- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Coordinator I(Temp) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Coordinator I supports the Customer Solution Center … more
- Evolent (Phoenix, AZ)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator ** **,** ** Appeals and Grievances ** at Evolent will serve as a ... point of contact for processing post determination reviews and appeals requests in accordance with departmental policies, regulatory requirements, and client… more
- Centene Corporation (Sacramento, CA)
- …and authorization appeals from providers and pursue resolution of formal grievances from members. + Gather, analyze and report verbal and written member and ... provider complaints, grievances and appeals + Prepare response letters for member and provider complaints, grievances and appeals + Maintain files on… more
- Commonwealth Care Alliance (Boston, MA)
- 011540 CCA- Appeals & Grievances **Position Summary** Appeals and Grievances Specialist supports the Operations Department and the Appeals and ... well as externally to facilitate timely resolution of all grievances and appeals and ensures compliance with...dental, reporting, and member services. + Supports the Senior Appeals & Grievance Coordinator and A/G … more
- CVS Health (Frankfort, KY)
- …every day. **Position Summary** Responsible for intake, investigation and resolution of appeals , complaints and grievances scenarios for all products, which may ... responses from multiple business units. Ensure timely, customer focused response to appeals , complaints and grievance. Identify trends and emerging issues and report… more
- State of Colorado (Pueblo, CO)
- HEALTH CARE TECHNICIAN IV - Residential Coordinator - Pueblo Regional Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5055098) Apply ... HEALTH CARE TECHNICIAN IV - Residential Coordinator - Pueblo Regional Center Salary $1,951.20 - $2,341.60...Pueblo Regional Center. Addresses all complaints and resolving individual grievances at the home level. When a resident is… more
- Air National Guard Units (Garden City, GA)
- …simple, informal complaints from SAPR VAs and refer other complaints, such as formal grievances and appeals , to the Supervisory Principal SARC or an appropriate ... This National Guard position is for a SEXUAL ASSAULT PREVENTION AND RESPONSE COORDINATOR , Position Description Number T5899000 and is part of the 165th Airlift Wing,… more
- Elevance Health (Marshalltown, IA)
- …Services, Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals , and state audits. + Travels to worksite and other ... **LTSS Service Coordinator ** _Location:_ Candidate would need to meet face...is granted as required by law._ The **LTSS Service Coordinator ** is responsible for conducting service coordination functions for… more
- Elevance Health (Dayton, OH)
- …Law Enforcement). + Assists and participates in appeal or fair hearings, member grievances , appeals , and state audits. **Minimum Requirements:** + Requires BA/BS ... **LTSS Service Coordinator (Case Manager)** **Hiring statewide across Ohio** **Location**...services and supports, and psychosocial needs. The **LTSS Service Coordinator ** is responsible for managing service coordination for a… more
- Highmark Health (Dover, DE)
- …through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a resource for technical ... staff. + Other duties as assigned or requested. **QUALIFICATIONS:** **Minimum** + High school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician certification… more
- City of New York (New York, NY)
- …and administer the contractual grievance process. Serve as Hearing Officer for grievances and disciplinary appeals . Represent the agency at hearings before ... play a key role in managing internal labor relations investigations, union grievances , and collective bargaining agreements and engagement with Union Partners, and… more
- State of Colorado (Denver, CO)
- …aggregate summary data as requested to the BHA Advisory Council on provider grievances , quality data, or other items as appropriate. Policy, Essential Safety Net ... of the department's action. For more information about the appeals process, the official appeal form, and how to...this position, please direct your inquiries to our ADAAA Coordinator , Nancy Schmelzer, at cdhs_###@state.co.us or call ###. ~THE… 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 (Pueblo, CO)
- …+ Ensures staff are trained to perform successfully. + Facilitates employee grievances . + Begins the hiring process, interviews applicants, and recommends hires, ... activities. + Serves as the construction application and permit coordinator . + Organizes and coordinates all project inspections to...by the State Personnel Director. You will find the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- …and disciplinary actions. + Addresses employee complaints and resolves informal grievances . + Positions start the hiring process, interview applicants, and recommend ... by the State Personnel Director. You will find the appeals process, the official appeal form, and how to...this position, please direct your inquiries to our ADAAA Coordinator , Nancy Schmelzer, atcdhs_###@state.co.usor call ###. THE STATE OF… more
- University of Miami (Coral Gables, FL)
- …Retired Faculty. + Assists the Vice Provost in managing salary review and appeals . + Reviews and process Coral Gables and Rosenstiel Schools requests for courtesy ... University sponsorship. Employee Relations: + Serves as the Deputy Title IX Coordinator for faculty. Responsible for reviewing Title IX complaints and allegations… more
- State of Georgia (Thomas County, GA)
- …needs, and assists in student placement + Reports any faculty absences, student grievances and appeals , and other matters in accordance with college procedures; ... Southern Regional Technical College (SRTC), the Title IX and Section 504 Coordinator is Darbie Raines, SRTC-Moultrie 800 Veterans Parkway North, Moultrie, GA 31788,… more
- Access Dubuque (Dubuque, IA)
- …to internal processing guidelines. + Assist in review and resolution of complaints, appeals and grievances as needed. + Complete all additional assigned projects ... MercyOne Customer Service Representative Cottingham & Butler/ SISCO Member Services Coordinator Cottingham & Butler/ SISCO Client Service Representative Cottingham &… more