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Complaints Grievances And Appeals Jobs

Decrease plan exposure to bad faith or breach of contract law suits, regulatory sanctions, employer-group penalties and adverse media by effectively resolving complaints
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...
Working At Aetna -- the Value To YouWhat does it mean to work at Aetna? A lot. From programs and benefits that support your financial, physical and emotional health to...
Exciting Manager of Appeals & Grievances opportunity with a leading national Managed Care Health plan in Monterey Park, CA! Job Summary: Oversee regular meetings to review
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: TotalMed Staffing, Inc. provides temporary, contract, and full time staffing services to hospitals and hospital systems, medical groups, and solo...
Company Description: Amida Care is a private, not-for-profit special needs health plan in New York City that is recognized nationally as the leader in high quality,...
Accounting Principals has partnered with a leader in the healthcare industry for an Appeals and Grievance Business Analyst Job in Downtown Los Angeles, CA. The analyst
Company Description: HealthCare Scouts, Inc. specializes in nationwide placement of highly qualified healthcare professionals who value excellence and high quality patient...
One of the nation s most recognizable federations of health plans is actively seeking a Registered Nurse with a strong background in appeals, denials, and claim
POSITION OVERVIEW The Grievances/Appeals Nurse will be responsible for informing and educating plan members and practitioners on the process to properly submit a formal
Business Analyst Appeals & Grievances Location: CALos Angeles Requisition City: Company Order Number: 1365 # of openings: 1 Description The Appeals and Grievance Business
Position Purpose: Ensure appropriate processing of member grievance appeals, provider appeals, or request for a State Fair Hearing. Perform duties as the point of contact
Director Appeals Grievance (Portland)* Referral Bonus $1500The Director Appeals and Grievance is accountable for leading the company s appeals and grievance function
About Fallon Health: Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition...
The Grievance and Appeals Nurse Specialist participates in managing the organization s clinical grievance and appeal review for all lines of business; including handling
Immediate opportunity for position: Appeals and Grievance Business Data Analyst located in Los Angeles, CA 90017. Interested to apply please visit our direct website
Overview: The Appeals and Grievances Non-Clinical Coordinator is responsible for receiving, investigating and responding in writing, to all member appeals and grievances
The Appeals & Grievances QA Auditing Specialist is responsible for assisting the G&A Compliance, Training and QA Supervisor to develop a successful and cohesive unit
The West Virginia Health Cooperative (WVHC), based in Teays Valley, has created and operates a Consumer Oriented and Operated Plan. The CO-OP is a non-profit and...
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...
Company Description: At Advanced Pain Care, our ongoing commitment to the comfort and improvement of pain patients is a primary concern. Our experienced doctors and staff...
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