research incoming electronic appeals , complaints and grievance to identify if… more
- LA Care Health Plan (Los Angeles, CA)
- …Appeals and Grievances Coordinator I supports the Customer Solution Center Appeals & Grievance Specialists by handling the administrative functions of the ... Customer Solution Center Appeals and Grievances Coordinator I(Temp) Job...staff to render decisions, assists the Customer Solution Center Appeals & Grievance Manager and Director in… more
- City of New York (New York, NY)
- …agreements and engagement with Union Partners, and will serve as the Agency's Health & Safety Coordinator . Responsibilities include but are not limited to: ... arise with CFB employees. - Serve as the CFB's grievance representative and administer the contractual grievance ...the worksite as needed. - Serve as the agency's Health & Safety Coordinator assist with the… more
- State of Colorado (Denver, CO)
- …the Director of Licensing and Designation to represent the statewide behavioral health authority. The position supervises and oversees the quality and performance of ... a team who has caseloads of safety net providers and behavioral health entity providers, with responsibility for monitoring compliance with licensure and designation… more