- LA Care Health Plan (Los Angeles, CA)
- …Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: ... call documentation and categorization, service authorization request and coverage determination , Appeals and Grievances across all lines of business). This… more
- Tufts Medicine (Boston, MA)
- …research breakthroughs to life. **Job Overview** The Senior Employee & Labor Relations Specialist serves as a trusted subject matter expert and strategic partner to ... role may delegate and oversee the work of the Employee & Labor Relations Specialist . This position requires deep knowledge of both employment and labor laws (eg,… more
- State of Colorado (Pueblo, CO)
- …nursing directives using effective communication. + Collaborates with the Clinical Safety Specialist (CSS) in the event of safety and security needs, to ensure ... and disciplinary actions, signing performance plans and appraisals, and resolving informal grievances at the lowest level. + Draft and deliver Confirming Memos, Plan… more
- State of Colorado (Pueblo, CO)
- …nursing directives using effective communication. Collaborates with the Clinical Safety Specialist (CSS) supervisor in the event of safety and security needs, ... and disciplinary actions, signing performance plans and appraisals, and resolving informal grievances at the lowest level. + Draft and deliver Confirming Memos, Plan… more
- CVS Health (Carson City, NV)
- …Integrated Product Experience + Experience with Part D Coverage Determination, Appeals and Grievances and/or Formulary Administration regulatory requirements and ... **What you will do** + Acts as a top-level specialist on project management and develops a comprehensive plan...D reporting requirements + 3+ years serving as project lead + Adept at problem solving and decision making… more
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