- Molina Healthcare (Tampa, FL)
- …(CMS). **Essential Job Duties** * Facilitates comprehensive research and resolution of appeals , disputes, grievances , and/or complaints from Molina members, ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist I (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Specialist I...team to receive, investigate and resolve member and provider complaints and appeals ; escalates complex issues or… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist ...II will receive, investigate and resolve member and provider complaints and appeals exercising strong independent judgment.… more
- Modivcare (Ridgeland, MS)
- …this opportunity may be the right fit for you! Modivcare is looking for an experienced Grievances & Appeals Specialist to join our team! This position is ... risk for service failure. This role + Handles high-risk member complaints and grievances . + Collects all necessary supporting information to accurately provide a… more
- US Marine Corps (Quantico, VA)
- …Performs and reviews trend analysis of grievances , unfair labor practices, complaints , and appeals , and develops long term solutions to identified trends. ... be considered in effecting disciplinary actions, removals, suspensions, and in resolving grievances and appeals related to formal disciplinary actions taken and… more
- Tufts Medicine (Boston, MA)
- …to increase employee morale, motivation and satisfaction, investigates and resolves complaints , grievances , and disputes, represents management in union/labor ... research breakthroughs to life. **Job Overview** The Senior Employee & Labor Relations Specialist serves as a trusted subject matter expert and strategic partner to… more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- …simple, informal complaints of employees and refer others, such as formal grievances and appeals , to the supervisor or an appropriate management official. ... Summary This position serves as a Lead Personnel Security Specialist , and the work assigned is of a very confidential, complex and highly sensitive nature. This… more
- City of New York (New York, NY)
- …of Correction ("DOC" or "the Department"); - Investigate serious incidents; - Review grievances from people in custody and staff; - Evaluate the performance of DOC; ... and change. JOB DESCRIPTION The Board seeks a Standards Specialist ("Monitor") with a passion for justice, fairness, and...the Minimum Standards by visiting jails, taking and resolving complaints from staff and people in custody - Examining… more
- State of Colorado (Canon City, CO)
- …applicant interviews; schedules staffing patterns; approves training opportunities; and resolves complaints / grievances at the informal level; + Trains and ... daily monitoring, performance management (planning, reviewing and evaluating), resolving complaints / grievances at the informal level, responsibility for… more
- State of Colorado (Canon City, CO)
- …reviews, and completing performance evaluations per CDOC regulations, and resolves complaints / grievances at the informal level; + Ensures staff compliance ... daily monitoring, performance management (planning, reviewing and evaluating), resolving complaints / grievances at the informal level, responsibility for… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- …verification and resolution of facts and issues in matters affecting disciplinary actions, grievances , appeals , and complaints , refers complex matters to HR ... HR generalist work with 20+% dedicated time committed to handling employee complaints , grievances , interactive processes, and disciplinary actions. + Familiarity… more
- The Cigna Group (Salem, OR)
- …networks + Complete onsite quality assessments + Respond to provider inquiries, concerns, complaints , appeals and grievances + Provide ongoing product ... procedures to routine instructions that require professional knowledge in specialist areas. Provides standard professional advice and creates initial… more
Related Job Searches:
Appeals,
Appeals Grievances,
Complaints,
Complaints Specialist,
Grievances,
Specialist,
Specialist Appeals Grievances