- CenterWell (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by ... trained skillsets and/or partnerships with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced… more
- Elevance Health (Woodbridge, NJ)
- …an accommodation is granted as required by law._ The **Manager II Grievance & Appeals ** responsible for management oversight of grievances and appeals ... departmental units to investigate, resolve, and respond to grievances and appeals , manages inventory and production...degree and a minimum of 5+ years grievance & appeals experience and a minimum of 3 … more
- Cognizant (Trenton, NJ)
- …or clinic operations . Experience in utilization management to include Clinical Appeals and Grievances , precertification, initial and concurrent reviews . ... . Maintain working knowledge of applicable health insurers' internal claims, appeals , and retro-authorization as well as timely filing deadlines and processes.… more
- City of New York (New York, NY)
- …United States law school as defined in the Rules of the New York Court of Appeals (Sections 520. 3 or 520.5) or admission to the New York State Bar. Additional ... related to labor law and employee discipline. The unit handles employee grievances , prosecutes disciplinary cases, and works with attorneys at the Mayor's Office… more
- City of New York (New York, NY)
- …issues including license and access issues, leasing, and eminent domain 3 ) procurement related issues including responsive and responsibility issues, bid protests, ... the Uniform Commercial Code ("UCC"); 10) assist division staff with procurement appeals and decision process, including draft opinions and presenting facts and… more
- MTA (New York, NY)
- …and participate in monthly conferences with union representatives to discuss contract grievances and employee discipline appeals ; perform analytical review of ... Authority is North America's largest transportation network, serving a population of 15. 3 million people across a 5,000-square-mile travel area surrounding New York… more
- City of New York (New York, NY)
- …United States law school as defined in the Rules of the New York Court of Appeals (Sections 520. 3 or 520.5) or admission to the New York State Bar. Additional ... for matters pending with the NYC Law Department and the NYC Comptroller's Office; 3 ) review agency responses to the public pursuant to the Freedom of Information Law… more
- City of New York (New York, NY)
- …advice on a wide range of topics related to every aspect of DDC's program needs. 3 ) Support the DDC Law by conducting legal research on a wide range of topics. 4) ... the Uniform Commercial Code ("UCC"). 10) Assist division staff with procurement appeals and decision process, including draft opinions and presenting facts and… more
- City of New York (New York, NY)
- …issues including license and access issues, leasing, and eminent domain 3 ) Procurement related issues including responsive and responsibility issues, bid protests, ... the Uniform Commercial Code ("UCC") 10) Assist division staff with procurement appeals and decision process, including draft opinion and presenting facts and… more
- City of New York (New York, NY)
- …cases pending with the agency, the NYC Law Department and the NYC Comptroller's Office; 3 ) the review of agency responses to the public pursuant to the Freedom of ... Contracting Officer (ACCO) and agency procurement staff in relation to procurement appeals and decision process, including draft opinions and the presentation of… more
- City of New York (New York, NY)
- …of Correction ("DOC" or "the Department"); - Investigate serious incidents; - Review grievances from people in custody and staff; - Evaluate the performance of DOC; ... - Assisting in processing, evaluating and preparing responses to appeals from people in custody concerning the Minimum Standards...full-time paid experience as described in "1" above; or 3 . Education and/or experience equivalent to "1" or "2"… more