- AmeriHealth Caritas (Philadelphia, PA)
- …Staff Management** + Supervise daily activities of assigned Appeals & Grievance staff, including scheduling, workload distribution and case prioritization + ... **Job Summary** As the Supervisor , Appeals and Grievances you will...staffing, and performance for a remote team of 15 Appeals & Grievance Specialists, Administrator, and Team… more
- CareFirst (Baltimore, MD)
- …with unit projects and other duties related to the appeals , grievance and/or reconsideration processes. Communicates with Supervisor to offer feedback ... The Appeals Specialist I is responsible for the initial analysis of appeals and grievance correspondence, and determination of next steps for Commercial and… more
- LA Care Health Plan (Los Angeles, CA)
- …RN is responsible for assisting with the development of a successful and cohesive Appeals and Grievance (A&G) clinical unit. This position is responsible for the ... Lead Customer Solution Center Appeals and Grievances RN Job Category: Clinical Department:...with other departments to ensure all aspects of a case are appropriately managed. Conduct targeted and random clinical… more
- Fallon Health (Worcester, MA)
- …us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** Fallon Health (FH) Appeals and Grievance process is an essential function to FH's compliance ... and Grievances Triage Administrator serves to administer the FH Appeals and Grievance process as outlined in...form and requests such documentation as necessary. + Assigning case files to the department staff for appeal/ grievance… more