- Centene Corporation (Indianapolis, IN)
- …member and provider complaints, grievances and appeals + Maintain files on individual appeals and grievances + May coordinate the Grievance and Appeals ... High school diploma or equivalent. Associate's degree preferred. 2+ years grievance or appeals , claims, related managed care experience, or… more
- 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 ... and external stakeholders. Key Responsibilities - Review, research, and process appeals and grievances in compliance with company policies and regulatory… more
- CoreCivic (Mason, TN)
- …and a responsibility to better the public good. We are currently seeking a ** Grievance Coordinator ** who has a passion for providing the highest quality care ... dedicated to making an impact for the people and communities we serve. The Grievance Coordinator oversees the inmate/resident grievance process and ensures… 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 ... in a Managed Care environment + 1 to 3 years' experience in grievance / appeals environment required **The Ideal Person will have:** + Proven experience as a… more
- Dignity Health (Rancho Cordova, CA)
- …This position is hybrid in-office and work from home.** **Position Summary:** The Appeals and Grievances Coordinator is responsible for supporting the appeals ... department team members by managing and coordinating the appeals and grievance process. This role involves:...and grievances. Acting a subject matter expert (SME), the Coordinator will work closely with internal teams and external… 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
- University of Southern California (Los Angeles, CA)
- …Ensures students complete assigned outcomes. Provides information as needed to the appeals coordinator . + Communicates and provides information about the ... Community Expectations Coordinator Office of Community Expectations (OCE) Application Process:...investigating, student conduct and/or adjudicating misconduct cases and handling grievance processes. + Demonstrated ability to make thoughtful and… more
- City of New York (New York, NY)
- …engagement with Union Partners, and will serve as the Agency's Health & Safety Coordinator . Responsibilities include but are not limited to: - Serves as liaison to ... arise with CFB employees. - Serve as the CFB's grievance representative and administer the contractual grievance ...process. Serve as Hearing Officer for grievances and disciplinary appeals . Represent the agency at hearings before the Office… more
- Iowa Department of Administrative Services (Newton, IA)
- …mediation process, works with the incarcerated individual to obtain an agreeable grievance resolution. Works in-conjunction with the Management Team to correct any ... issues that have been presented through the grievance process. Ensures grievances are received, processed, investigated and answered timely. Completes… more
- Gwinnett County Public Schools (Suwanee, GA)
- …or Professional Human Resources (PHR) Certification preferred. Title IX Coordinator Certification preferred. EducationMaster's degree in related field required. ... to identify and address systemic problems.ESSENTIAL JOB DUTIES1. Lead all Title IX appeals processes for the district. 2. Ensure GCPS policy aligns with government… more