- 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, ... to support the safety net required to achieve that purpose. Job Summary The Manager , Customer Solution Center Appeals and Grievances is responsible for the… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist II is...assisting the Appeal and Grievances Compliance, Training and QA Manager to develop a successful and cohesive unit with… more
- Elevance Health (Mason, OH)
- **Nurse Appeals - Medicare** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... from Tuesday to Saturday and coverage on certain holidays. The **Nurse Appeals - Medicare** is responsible for investigating and processing and medical necessity… more
- Aerotek (Tampa, FL)
- **Description** PURPOSE: The Clinical Appeals Specialist completes research basic analysis and evaluation of member and provider disputes regarding adverse and ... adverse coverage decisions. The Clinical Appeals Specialist utilizes clinical skills and knowledge of all applicable State and Federal rules and regulations that… more
- City and County of San Francisco (San Francisco, CA)
- …. Under general direction, the Port's Senior Waterfront Property Manager is responsible for marketing, leasing and managing the Port's ... within the parameters of a regulatory environment. The Senior Property Manager is also responsible for carrying out, interpreting and coordinating existing… more
- State of Colorado (Colorado Springs, CO)
- Client Manager /Parole Officer - Youth Service Counselor II - Southern Region Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4959094) Apply ... Client Manager /Parole Officer - Youth Service Counselor II - Southern...the importance of language, professionalism, and confidentiality in all correspondence . Parole Planning and Supervision: + Facilitate pre-parole staffing.… more
- State of Colorado (Lakewood, CO)
- Financial Grant Manager Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4955587) Apply Financial Grant Manager Salary $70,140.00 - ... guidelines prior to funding meetings. Recommends to the program manager any necessary corrections that need to be made...Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel… more
- State of Colorado (Pueblo County, CO)
- CDOC - Release Case Manager (LVCF) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4969762) Apply CDOC - Release Case Manager (LVCF) ... establish an eligible list for referral to the hiring manager for final consideration. Use of artificial intelligence (AI)...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Clark County, NV (Las Vegas, NV)
- ASSISTANT PLANNING MANAGER Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4938868) Apply ASSISTANT PLANNING MANAGER Salary $38.23 - ... is seeking qualified candidates to apply for the Assistant Planning Manager position. This position performs professional-level work on detailed, complex, and/or… more
- Fallon Health (Worcester, MA)
- …Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Fallon Health (FH) Appeals and Grievance process is an essential function to FH compliance with CMS ... applicable regulatory requirements and member expectations. The FH Member Appeals & Grievances Coordinator serves to administer the FH...calendar or at the direction of a supervisor or manager . Answers telephone calls via ACD queue, as needed,… more
- City and County of San Francisco (San Francisco, CA)
- …Unified School District, or San Francisco City College, working within the 0923 Manager II classification. San Francisco is a vibrant and dynamic city, on the ... large section(s) or functional areas and this class is distinguished from Manager I by responsibility for providing complex, diverse programs or services.… more
- State of Colorado (CO)
- DOLA Regional Manager (Analyst V) Southeast Region Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4972579) Apply DOLA Regional Manager ... the State of Colorado's Work-Life Employment Discount Program Work Location: The Regional Manager will be required to work within the region on a daily basis,… more
- Cushman & Wakefield (St. Louis, MO)
- **Job Title** Trust Asset Assistant Manager **Job Description Summary** Support the Trust Asset Managers in managing a portfolio of 80-100 assets consisting of ... homes for an owner or client and fulfill the manager 's obligations under the terms of the property's management...office running smoothly, from the handling of mail, phone, correspondence and the timely running and distribution of reports.… more
- State of Colorado (Frisco, CO)
- Office Manager (Frisco) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4970847) Apply Office Manager (Frisco) Salary $66,804.00 - ... information and education to serve the public and encourage voluntary compliance. Office Manager Duties : Duties include, but are not limited to: + Oversees the… more
- Cardinal Health (Raleigh, NC)
- …information or new information to be added to the database + Conducts outbound correspondence when necessary to help support the needs of the patient and/or program ... + Must follow through on all benefit investigation rejections, including Prior Authorizations, Appeals , etc. All avenues to obtain coverage for the product must be… more
- Guidehouse (Arlington, VA)
- …**What You Will Do** **:** The Identity and Access Management Deputy Project Manager will support management of a large Federal Identity and Access Management ... Identity and Access Management PM will support the Program Manager and will drive the planning and execution of...to write clearly, succinctly, and in a manner that appeals to a wide audience + Expert level experience… more
- Robert Half Legal (Cambridge, MA)
- Description We are looking for a skilled Records Manager to join our team on a contract basis in Cambridge, Massachusetts. This role involves ensuring compliance ... compliance with applicable laws. * Monitor legal proceedings related to public records appeals and prepare petitions for extensions or fee approvals as needed. *… more
- State of Colorado (Colorado Springs, CO)
- FOOD SERVICE MANAGER I Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4974156) Apply FOOD SERVICE MANAGER I Salary $4,154.00 - $6,648.00 ... Class Code & Classification Description: (New) H6M1XXFOOD SERVICE MANAGER I (https://drive.google.com/file/d/0BwUD9Bt4G-21MTEyajdBSXBGYlk/view?usp=sharing&resourcekey=0-goTEcAz1x32J3RMKO9i7Og) MINIMUM QUALIFICATIONS: Experience Only: Five… more
- Sharp HealthCare (La Mesa, CA)
- …Day **FTE** 1 **Shift Start Time** **Shift End Time** Accredited Case Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing; ... Certified Case Manager (CCM) - Commission for Case Manager ...timely delivery of regulatory and mandated patient communications and correspondence .The RN CM I oversees preparation, delivery and documentation… more
- State of Colorado (Aurora, CO)
- Assistant Office Manager (Aurora) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4975202) Apply Assistant Office Manager (Aurora) Salary ... commercial driver licenses, and identification cards. Senior Technician - Assistant Office Manager Duties: Duties include, but are not limited to: + Assists the… more