Appeals Grievances jobs

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Human Resources Generalist
Don's Johns, Inc. - Gainesville, VA
working conditions, disciplinary actions, and employee and applicant appeals and grievances According to circumstances, provides guidance and recommendations...
Sponsored by EmploymentGuide.com - 2 days ago
Medicaid Claims Supervisor
Public Consulting Group 24 reviews - Phoenix, AZ
provide reports as necessary • Respond to claim appeals • Resolve or address new or unusual claims errors... regulations/grievance procedures) • Knowledge of...
Sponsored by Public Consulting Group - 2 days ago

Clinical Appeals Reviewer - Philadelphia, PA

UnitedHealth Group 1,376 reviews - Philadelphia, PA - +1 location
of Appeals and Grievances. Communicate issues, implications, and decisions with appropriate parties. Analyze and identify trends for Appeals and Grievances...
12 days ago - save job - block - email - more...

Business Agent

Minnesota Association of Professional Employees - Shoreview, MN
and negotiation; member advocacy including representing members in grievances and arbitrations; supporting and advising members who are subject to disciplinary...
Easily apply
4 days ago - save job - block - email - more...

Dental Customer Service Associate-August 25th Start Date-DEN...

Cigna 636 reviews - Denison, TX
service experience. Independently responds to inquiries, grievances, complaints or appeals ranging from routine to moderate complexity. May seek assistance with...
2 days ago - save job - block - email - more...

CUSTOMER SERVICE REP III

Value Options 66 reviews - Colorado Springs, CO
provide leadership to call center staff as well as work with our Grievance and Appeals Department . Position Responsibilities: Leadership to Staff – provide...
3 days ago - save job - block - email - more...

Appeals Medical Reviewer

HCSC 24 reviews - Tulsa, OK
coordinating appeals for all lines of business; reporting, monitoring, scheduling and facilitating appeals... Degree. *Knowledge of grievance and appeal processing...
4 days ago - save job - block - email - more...

Grievance and Appeals Specialist - MIRR

Humana 607 reviews - Louisville, KY
Specialist in Grievance and Appeals to address and... enhancements. Respond to complaints, grievances and appeals in a consistent fashion, adhering to all...
3 days ago - save job - block - email - more...

Grievance Resolution Specialist

CalOptima 5 reviews - Orange, CA
Grievance and Appeals Resolution Services. Assure adequate and timely communication within the Grievance... processing or appeals and grievances highly desirable...
10 days ago - save job - block - email - more...

Case Coordinator ( Job Number: 273650 )

Kaiser Permanente 1,593 reviews - Pleasanton, CA
groundwork for appeals and grievances before handing... managing the organization's Complaint, Grievance, and Appeal process including: opening cases, including...
3 hours ago - save job - block - email - more...

Health Programs Administrator

State of Vermont 15 reviews - Williston, VT
the grievance and appeals process for Autism services. Responsibilities include: Grievance and Appeals... grievances and appeals. · Coordinates the grievance... $22.85 an hour
5 days ago - save job - block - email - more...

Provider Services Rep

Tufts Health Plan 46 reviews - Watertown, MA
to all state and federal mandates including, but not limited to, HIPAA, Appeals and Grievance processes and state and federal subsidy programs available...
2 days ago - save job - block - email - more...
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