- Insight Global (Irvine, CA)
- Job Description An employer is looking for a remote Appeals & Grievances Coordinator that will be responsible for managing and resolving appeals and ... attention to detail, and the ability to work independently in a remote environment while collaborating with internal teams and external stakeholders. Key… more
- Centene Corporation (Indianapolis, IN)
- …member and provider complaints, grievances and appeals + Maintain files on individual appeals and grievances + May coordinate the Grievance and Appeals ... school diploma or equivalent. Associate's degree preferred. 2+ years grievance or appeals , claims, related managed care...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- AmeriHealth Caritas (Philadelphia, PA)
- …of medical management authorizations.; + Research and Investigate member and/or provider appeals and grievance requests, including review of UM/claim denial ... experience in a Managed Care environment + 1 to 3 years' experience in grievance / appeals environment required **The Ideal Person will have:** + Proven experience… more
- State of Colorado (Jefferson County, CO)
- HEALTH CARE TECHNICIAN IV - Residential Coordinator for Secrest House Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5146487) Apply HEALTH ... CARE TECHNICIAN IV - Residential Coordinator for Secrest House Salary $50,724.00 - $71,016.00 Annually...Step 1 grievances if staff supervised initiates a formal grievance . + Observes the individual for side effects or… more