- Point32Health (MA)
- …the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for ... responsible for the accurate coordination, efficient administration and resolution of member appeals and member grievances submitted by Point32Health members for… more
- Point32Health (Canton, MA)
- …general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations ... responsible for the accurate coordination, efficient administration and resolution of member appeals and member grievances submitted by Point32Health members for… more
- Elevance Health (South Portland, ME)
- **Grievance/ Appeals Analyst II** **Virtual:** This role... analyst may serve as a liaison between grievances & appeals and /or medical management, ... an accommodation is granted as required by law._ The **Grievance/ Appeals Analyst II** is responsible for reviewing,...non-complex and some complex pre service and post service grievances and appeals requests in the Enterprise… more
- City and County of San Francisco (San Francisco, CA)
- …bargaining agreements. + Key duties include negotiating resolutions to grievances , investigating complaints of serious employee misconduct, and conferring with ... professional human resources experience, similar to 1241 Human Resources Analyst , in one or more of the following areas...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- CVS Health (Harrisburg, PA)
- …verbal communication skills. -2-5 years of experience in Medicare operations, appeals , grievances , or escalated member complaint resolution. -Strong attention ... heart, each and every day. **Position Summary** The Medicare Executive Resolution Analyst is responsible for reviewing and responding to Medicare executive member… more
- Henry Ford Health System (Troy, MI)
- …& Grievance Support will assist A&G staff with determining appropriate outcomes for grievances and appeals by working with internal support departments and in ... manner. + Serve as first line contact for A&G Analyst for day to day operational issues. + Function...Information + Organization: HAP (Health Alliance Plan) + Department: Appeals and Grievances + Henry Ford Health… more
- The County of Los Angeles (Los Angeles, CA)
- …personnel in their unit and effectively recommending the adjustment of grievances and disciplinary problems. Other positions are assigned such functions as: ... first level technical and administrative supervision to the complaint or advanced-level appeals unit. Essential Job Functions + Supervises the activities of all… more
- State of Colorado (Jefferson County, CO)
- …management plan reviews (PMPs). + Determines and responds to Step 1 grievances if staff supervised initiates a formal grievance. + Observes the individual ... of state service experience. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online job… more
- State of Colorado (Pueblo, CO)
- …and disciplinary actions, signing performance plans and appraisals, and resolving informal grievances at the lowest level. + Draft and deliver Confirming Memos, Plan ... of state service experience. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online job… more
- State of Colorado (Pueblo, CO)
- …and disciplinary actions, signing performance plans and appraisals, and resolving informal grievances at the lowest level. + Draft and deliver Confirming Memos, Plan ... of state service experience. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online job… more
- State of Colorado (Golden, CO)
- …conflicts, investigates and problem solves internal and external complaints and grievances from staff, youth, family, and other customers. Scheduling of clinic ... and minimum requirements. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online… more
- State of Colorado (Grand Junction, CO)
- …to staff, including hiring, training, evaluations, disciplinary actions, and resolving grievances . - Direct staff resources to ensure effective delivery of ... of state service experience. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online job… more
- Commonwealth Care Alliance (Boston, MA)
- …schedule issues. + Collaborate closely with Provider Relations, Contracting, Payment Integrity, Appeals & Grievances , and Configuration teams to validate and ... to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, and timely reimbursements… more