- LA Care Health Plan (Los Angeles, CA)
- Manager , Appeals and Grievances General Operations (RN-Clinical) Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... to support the safety net required to achieve that purpose. Job Summary The Manager , Appeals & Grievances (A&G) & General Operations (Clinical) is responsible… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... 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
- Apex Health Solutions (Houston, TX)
- Job Title: Appeals & Grievances Coordinator Department: Appeals and Grievances Supervisor: Manager , Appeals & Grievances FLSA Status: Nonexempt Summary ... focused on the processing of customer and provider Medicare and Commercial appeals and grievances. This associate may screen incoming complaints, process medical… more
- Universal Health Services (Reno, NV)
- …Learn more at: https://prominence-health.com/ Job Summary: Under the direction of the Manager of Operations, the Appeals Specialist is responsible for ensuring ... Medical Director and Claims Managers as it relates to Member or Provider Appeals / Correspondence . + Ability to satisfactorily complete a battery of job related… more
- Elevance Health (Woodland Hills, CA)
- …you a check, or ask you for payment as part of consideration for employment. **Nurse Appeals (RN)** + Job Family: MED > Licensed Nurse + Type: Full time + Date ... 2024 + Reference: JR113217 **Location:** + CA, WOODLAND HILLS **Description** **Nurse Appeals - Licensed Nurse** **Location:** *The ideal candidate must reside in… more
- Elevance Health (Costa Mesa, CA)
- …you a check, or ask you for payment as part of consideration for employment. **Nurse Appeals Ld (US)- CA** + Job Family: MED > Licensed Nurse + Type: Full time + ... WALNUT CREEK + CA, PALO ALTO + CA, COSTA MESA **Description** **Nurse Appeals - California candidates only** **Location: This is a virtual position and prefer… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... 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
- TEKsystems (Plano, TX)
- Required: + 2+ years of Insurance follow-up, denials/ appeals experience (Medical A/R) + Hospital/facility collections experience Description: Responsible for A/R, ... not a patient collections position) * Respond to payor's by phone, or correspondence concerning underpaid, or non-paid account balances. * Assists with all call… more
- Experian (Austin, TX)
- …PARS success. Occasional travel may be necessary. Essential Functions: + Provide support for appeals and projects within the PARS team + Retrieve mail from US Post ... Office, open, sort and document correspondence /mail received from insurance payers as related to appeal...+ Retrieve & save medical records required in the appeals process for access by remote PARS staff +… more
- Office of the Comptroller of the Currency (Washington, DC)
- …of failed institutions when performing lessons learned reviews. Advise and assist the Appeals Program Manager in preparing correspondence and reports, and ... for quality assurance/ internal audit reviews and for administering the OCC bank appeals program and related activities conducted by the Office of the Enterprise… more
- State of Colorado (Chaffee County, CO)
- …Work/Counselor IV) Drug & Alcohol Therapeutic Community Manager - Buena Vista Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4403810) Apply ... - (Social Work/Counselor IV) Drug & Alcohol Therapeutic Community Manager - Buena Vista Salary $6,881.00 - $9,633.00 Monthly...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Sterling, CO)
- CDOC Mid Level Provider / Nurse Manager - (Sterling) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4467433) Apply CDOC Mid Level Provider / ... Nurse Manager - (Sterling) Salary $8,364.00 - $11,709.00 Monthly Location...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Grand Junction, CO)
- Right of Way Manager (Program Manager III) - Grand Junction, CO Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4454985) Apply Right of ... Way Manager (Program Manager III) - Grand Junction,...conducts media interviews, meets with individuals and provides written correspondence . + Other duties as assigned. Work Environment: +… more
- Clark County, NV (Las Vegas, NV)
- ESTATE CASE MANAGER I/II Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4460858) Apply ESTATE CASE MANAGER I/II Salary $27.29 - $45.66 ... seeking qualified candidates to apply for the Estate Case Manager I/II position. As a member of our team,...and participates in meetings. Prepares a variety of reports, correspondence and other written materials. Contributes to the efficiency… more
- Randstad US (Rancho Cucamonga, CA)
- …has 6+ years of healthcare customer service experience, specifically handling grievances, appeals , and escalations. The Case Manager will communicate heavily ... case manager (healthcare). + rancho cucamonga , california +...Responsibilities + Participate in managing the organization's complaint and grievance/ appeals process (required) + Accountable for investigation of all… more
- MTA (Long Island City, NY)
- Manager Eligibility & Compliance Job ID: 6397 Business Unit: New York City Transit Location: Long Island City, NY, United States Regular/Temporary: Regular ... Department: Date Posted: Apr 24, 2024 Description Job Information Title: Manager , Eligibility & Compliance First Date of Posting: 2/29/2024 Last Date of Filing: Open… more
- State of Colorado (CO)
- …Land Surveyor II, Statewide Survey Program Manager Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4475495) Apply Professional Land Surveyor ... II, Statewide Survey Program Manager Salary $105,600.00 - $110,400.00 Annually Location Multiple Locations, CO Job Type Full Time Job Number HAA 50004931-04/24… more
- State of Colorado (Lakewood, CO)
- ADMINISTRATOR V (Field Operations Manager ) - Division of Gaming Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4409643) Apply ADMINISTRATOR V ... (Field Operations Manager ) - Division of Gaming Salary $86,916.00 - $113,004.00...be used to fill additional vacancies. Email Address: All correspondence regarding your status in the selection/examination process will… more
- Clark County, NV (Las Vegas, NV)
- MANAGER INFORMATION TECHNOLOGY (SECURITY ADMINISTRATION) Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4462038) Apply MANAGER ... County IT Department is seeking qualified candidates to apply for the Information Security Manager position . The ideal candidate is driven by the mission to protect… more
- State of Colorado (Lakewood, CO)
- Operations Manager - Remote Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4475507) Apply Operations Manager - Remote Salary $100,620.00 ... Driver License state and county offices as the Operations Manager . As Operations Manager , you will have...be used to fill additional vacancies. Email Address: All correspondence regarding your status in the selection/examination process will… more