- Commonwealth Care Alliance (Boston, MA)
- …clinical, operations, pharmacy, dental, reporting, and member services. + Supports the Senior Appeals & Grievance Coordinator and A/G Coordinator in day-to-day ... 011540 CCA- Appeals & Grievances **Position Summary** Appeals and Grievances Specialist supports the Operations Department and the Appeals and Grievances team… more
- Public Storage (Plano, TX)
- …common and preferred stocks trade on the New York Stock Exchange. **Job Description** The Senior Manager, Property Tax Appeals and Analysis, is a key member of ... Public Storage tax team, responsible for strategically managing the property tax appeals process across a national portfolio. This position reports directly to the… more
- New York State Civil Service (NY)
- …Be Determined State NY Zip Code 12226 Duties Description Standard Duties:As an Appeals Senior Unemployment Insurance Referee, you would be responsible for ... NY HELP Yes Agency Labor, Department of Title Senior Unemployment Insurance Referee (Higher Authority) - UIAB...day-to-day supervision and oversight of a team of Appeals Administrative Law Judges (ALJ) and operations of UIAB… more
- CVS Health (Phoenix, AZ)
- …issues and may require coordination of responses from multiple business units. Appeals are typically more complex and may require outreach and deviation from ... outside plan sponsors or regulators. * Research and resolves incoming electronic appeals as appropriate as a "single-point-of-contact" based on type of appeal. *… more
- City of New York (New York, NY)
- …78s Create People's appeals and Article 78s manual Perform other duties of senior Appeals Bureau ADA, including: Represent the People of the State of New ... and Article 78 requests and simultaneously handle post-conviction litigation, including direct appeals , Article 440 motions, and federal writs of habeas corpus. JOB… more
- City of New York (New York, NY)
- …improving health and safety, and increasing opportunities for equitable growth. The Appeals Operations Coordinator will be a key member of the Division of ... & Risk Management (CRM). The Division consists of the Appeals and the Mitchell-Lama Hearings Units. - The ...tracking and responding to inquiries, and working with the senior management team to implement and maintain best practices… more
- Evolent (Phoenix, AZ)
- …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 contractual agreements.… 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 & ... required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist II is responsible for assisting… more
- MTA (Brooklyn, NY)
- Executive Agency Counsel, Appeals Job ID: 12747 Business Unit: MABSTOA Location: Brooklyn, NY, United States Regular/Temporary: Regular Department: Torts Date ... Job Information Executive Agency Counsel, Non-Managerial (Level A & B)- Appeals First Date of Posting: 8/19/2025 Last Date of...- Torts. + Perform other duties as assigned by senior management. Education and Experience Required + Level A:… more
- Dayton Children's Hospital (Dayton, OH)
- …for the purpose of education, denials prevention, denials management, and senior leadership reporting. Demonstrates dynamic ability to adapt to ongoing changes ... within the health insurance industry to effect and implement positive changes for the financial growth of Dayton Children's Hospital. Recommends and oversees projects as appropriate. In addition to performing the essential functions listed below, may also be… more
- State of Minnesota (St. Paul, MN)
- …and receiving documents submitted for evidence. This position works within the Paid Leave Appeals unit and works with the Senior Manager of Appeals , ... within the Paid Leave Division of DEED, not limited to, but including, Appeals . The administrative functions include assisting with mailing, making calls to parties,… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... denial management and appeals process, as applicable, in collaboration with clinical team partners. This position uses sound clinical judgement in the Utilization… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Quality Control Senior Manager you want with your current employer? We have an exciting ... Do you want to work as a Quality Control Senior Manager where your passion for creating positive patient...crucial support to the regulatory compliance team in managing appeals and improving documentation to meet regulatory standards. +… more
- City and County of San Francisco (San Francisco, CA)
- …right fit. The City and County of San Francisco is looking to hire multiple Senior Administrative Analysts to be part of the City workforce of nearly 40,000 staff ... County of San Francisco has to offer. As a Senior Administrative Analyst, you will be responsible for directing...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- Indy Gov (Indianapolis, IN)
- Senior Litigation Attorney Print (https://www.governmentjobs.com/careers/indianapolis/jobs/newprint/5027107) Apply Senior Litigation Attorney Salary $90,556.00 ... County. The holder of this position will be a senior attorney handling a wide range of civil litigation...civil rights suits, tort claims, contract disputes, prisoner litigation, appeals at the state and federal level, and administrative… more
- City and County of San Francisco (San Francisco, CA)
- …City and County of San Francisco is looking to bring on board multiple Senior Human Resources Analysts to help departments in hiring, supporting, and retaining a ... City and County of San Francisco has to offer. Senior Human Resources Analysts are responsible for hiring, developing,...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- Independent Health (Buffalo, NY)
- …fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist- Senior will be responsible for reviewing coding and clinical decisions on ... They will aid in training other team members, evaluating appeals , and share audit trends across the team. Expertise...audit tips across the team. The Clinical & Coding Specialist- Senior will support the leadership in Hospital Audit in… more
- Town of Gilbert (Gilbert, AZ)
- Planner II & Planner Senior Print (https://www.governmentjobs.com/careers/gilbert/jobs/newprint/5036814) Apply Planner II & Planner Senior Salary $72,775.00 - ... to fill the position of Planner II or Planner Senior . With every job we fill, our focus...general plan amendments, rezoning, use permits, variances, design review, appeals , annexations, and preliminary plats. + Review and maintain… more
- Movn Health (CA)
- Role Summary Movn Health is seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts receivable ... recovery. This is a hands-on, senior -level role focused on accelerating cash flow, reducing outstanding...with a proven track record in A/R recovery, claim appeals , and payer follow-ups. Experience in startup environments and… more
- City and County of San Francisco (San Francisco, CA)
- …minimum qualifications. Application Deadline: Continuous How to Apply: Applications for Senior Information Systems Engineer - Networks Specialty are only accepted ... systems together as an enterprise networking backbone. The 1043 Senior Networks Engineer is the advanced journey level in...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
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