- City of New York (New York, NY)
- …7,500 diverse professionals and knowledgeable experts. The Office of Constituent and Grievance Services (OCGS) is hiring Grievance Investigators who are ... of persons in custody's grievances and electronic complaints; the administration of the grievance process in each housing facility to which they are assigned, the… more
- CVS Health (Oklahoma City, OK)
- …units. Ensure timely, customer focused response to appeals, complaints and grievance . Identify trends and emerging issues and report and recommend solutions. ... -Research incoming electronic appeals, complaints and grievance to identify if appropriate for unit based upon...work items that do not meet appeals, complaints and grievance criteria. -Research Standard Plan Design or Certification of… more
- Commonwealth Care Alliance (Boston, MA)
- …Processing of Grievances & Appeals: + Responsible for the progress of grievance and appeal intervention and resolution. + Assure verbal and written responses ... verbal and written correspondence. + Thoroughly document all member appeal and grievance related interactions and interventions into CCA database. Member Outreach: +… more
- Texas Health Resources (Arlington, TX)
- Patient Safety/ Grievance Program Manager - TH Urgent Care (Breeze), Full-time, Days _Bring your passion to Texas Health so we are Better + Together_ Work location: ... Patient Safety Risk Department: Looking to fill a dedicated Patient Safety-Risk/ Grievance position that facilitates all patient safety and clinical risk management… more
- CoreCivic (Leavenworth, KS)
- …and a responsibility to better the public good. We are currently seeking a ** Grievance Coordinator** who has a passion for providing the highest quality care in an ... to making an impact for the people and communities we serve. The Grievance Coordinator oversees the inmate/resident grievance process and ensures that both… more
- Fallon Health (Worcester, MA)
- …and LinkedIn. **Brief summary of purpose:** The Fallon Health (FH) Appeals and Grievance process is an essential function to FH compliance with CMS regulations, NCQA ... Appeals & Grievances Coordinator serves to administer the FH Appeals and Grievance process as outlined in the Member Handbook/Evidence of Coverage, departmental… more
- Baylor Scott & White Health (Temple, TX)
- …Summary** **Hybrid position - limited time working onsite** The Appeals and Grievance Specialist reviews member and provider complaints, appeals, and grievance ... and grievances. + Builds case files for each complaint, appeal and grievance , and ensures compliance with organizational and regulatory guidelines. + Investigates… more
- Centene Corporation (Bedford, NH)
- …Maintain files on individual appeals and grievances + May coordinate the Grievance and Appeals Committee + Support the pay-for-performance programs, including data ... High school diploma or equivalent. Associate's degree preferred. 2+ years grievance or appeals, claims or related managed care experience. Strong oral,… more
- Centene Corporation (Phoenix, AZ)
- …Maintain files on individual appeals and grievances + May coordinate the Grievance and Appeals Committee + Support the pay-for-performance programs, including data ... High school diploma or equivalent. Associate's degree preferred. 2+ years grievance or appeals, claims or related managed care experience. Strong oral,… more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Appeals and Grievance Coordinator is responsible for intake into the Appeals and Grievances Department, including verbal and written complaints, ... current knowledge of all regulatory requirements as they apply to complaint, grievance and appeal processes. + Proficient in Microsoft applications, including Word… more
- Commonwealth of Pennsylvania (PA)
- …with other team members to plan, direct, and coordinated the management of the grievance system and related polices. If you have a passion for justice and strong ... your role will involve working closely with the Chief Grievance Officer and assisting with various special projects related...well as making recommendations for changes to the Inmate Grievance System policy and procedures. In addition, you will… more
- LA Care Health Plan (Los Angeles, CA)
- …manner. Coordinates, tracks, and resolves internal and external appeal and grievance complaints for LA Care Plan Partners, including identifying opportunities for ... improvement. Ensures timely appeal and grievance reporting to regulatory agencies, internal Regulatory Affairs and...Management) to ensure the use of appropriate appeal and grievance issue codes, timely resolution, and refers to community… more
- Trinity Health (Columbus, OH)
- …audit, provider relations and more. **Position Purpose:** The Appeals and Grievance Coordinator is responsible for the processing and resolution of appeals, ... in accordance with Federal regulations and time constraints. + Conduct grievance and appeal investigations and provider claim dispute investigations through internal… more
- Cedars-Sinai (Los Angeles, CA)
- …staff training and mentoring; assists with outreach, and education regarding grievance processes with key stakeholders; data maintenance and production/analysis of ... data reports related to the patient complaint and grievance process. **Principal Responsibilities:** + Acts as a liaison...management in the execution of the patient complaint and grievance processes. + Provides on-site rounds, meeting face to… more
- Elevance Health (Seattle, WA)
- **Manager II Grievance /Appeals (RN)** **Location** : **Hybrid 2:** This role requires associates to be in-office **3** days per week, fostering collaboration and ... **Expected Work Hours:** Monday-Friday; 8am-5pm PST The **Manager II Grievance /Appeals** is responsible for management oversight of grievances and appeals… more
- Department of State - Agency Wide (Washington, DC)
- …approach to reported misconduct. Reviews grievances in accordance with the administrative grievance policy and determines whether or not the grievance meets ... guidance to senior OIG officials and other stakeholders on administering the grievance policy. Identifies formal and informal grievance officials and negotiates… more
- MTA (New York, NY)
- …and personnel management systems for the timely processing of discipline and grievance cases, and scheduling grievance hearings. + Coordinates meetings with ... assisting with collecting, tracking, storing, and retrieving data related to grievance cases, contract administration, and labor research. + Reviews and maintains… more
- Compass Group, North America (CA)
- …and cost-effective labor agreements that align with Compass Group's standards.* Grievance and Arbitration Oversight: Lead high-volume grievance and arbitration ... with demonstrated success in cost-competitive, strategic outcomes.* Disciplinary and Grievance Experience: Skilled in objective investigations, grievance … more
- LA Care Health Plan (Los Angeles, CA)
- …claim disputes. The position is responsible for monitoring the caseloads of the Grievance Specialists and ensuring timely and accurate closure of grievances to meet ... and provides coverage for assigned specialists who are absent. Monitors daily/weekly/monthly grievance reports to ensure timeliness of case closures to meet internal… more
- Johnston Community School District (Johnston, IA)
- …reasonable accommodations to qualified individuals with disabilities. There is a grievance procedure for processing complaints of discrimination. If you have ... questions or a grievance related to this policy, please contact the Director...accommodations to qualified individuals with disabilities. There is a grievance procedure for processing complaints of discrimination. If you… more
Related Job Searches:
Appeals Grievance Manager,
Assistant Grievance Manager,
Director Grievance Appeals,
Grievance Appeals Analyst,
Grievance Appeals Analyst Lead,
Grievance Appeals Coordinator,
Grievance Appeals Representative,
Manager Grievance Appeals RN,
Manager II Grievance/appeals,
Specialist Grievance Appeals