• Complaints Grievances And Appeals Jobs

    Jobs 1 to 20 of 22
  • DentaQuestMequon, WI
    JOB SUMMARY: The Complaints and Grievances Specialist is responsible to coordinate resolution for Member and Provider Complaints/Appeals/Grievances/Fair Hearings. This is...
  • Health Plan of San MateoSan Francisco, CA
    The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Grievance and Appeals Coordinator to perform the following essential duties &...
  • Neighborhood Health Plan of RIProvidence, RI
    As it relates to clinical appeals and quality of care complaints and grievances and strict state and federal deadlines, is responsible for research, review and...
  • Valence Health (more jobs)Austin, TX
    Valence Health provides value-based care solutions for hospitals, health systems and physicians to help them achieve clinical and financial rewards for more effectively managing patient populations. Leveraging 20 years of experience, Valence Health works with clients to...
  • PacificSourceBoise, ID
    Overview: Oversees all aspects of the Grievance and Appeals Department for Government programs, ensuring that all member and provider appeals and grievances are processed...
  • AerotekSan Diego, CA
    Aerotek is seeking a Pharmacy Technician with the following qualifications: Summary: Provides technical and administrative support to the Health Services department, by...
  • UnitedHealth GroupEau Claire, WI
    Description: Position Description:Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive...
  • Premiere OnboardPortland, ME
    Position Summary: Seeking an experienced RN to be responsible for the review and resolution of clinical and factual appeals and grievances and clinical quality of care...
  • CareFirst BlueCross BlueShieldBaltimore, MD
    PRINCIPAL ACCOUNTABILITIES: Under the direction of the Manager of the Central Appeals and Analysis Unit, the incumbent s accountabilities include, but are not limited to,...
  • CareNational Healthcare Services, LLCphoenix, AZ
    Denials & Appeals RN, BSN Hospital System Phoenix, AZ (Downtown Scottsdale) ** Full Time, with Substantial Benefits, with the expectation that it will convert to a Remote...
  • Boston Medical Center HealthNet PlanBoston, MA
    The Utilization Management (UM) Program Coordinator oversees all administrative functions associated with the UM Program, including Member Appeals and Grievances. The...
  • SynnexGreenville, SC
    Insurance Compliance Officer COMPLIANCE OFFICER JOB DESCRIPTION This position will be responsible for providing compliance support to entity leadership and management...
  • IASIS HealthcareFlagstaff, AZ
    HEALTH CHOICE INTEGRATED CARE, located in Flagstaff, Arizona manages behavioral health and primary care services in integrated care settings throughout Northern Arizona....
  • SCL HealthBroomfield, CO
    SCL Health is a faith-based, nonprofit health care organization headquartered in Broomfield with facilities located in Colorado, Kansas and Montana. SCL Health operates: 8...
  • Anthem, IncNew York City, NY
    /Your Talent. Our Vision./At Anthem, Inc., it s a powerful combination, and the foundation upon which we re creating greater care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of...
  • Utah Retire SystemSalt Lake City, UT
    About The Company: Utah Retirement Systems (URS) provides benefits for state and other Utah public employees. The Retirement Office administers defined benefit and defined...
  • CVHCare Home HealthSan Ramon, CA
    Who We Are: Discover an exciting career at CVHCare (Compassionate Visionary Health Care), a thriving Bay area home health company, where passion and team spirit are...
  • A New Beginning-Genesis 2Canton, NC
    Please feel free to call 860 889 4141, until 9 PM Eastern, 7 days a week, including most weekends and holidays, after you email a word doc resume directly to me from your...
  • UPMCHollidaysburg, PA
    The Regional Medical Director is responsible for assuring the quality and efficiency of the health care delivered to Community Care members. This includes significant...
  • Lucile Packard Children s HospitalPalo Alto, CA
    HUMAN RESOURCE .001FTE, 8-Hour Day Shift Lucile Packard Children s Hospital Stanford is the heart and soul of Stanford Children s Health. Nationally ranked and...
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