- CVS Health (Phoenix, AZ)
- …has an exciting new opportunity within the Grievances team in Scottsdale, AZ. As the Grievance Associate Manager , you will oversee a team of Grievance ... management, and resolution for Medicare D (Med D) Grievances. In this Grievance Associate Manager role, you will handle coaching, mentoring, monitoring, and… more
- VNS Health (Manhattan, NY)
- …navigating the complexities of healthcare? VNS Health Plans is seeking a dedicated Manager , Grievance and Appeals (RN)to lead the daily operations of our ... grievance and appeals processes. You will play a crucial...Relations, Claims, Medical Director, third party administrator, pharmacy benefit manager , to achieve resolution of appeals and grievances. +… more
- Elevance Health (Columbus, GA)
- **Title: Grievance /Appeals Analyst Lead** **Location:** This position will work a remote model. Ideal candidates will live within 50 miles of a PulsePoint location. ... The ** Grievance /Appeals Analyst Lead** will be responsible for leading and...an equivalent background. **Preferred Skills, Capabilities and Experiences** + Associate 's or BA/BS degree preferred. For URAC accredited areas,… more
- CVS Health (Richmond, VA)
- …units. Ensure timely, customer focused response to appeals, complaints and grievance . Responsible for day-to-day implementation of Aetna's appeals, complaints and ... including but not limited to: -Research incoming electronic appeals, complaints and grievance to identify if appropriate for unit based upon published business… more
- Premier Health (Dayton, OH)
- **Speech Associate Rehab Manager ** **Miami Valley Hospital** + **Full-Time** + **_Acute and Outpatient_** **Premier Health Mission, Vision, and Values** **The ... of performance. **Position Summary** **General Summary/Responsibilities** **:** The **Acute Speech Associate Rehab Manager (ASARM)** serves as an extension of… more
- University of North Carolina- Chapel Hill (Chapel Hill, NC)
- …the underlying bases for multiple types of infectious diseases. The Sequencing Manager (SM) will manage the staff, laboratories, and instruments conducting short ... development and mentoring of staff (currently 4 staff), conflict and grievance resolution; troubleshooting and root cause analysis when problems or quality… more
- Metropolitan Council (Minneapolis, MN)
- Manager , Bus Transportation Print (https://www.governmentjobs.com/careers/metrocouncil/jobs/newprint/4696212) Apply Manager , Bus Transportation Salary ... all assigned tasks. + Preside over first step grievances and investigate/research the grievance . Make decision and write grievance response. Attend the second… more
- University of Washington (Seattle, WA)
- … Associate Director, Clinical Risk Management, for UWMC, and to the Associate Director, Clinical Risk Manager for Harborview Medical Center for ... pursuits and natural beauty. **POSITION PURPOSE** The Senior Clinical Risk Manager 's (Compliance Analyst (ES 10)) primary responsibility is to proactively manage… more
- Harvard University (Cambridge, MA)
- 66087BRAuto req ID:66087BRJob Code:361059 Administrative Manager Department Office Location:USA - MA - Cambridge Business Title: Associate Director of Custodial ... projection and financial management reports as requested. Works closely with FMO Manager of Business Support to investigate and resolve customer issues related to… more
- CareFirst (Baltimore, MD)
- …support NCQA accreditation and the Divisional Goals for the Clinical Appeals and Grievance department. We are looking for an experienced people leader in the greater ... and effectively integrate new processes. + Develops, implements, and monitors associate performance standards and resulting documentation to ensure compliance with… more