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Complaints Grievances And Appeals Jobs

The Complaints and Grievances Specialist is responsible to coordinate resolution for Member and Provider Complaints/Appeals/Grievances/Fair Hearings. This is done
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
Company Description: Nexus Healthcare specializes in the search and placement of Physician executives for Commercial Medicaid and Medicare, Pharmaceutical companies and...
Total Care, a subsidiary of Universal American, is a New York Stock Exchange company with annual revenues of more than $2 billion. Through our family of healthcare companies,...
Company Description: Visiting Nurse Service of New York (VNSNY), the nation s largest not-for-profit home health care organization, provides expert home- and community-based health care services in the five boroughs of New York City and Nassau and Westchester Counties, as...
Management, Case Management, or related experience in a managed care setting. Experience documenting and resolving Member grievances and appeals, regulatory agencies, Medi
A Prominent Managed Care Company in NYC is Hiring an Appeals and Grievance Manager! Highly Competitive Salary Medical Benefits Referral Bonus The Appeals and Grievance
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...
Director Appeals & Grievance Portland, OR The Director Appeals and Grievance is accountable for leading the company s appeals and grievance function. Provides company
Company Description: TotalMed Staffing, Inc. provides temporary, contract, and full time staffing services to hospitals and hospital systems, medical groups, and solo...
Business Analyst Appeals & Grievances Location: CALos Angeles Requisition City: Company Order Number: 1365 # of openings: 1 Description The Appeals and Grievance Business
We the people of Kaiser Permanente believe in the endless pursuit of excellence, and in health and well-being for all. At Kaiser Permanente Mid-Atlantic States, we ve built...
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 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
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
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
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 several years
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