- BayCare Health System (Clearwater, FL)
- …member be working remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Grievance Specialist - Health Plan **Location** ... + Requires deep understanding of gap closure specifications. + Knowledge of health plan operations, benefit coverage, and claims processing. Familiarity with… more
- Intermountain Health (Murray, UT)
- …and negotiating issues. **Minimum Qualifications** + Demonstrated experience as a SelectHealth Health Benefit Specialist , (HBS), or demonstrated experience in ... appeals and grievances for highly regulated insurance plans with unique plan designs, compliance requirements, regulatory legislation and NCQA, (National Committee… more
- Tufts Medicine (Boston, MA)
- **About Tufts Medicine** Tufts Medicine is an innovative, mission-driven health system that unites the best of academic and community medicine to deliver ... MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Tufts Medicine Behavioral Health Hospital (opening Fall 2025), Tufts Medicine Care at Home, Tufts… more
- LA Care Health Plan (Los Angeles, CA)
- …Range: $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department:...County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million… more
- Howard University Hospital (Washington, DC)
- … health , disability, vacation, sick leave, and 403B retirement plan .) COVID-19 Vaccination Howard University Hospital requires all external applicants to ... outcomes. Howard University Hospital seeks to hire a Labor & Employee Relations Specialist who will embrace our rich and historic tradition of excellence. If you… more
- North Carolina Central University (Durham, NC)
- …Details** Position Information **Position/Classification Title** Broadcast and Emerging Media Specialist II **Working Title** Broadcast and Emerging Media ... image of the station. The Broadcast and Emerging Media Specialist develops and/or selects some or all of the...national and international issues is preferred -Demonstrated ability to plan and meet deadlines, working with materials from a… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …and that everyone in our community has the right to expert care for mental health and substance use disorders. We are much more than just the third largest ... non-profit behavioral health system in the country, our 220-acre main campus,...incredible work. What Will You Do? The Patient Experience Specialist is responsible for advocacy on behalf of individuals… more
- Maxim Healthcare (Memphis, TN)
- Maxim Healthcare is looking for a RN Clinical Education Specialist to join our team in Memphis, TN The Clinical Education Specialist is responsible for the ... + In consultation with office leadership (clinical and operations) assist in grievance concerns, reports and issues + In consultation with office leadership… more
- HCA Healthcare (Atlantis, FL)
- …**Introduction** Do you have the career opportunities as a(an) Risk Management Specialist you want with your current employer? We have an exciting opportunity ... Hospital offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9%… more
- Cedars-Sinai (CA)
- …functions and providing feedback on departmental activities, to assure compliance with all health plan and regulatory agencies, including CMS, DMHC, and DHCS. ... **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation... plans and current CSHS departments to ensure both health plan regulations and CSHS policies are… more
- Maxim Healthcare (Sacramento, CA)
- Clinical Operations Specialist Location: Sacramento, CA Salary Range: $82,000 - $86,000 + 5,000 Annual Bonus Potential Enhance Clinical Excellence. Drive Operational ... Efficiency. Maxim Healthcare is seeking a detail-oriented Clinical Operations Specialist to support and improve day-to-day clinical operations within the office.… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …members' specific contract benefits, consistent with products, policies and procedures and related health plan functions such as member services, claims, and the ... well as functions related to legislative and federal regulatory mandates related to the Health Plan Essential Accountabilities: Level I + Review / prep clinical… more
- Ball Corporation (Westminster, CO)
- …team that shares responsibility for the daily administration of corporate-sponsored Health and Group Benefits, Retirement programs and other compensation or benefits ... medical, dental, vision, disability, life/AD&D, HSA, EAP, HCRA/DCRA, COBRA, retiree health and life benefits, defined contribution plans, defined benefit plans,… more
- Henry Ford Health System (Troy, MI)
- …emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans ... experience. + Interface with the Client Services Correspondence and Grievance sections to be involved in the integral part...in using a PC. Additional Information + Organization: HAP ( Health Alliance Plan ) + Department: Customer Service… more
- Beth Israel Lahey Health (Beverly, MA)
- …Patient & Family Experience improvement initiatives, including those associated with PEX health equity. As part of this role, the Patient Experience Manager will ... the organization's WE CARE culture, patient and family centered care, and health equity values. They will maintain knowledge and support compliance with regulatory… more
- UT Health San Antonio (San Antonio, TX)
- …or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty ... for Prelicensure Programs The School of Nursing at UT Health San Antonio invites doctoral prepared nurses to apply...the SON strategic and the Total Program Systematic Evaluation Plan (TPSEP) in order to ensure academic integrity and… more
- STG International (Milledgeville, GA)
- …response to care. + Coordinate nursing care to accommodate resident's person-centered plan of care including sleep schedule, social activity, and participation in ... resident services to ensure the continuity of the residents' plan of care. + Identify the learning needs of...situations requiring a coordinated effort. + Assist in the grievance process in coordination with the grievance … more
- Banner Health (Surprise, AZ)
- …Shift:** Day **Job Category:** Clinical Care Great careers are built at Banner Health . We understand that talented health care professionals appreciate having ... the perfect opportunity for you. The staff at **Banner Health 's Family Care Clinics** , are committed to providing...fun and it shows. As a **Medical Assistant Registration Specialist ** on this team, we offer a customer-focused and… more
- State of Colorado (CO)
- …system; + Strong, secure, yet flexible retirement benefits including PERA Defined Benefit Plan or PERA Defined Contribution Plan plus 401K and 457 plans.Member ... eligible for increased PERA benefits. + Medical and dental health plans;State of Colorado Benefits (https://dhr.colorado.gov/state-employees/state-of-colorado-employee-benefits) + Paid life… more
- Muckleshoot Indian Tribe (Auburn, WA)
- …+ Determines the need for intervention and provide appropriate support and/or action plan to assist families in the home. + Facilitate family meetings to offer ... providers in community, such as Muckleshoot Child & Family Services (MCFS), Behavioral Health and the Resource Center. Track down and resolve application issues of… more