- Molina Healthcare (Doral, FL)
- …with research. * Determines appropriate language for letters and prepares responses to member appeals and grievances . * Elevates appropriate appeals to the ... in an efficient and timely manner. * Creates and/or maintains appeals and grievances related statistics and reporting. * Collaborates with provider and member… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Appeals Specialist I is responsible for the initial analysis of appeals and grievance correspondence, and ... and tracking information to facilitate and expedite processing of appeals and grievances received from a variety...breaching confidentiality of medical information. + Assists Supervisor and Appeals Specialist II and III with unit… more
- TEKsystems (Honolulu, HI)
- …This role is critical in supporting members and providers by handling inquiries, appeals , and grievances with professionalism and accuracy. You will work closely ... the best course of action. + Analyze sensitive member and provider appeals , inquiries, and grievances , applying internal policies, contractual provisions, and… more
- ManpowerGroup (Alexandria, MN)
- …matters to appropriate departments when necessary. + Identify issues related to grievances or appeals and follow proper procedures accordingly. **What's ... leading organization in healthcare services, is seeking a **Transportation Contact Center Specialist ** to join their team. As a Transportation Contact Center … more
- Volunteers of America Los Angeles (Los Angeles, CA)
- …and resolution of facts and issues in matters affecting disciplinary actions, grievances , appeals , and complaints, refers complex matters to HR Employee ... People Relations Partner Associate II Location:Los Angeles, CA Job ID:4489 Salary:$74014.5...Relations Specialist or Senior Manager of Employee Relations as required… more
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