- The City University of New York (New York, NY)
- …Rules); tracking student conduct reports; coordinating the student conduct process, grievances , and appeals . Oversee the Faculty Student Disciplinary Committee ... process, early intervention student support service process, the resolution of student grievances , appeals , and complaints, and the utilization of the Behavioral… more
- Premier Administrative Solutions (Clearwater, FL)
- …client trust. *Investigates and participates in formal responses relating to complaints, grievances and appeals received by or applicable to PAS. Participates ... Overview Claims Manager Servicing Health Insurance Policies or Benefits Summary:...stated coverage. Join Premier Administrative Solutions as a Claims Manager and lead our Claims Department in delivering exceptional… more
- Elevance Health (Indianapolis, IN)
- …Law Enforcement). Assists and participates in appeal or fair hearings, member grievances , appeals , and state audits. Minimum Requirements: BA/BS degree and ... Anticipated End Date: Position Title: LTSS Service Coordinator (Case Manager ) - Grant/Delaware County Job Description: LTSS Service Coordinator (Case Manager )… more
- Veracity Solutions (Kennewick, WA)
- …problems, such as: working conditions, disciplinary actions, and employee and applicant appeals and grievances , according to circumstances, and provides guidance ... needed. *Provides high level communication and training to director and manager level associates regarding human resources policies, procedures and practices.… more
- CAPPS (Austin, TX)
- …nutrition services work assisting the agency's Nutrition Services Manager in the planning, developing, implementing, coordinating, and monitoring/evaluating ... trends relating to the nutrition and food services program; investigates youth grievances , as needed; and develops and assists with developing responses to grievance… 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 ... that purpose. Job Summary The Manager , Customer Solution Center Appeals and Grievances is responsible for the centralized intake, logging and triage process… more
- Point32Health (MA)
- …Point32Health (https://www.point32health.org/) . **Job Summary** Under the general direction of the Manager , Appeals and Grievances the Supervisor, ... and provide leadership for the daily operations of the Appeals and Grievances department. The supervisor represents...ensure all cases are processed timely. + Work with Manager to ensure that employees have the requisite information… more
- Point32Health (MA)
- …at Point32Health (https://www.point32health.org/) . **Job Summary** Under the direction of the A&G Manager , the Appeals & Grievances QA Auditor audits the ... audit findings and identifies areas of opportunity for the A&G ( Appeals and Grievances ) department. Understands department, segment, organizational strategy… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Accounting/Finance Department: CSC Appeals & Grievances ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist...Specialist II is responsible for assisting the Appeal and Grievances Compliance, Training and QA Manager to… more
- Molina Healthcare (St. Petersburg, FL)
- …apply state level requirements to meet contract and regulatory expectations. * Establishes Appeals & Grievances department policies and procedures in line with ... and interprets trends and prepares reports that identify root causes for Appeals , Grievances , and Provider Disputes. Recommends and implements process… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Coordinator I (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Coordinator I supports the...staff to render decisions, assists the Customer Solution Center Appeals & Grievance Manager and Director in… more
- Molina Healthcare (San Antonio, TX)
- …and Medicaid **Knowledge/Skills/Abilities** * Leads, organizes, and directs the activities of the Appeals & Grievances unit that is responsible for reviewing and ... organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving... and grievance processing/resolution, including 2 years in a manager role. * Experience reviewing all types of medical… more
- Elevance Health (Durham, NC)
- …an accommodation is granted as required by law._ The ** Manager II Grievance/ Appeals ** responsible for management oversight of grievances and appeals ... ** Manager II Grievance/ Appeals ** **- Claims Support**...departmental units to investigate, resolve, and respond to grievances and appeals , manages inventory and production… more
- Elevance Health (Cerritos, CA)
- …that reviews, analyzes and processes non-complex pre service and post service grievances and appeals requests from customer types (ie member, provider, ... an impact:** + Reviews, analyzes and processes non-complex grievances and appeals in accordance with external...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Columbus, GA)
- …responsible for reviewing, analyzing, and processing complex pre service and post service grievances and appeals requests in the Enterprise Grievance & ... regulatory agencies. + Researches and makes determinations on complex appeals or grievances that come from a...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Tampa, FL)
- …or deny appeal and forwards to Medical Director for approval. + Ensures that appeals and grievances are resolved timely to meet regulatory timeframes. + ... skills and serves as a subject matter expert for appeals / grievances /quality of care issues and is a...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- State of Colorado (Denver, CO)
- CDOC Mid Level Provider / Nurse Manager - (DENVER) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5019611) Apply CDOC Mid Level Provider / ... Nurse Manager - (DENVER) Salary $8,788.00 - $12,302.00 Monthly Location...departments; + Responsible for budget, reporting, conflict resolution, inmate grievances , and maintaining a comprehensive inmate medical record; +… more
- CUNY (Brooklyn, NY)
- …Rules); tracking student conduct reports; coordinating the student conduct process, grievances , and appeals . + Oversee the Faculty Student Disciplinary ... Manager of Student Advocacy and Accountability (HEA) **POSITION...intervention student support service process, the resolution of student grievances , appeals , and complaints, and the utilization… more
- State of Colorado (CO)
- CDOC - Human Resources Specialist V (Human Resources Manager ) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4994350) Apply CDOC - Human ... Resources Specialist V (Human Resources Manager ) Salary $7,610.00 - $12,177.00 Monthly Location Statewide, CO Job Type Full Time Job Number CAA 3310 HRS V 7.2025… more
- Transdev (Readville, MA)
- …of internal policies and procedures and regulations for accurate resolution of appeals , complaints, and grievances . + Understand legal requirements and ... Overview: Transdev in Boston, MA is seeking a Labor Relations Manager for its Boston Public Schools transportation contract. The Labor Relations Manager provides… more
