- Molina Healthcare (Rochester, NY)
- …and Medicaid **Knowledge/Skills/Abilities** * Leads, organizes, and directs the activities of the Appeals & Grievances unit that is responsible for reviewing and ... organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving...monitoring and training of local plans' provider dispute and appeals units to ensure adherence with Medicare standards and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …multiple areas, including but not limited to UM and CM, Fair Hearings and Appeals / Grievances , within three months of working in position. + Demonstrates ability ... May be required to attend Fair Hearings with Medical Director relating to specific cases. + Works independently, as...paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the Excellus… more