, Utilization Management, Grievance and Appeals, Vendors and Care Management to resolve concerns that may hinder the assessment... as a Registered Professional Nurse in New York State RequiredValid driver's license or NYS Non-Driver photo ID card, may...
perspective on workplace flexibility. Position Purpose: The Supervisor of Appeals & Grievances is accountable for the recruitment..., hiring, promotion, counseling, and daily supervision of Grievance and Appeals Specialists and administrative support...
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California... communities and residents and to support the safety net required to achieve that purpose. Job Summary The Supervisor, Customer...
subcontractors who have been delegated the responsibility for managing grievance and appeals on behalf of the plan, including... and data collection systems and prepares data reports and analysis of grievance and appeals for program management...
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...
, and resolves administrative complaints, complex provider appeals and State Fair Hearing adhering to CMS, DHCS, DMHC, MRMIB and NCQA...Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California...
SUMMARY Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst... appeals and grievance (complaints) received by Point32Health. This individual works collaboratively with the member and/or the...
SUMMARY Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst... general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible...
Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible... per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals...
Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible... per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals...
SUMMARY Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst... general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible...
Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible... per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals...
Qualifications: 2+ years of claims, appeals, or grievance experience Telecommuting Requirements: Ability to keep all company... and DE&I initiatives, as well as, supporting service excellence. The Supervisor, Life/ Life Waiver/ Permanent Total Disability Claims...
, Utilization Management, Grievance and Appeals, Vendors and Care Management to resolve concerns that may hinder the assessment... as a Registered Professional Nurse in New York State RequiredValid driver's license or NYS Non-Driver photo ID card, may...
Grievances and Legal Documents: Research and respond to inmate grievance appeals related to classification issues. Prepare... to interpret and apply Federal, State, and local laws, rules, and regulations, along with Department policies and procedures...
Grievances and Legal Documents: Research and respond to inmate grievance appeals related to classification issues. Prepare... to interpret and apply Federal, State, and local laws, rules, and regulations, along with Department policies and procedures...
. Represent the State on all appeals of post-conviction relief cases handled in the circuit court when appealed to the Supreme... Court and Court of Appeals. File and serve appeals onbehalf of the State in cases in which relief is granted when approved...
that affect member eligibility. Coordinates with other departments, e.g. Care Management, Legal Affairs, Grievance and Appeals... as well as applicable state and federal regulations. Works under general supervision. What We Provide Referral bonus...
that affect member eligibility. Coordinates with other departments, e.g. Care Management, Legal Affairs, Grievance and Appeals... as well as applicable state and federal regulations. Works under general supervision. What We Provide Referral bonus...
, Grievance and Appeals, Compliance, Membership Eligibility Unit, Quality as needed Participates in requests for out... as well as applicable state and federal regulations. Works under general supervision. Conduct face-to-face or telehealth...