, grievances and appeals Maintain files on individual appeals and grievances May coordinate the Grievance and Appeals Committee... and standards. Education/Experience: High school diploma or equivalent. Associate’s degree preferred. 2+ years grievance...
Job Title: Grievance & Appeals Coordinator I - 210056 Address: Tempe, AZ Job Description Coordinate grievance.... Communicate effectively with stakeholders regarding case statuses. Assist in training staff on grievance and appeal policies...
: Under general direction of the Grievance and Appeals Leadership, the D-SNP Grievance and Appeals (G&A) Coordinator III will review... documents to convey determination. The Coordinator is responsible for processing and monitoring the grievance and appeals...
Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible... and grievance (complaints) received by Point32Health. This individual works collaboratively with the member and/or the member...
RESPONSIBILITIES: Under general direction of the Grievance and Appeals Leadership, the D-SNP Grievance and Appeals (G&A) Coordinator... communication documents to convey determination. The Coordinator is responsible for processing and monitoring the grievance...
JOB SUMMARY: Responsible for all written inquiries from members seeking resolution through the grievance and appeals... process. KEY RESPONSIBILITIES: Researches member issues and prepares grievance and appeals information for each level...
Job Title: Grievance & Appeals Coordinator I - 210056 Address: Various, SC Job Description Coordinate and manage... grievance and appeals processes. Review and investigate grievances in accordance with regulatory requirements. Communicate...
About the Team The Complaints & Grievance Team supports Group Claims and Operations by tracking, monitoring, and resolving... a month for meetings About the Team The Complaints & Grievance Team supports Group Claims and Operations by tracking...
Supervisor of Grievance & Appeals VillageCare MAX 112 Charles Street, New York, NY 10014 Salary: $68... investigations and resolution of complaints and grievances from members. Managing all aspects of the grievance system processes...
Offer $27.25 Now Hiring: Appeals and Grievance Specialist Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled... Appeals and Grievance Specialist to join our team. Type of Opportunity: Full time Job Exempt: No Job is based: Reverend Hugh...
technology, financial analysis, audit, provider relations and more. Position Purpose: The Appeals and Grievance Coordinator.... Conduct grievance and appeal investigations and provider claim dispute investigations through internal and external interviews...
without the minimum Appeals & Grievances experience need not apply Job Title: Grievance & Appeals Coordinator – Remote... to extend or convert Location: Remote – Arizona Position Overview: A-Line Staffing is seeking a detail-oriented Grievance...
Anticipated End Date: 2026-02-20 Position Title: Grievance/Appeals Representative II (Connecticut...) Job Description: Grievance/Appeals Representative II Virtual: This role enables associates to work virtually full-time, with the exception...
provided to our members for appropriateness Understand relevant state and federal grievance and peer review requirements...
Supervisor of Grievance & Appeals VillageCare MAX 112 Charles Street, New York, NY 10014 Salary: $68... investigations and resolution of complaints and grievances from members. Managing all aspects of the grievance system processes...
and appeals Maintain files on individual appeals and grievances May coordinate the Grievance and Appeals Committee Support the... and standards Education/Experience: High school diploma or equivalent. Associate’s degree preferred. 2+ years grievance...
provided to our members for appropriateness Understanding relevant state and federal grievance and peer review requirements...
for appropriateness Understand relevant state and federal grievance and peer review requirements and accreditation standards applicable...
Description Grievance Coordinator – Medicare (remote MA only) Some need-to-know information: Remote... to join a healthcare team as a Grievance Coordinator. This role focuses on responding to member concerns related to Medicare Advantage...
Grievance Coordinator – Medicare (remote MA only) Some need-to-know information: Remote but with on-site Training... team as a Grievance Coordinator. This role focuses on responding to member concerns related to Medicare Advantage plans...