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Complaints Grievances And Appeals Jobs

Visiting Nurse Service of New York (VNSNY) is the nation’s largest not-for-profit community-based health system. VNSNY provides a comprehensive array of home- and community-based programs, including health plans, tailored to the needs of high-risk, vulnerable New...
Company Description: Job Description: The Grievance & Appeals Nurse Specialist provides direct assistance to members with health care access or benefit coordination issues,...
Description The Grievance & Appeals Nurse Specialist provides direct assistance to member's with health care access or benefit coordination issues, ensuring that clinical...
Position Description: Positions in this function are responsible for reviewing, researching, investigating, and triaging all types of appeals and grievances. Communicates...
UnitedHealthcare Military & Veterans (UHC M&V) is part of the family of companies that make UnitedHealth Group one of the leaders across the US health care system.We serve...
Join the Medicare Team at Network Health as a full time, Medicare Member Advocate! Enjoy a generous benefit plan including the choice of two health insurance plans with an outstanding wellness program, short and long term disability at no cost and education reimbursement...
Position Summary / Key Job Responsibilities: The Labor Relations Manager will interpret and administer labor agreements covering approximately 350 represented employees. Duties will include processing of grievances, drafting local agreements, interpretation of negotiated...
The Associate Medical Director will support health care outcomes and administration of medical services for UCare members as part of the Chief Medical Officer/Medical Director team. Provide medical leadership and direction for the development, implementation and maintenance...
Penn National Gaming has thrilled and entertained guests since 1971 when it all began as a horse racing venue. From a single race track, we have grown to be one of the nation...
Medix Staffing Solutions is seeking a Customer Service Representative to work with a National Health Care Insurance Company in Phoenix, AZ! Please apply today if you meet the...
JOB VACANCY NOTICE JOB NUMBER: 14-033- 2645 CLOSING DATE: April 25, 2014 - 1:00 p.m. CST STARTING SALARY RANGE: $46,136 $51,903 annually, plus excellent benefits POSITION...
Customer Service Representative / CSR / Call Center Opportunities: Medix Staffing Solutions is seeking Customer Service Representatives / CSR's to work with a National Health...
Principal Accountabilities: Provides written acknowledgement of all provider initiated correspondence. Conducts thorough investigations of all provider correspondence by...
Primary Purpose: Provide in-house legal support services to the superintendent, designated staff, and board of trustees. Advise the superintendent and board in legal...
Neighborhood Health Plan (NHP), located in Boston, is currently seeking to hire 10 to 12 Customer Service/Member Representatives. The Representative is responsible for...
Position Description: You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring...
Customer Service Rep Assoc Job ID: 94737 Location: USA-TX-BEDFORD Full/Part Time: Full-Time Regular/Temporary: Regular People want to be treated like individuals. At Cigna,...
Provides administrative direction and counsel to leadership, management and staff at assigned ambulatory care centers regarding a broad range of human resource management...
Customer Service Supervisor / Specialist Job ID: 95366 Location: USA-IL-BOURBONNAIS Full/Part Time: Full-Time Regular/Temporary: Regular People want to be treated like...
Provide case management services which promote quality, cost-effective outcomes by helping selected member populations achieve effective utilization of healthcare services....
MOLINA HEALTHCARE, DIR MEMBER ADVOCACY Job Summary Under the direction of the AVP/Director of Operations identifies and initiates continuous quality improvements within the...
ABOUT THE POSITION: Classes in this series perform a wide variety of duties in the administration of County Personnel programs and do other related work as required....