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Complaints Grievances And Appeals Jobs

Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that...
JOB SUMMARY Perform research and analysis of appeals and complaints filed by members, customers, and government entities to administer timely resolution within state
Director Appeals Grievance TEXASAre you a strong strategic leader with the ability to empower engage and motivate an effective productive team dedicated to enhancing customer
Grievance and Appeals Coordinator OpTech offers a competitive salary, and benefits begin on day one! Responsibilities Analyze and research cases, applying critical thinking
of contracted provider written correspondence, complaints, grievances, retrospective utilization reviews, and clinical appeals. Principal Accountabilit
Management, Case Management, or related experience in a managed care setting. Experience documenting and resolving Member grievances and appeals, regulatory agencies, Medi
Director Appeals & Grievance (Portland) * Referral Bonus $1500 The Director Appeals and Grievance is accountable for leading the company s appeals and grievance function
Company Description: Amida Care is a private, not-for-profit health care organization in New York City. The plan is recognized in the health care industry as a high quality...
Company Description: TotalMed Staffing, Inc. provides temporary, contract, and full time staffing services to hospitals and hospital systems, medical groups, and solo...
Director Appeals & Grievance Portland, OR The Director Appeals and Grievance is accountable for leading the companys appeals and grievance function. Provides company
Business Analyst Appeals & Grievances Location: CALos Angeles Requisition City: Company Order Number: 1365 # of openings: 1 Description The Appeals and Grievance Business
The Director of Appeals and Correspondence is a key leader within Kaiser Permanente's Mid-Atlantic (KPMAS) Health Plan Services Administration (HPSA) who ensures timely
Group Lead, Appeals and Grievances needed for a direct hire opportunity with Yoh's client located in San Ramon, CA. Top Skills You Should Possess: - Experience in Appeals
Overview: The Appeals and Grievances Non-Clinical Coordinator is responsible for receiving, investigating and responding in writing, to all member appeals and grievances
Coordinate the overall process of complaint resolution, responding to all verbal and written complaints from members and/or providers relating to member eligibility
AutoReqId: 12149BR Job Title: Appeals Analyst-Winston-Salem Business Function: Technical Department: Medicare Appeals and Quality Position Location: Winston Salem Responsible
Company Description: Founded in 1970 by Martin E. Judge Jr., The Judge Group is a professional services firm offering Technology Consulting, Enterprise-Wide Staffing and...
Medix is currently hiring for a Medical Appeals & Grievances RN with a major health plan in the Phoenix area. Major responsibilities include: Identify, research, resolve
Park area is searching for a few Medicare Appeals & Grievances experts to help prepare the organization for an upcoming CMS audit. The most successful applicants will have
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...
RN Director of Appeals & Grievances Managed Care Portland, OR Job Summary: The RN Director of Appeals & Grievances supports the organization by working to resolve provider
Centra Healthcare Solutions is seekingan experienced Registered Nurse(RN) to work as the Director ofAppeals & Grievance that is licensed or in the immediateprocess
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