- Molina Healthcare (Bowling Green, KY)
- …and evaluate appeal and grievance request to identify and classify member grievances , hand-off to appropriate department for appeals ; regulatory complaints as ... for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member grievances… more
- Elevance Health (Nashville, TN)
- …relevant parties of all prior authorization determinations. + Provides resolution to grievances and appeals issues. + Responds to inquiries from patients, ... creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are… more