• Grievance Associate

    AmeriHealth Caritas (Philadelphia, PA)
    …us at www.amerihealthcaritas.com. **Summary:** Working with the Grievance Supervisor or Grievance Coordinator, the Grievance Associate ensures that all ... Federal, and State guidelines.;; **Responsibilities:** + Under the supervision of the Grievance Supervisor or Grievance Coordinator, act as a Member advocate… more
    AmeriHealth Caritas (05/27/25)
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  • Labor & Employment Associate - Multiple…

    Fox Rothschild LLP (Philadelphia, PA)
    Labor & Employment Associate - Multiple Offices **Boston, MA; New York, NY; Philadelphia, PA, Washington, DC** **Description:** Fox Rothschild has an opening in ... multiple offices for a senior associate in our Labor & Employment Department. The ideal candidate will have five to seven years of traditional labor experience. We… more
    Fox Rothschild LLP (04/12/25)
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  • Medical Director - National Medicare

    Humana (Trenton, NJ)
    …Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their ... assigned market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational… more
    Humana (05/29/25)
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  • Medical Director - Care Plus - Florida

    Humana (Trenton, NJ)
    …Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their ... assigned market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational… more
    Humana (04/24/25)
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  • Targeted Case Manager - Penn Hall Mercer - Full…

    Penn Medicine (Philadelphia, PA)
    …for Voluntary Treatment Form, HIPAA Acknowledgement of Receipt Form, Complaint & Grievance From, CBH Authorization to Release Info, Medical Eval, Psych Eval, and ... Credentials: + Basic Cardiac Life Support Education or Equivalent Experience: + Associate of Arts or Science (Required) + Sociology, social welfare, psychology,… more
    Penn Medicine (05/29/25)
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  • Medical Director - Medicaid N. Central

    Humana (Trenton, NJ)
    …be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy), and reviews for DME, genetic ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (05/14/25)
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