• Complaints Grievances And Appeals Jobs

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  • HumanaDoral, FL
    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...
  • KEPROSouth Portland, ME
    KEPRO is a rapidly growing national quality improvement and care management organization. We work to ensure that over 1 billion people receive the right care, at the right...
  • Kelly Healthcare ResourcesWoodland Hills, CA
    Kelly Healthcare Resources has exciting temp-to-hire opportunities available for Grievances and Appeals Coordinators in Woodland Hills, CA . This is working for a very...
  • Kelly Services (more jobs)Woodland Hills, CA
    Kelly Healthcare Resources has exciting temp-to-hire opportunities available for Grievances and Appeals Coordinators in Woodland Hills, CA. This is working for a very large reputable insurance company. WORK SCHEDULE: Monday-Friday (40+ hours per week): Shifts starting...
  • Boston Medical Center HealthNet PlanBoston, MA
    The Appeals and Grievance Specialist is responsible for managing the resolution process of medical and pharmacy member appeals and/or member generated...
  • Premera Blue CrossMountlake Terrace, WA
    Company Overview PREMERA. Applying innovation and strategy to create leading-edge health coverage benefit solutions for our members. Our culture promotes individual...
  • DentaQuestMilwaukee, WI
    Tracking Code 2245-703 Job Description JOB SUMMARY: This position is responsible for the coordination of audits and reports for Complaints and Grievances. This includes...
  • CareNational Healthcare Services, LLCBaltimore, MD
    RN Supervisor of Appeals & Grievances Managed Care Baltimore, MD Your Job Summary: The RN Supervisor of Appeals & Grievances supports the organization by working to...
  • Central California Alliance for HealthScotts Valley, CA
    ACCEPTING APPLICATIONS THROUGH FRIDAY, JULY 8, 2016 AT 5:00PM PST *This position will be assigned to Provider Disputes SUMMARY DESCRIPTION: Under direction, this position:...
  • CalOptimaOrange, CA
    Coordinate the overall process of complaint resolution, responding to all verbal and written complaints from members and/or providers relating to member eligibility and...
  • Aetna Inc.Pittsburgh, PA
    POSITION SUMMARY Responsible for the overall management of the Medicare Grievance teams. Accountable for member satisfaction and acting as an advocate for our members....
  • CareFirst BlueCross BlueShieldBaltimore, MD
    PURPOSE: The Clinical Appeals Nurse Analyst completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage...
  • Carefirst Blue Cross Blue ShieldBaltimore, MD
    PURPOSE : The Clinical Appeals Nurse Analyst completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage...
  • Insight GlobalOakland, CA
    Responsible for handling the review process for grievances, appeals, or denials including investigating, preparing and presenting appropriate materials for review....
  • Beacon Health OptionsLatham, NY
    ABOUT THE POSITION We are currently seeking a dynamic Grievance /Appeals Coordinator to join our team at our office in Latham, New York. The Grievance Appeals Coordinator...
  • Bayside SolutionsSouth San Francisco, CA
    Our client on the SF Peninsula is looking for a Member Services Representative (Tagalog Speaking) to join their team! Duties Provide customer service to...
  • ZF TRWLebanon, TN
    Req Id: 20834BR SUMMARY: Support employees and managers in the development and enhancement of employee relations, interpretation of policies and procedures, and labor...
  • Randstad Professionals (more jobs)Franklin, TN
    Provider Specialist - Franklin, TN This is a contract role expected to last 8+ months with a possibility of being extended. Provider Specialist - Job Duties: Responsible for incoming telephonic customer service and support handling provider inquiries, questions and...
  • Quality Staffing of AmericaAustin, TX
    The company is an American worldwide health services organization. Its insurance subsidiaries are major providers of medical, dental, disability, life and accident...
  • CignaAustin, TX
    Position: Customer Service Representative Associate Term: 12 months assignment Location: 11200 Lakeline Blvd, Ste 100, USATXSB, Austin, TX, 78717, US Work Schedule: 8:00...
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