- BayCare Health System (Clearwater, FL)
- …member be working remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Grievance Specialist - Health Plan **Location** ... members to resolve disagreements, and ensuring adherence to regulatory requirements. + Triage, plan , and execute intake of Appeals and Grievance submissions. +… more
- VNS Health (Manhattan, NY)
- …term services and supports, etc.. Consults with the member, family, providers and health plan departments as necessary. Identifies and communicates key points ... Review Entities and Quality Improvement Organizations. + Collaborates with professionals, health plan departments such as Claims and Medical Management,… more
- LA Care Health Plan (Los Angeles, CA)
- …$67,186.00 (Min.) - $87,342.00 (Mid.) - $107,498.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million...to have them remediate gaps through the corrective action plan process. Manage the C&L grievance and… more
- Elevance Health (Grand Prairie, TX)
- **Title: Plan to Plan Service Specialist III** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 ... miles of one of our PulsePoint locations. The ** Plan to Plan Service Specialist ...service and manages adjustments, ITS processing, keying, rate negotiation, grievance and appeals, escalations, etc., in providing a seamless… more
- Cumberland River Behavioral Health, Inc. (Pineville, KY)
- Job Title: Recovery Services Peer Support Specialist Must have good oral and written communication skills. The peer specialist , who is or has been a recipient of ... competent, and continuous supports and services. It is essential the peer specialist have skills and competence to establish supportive trusting relationships with… more
- Cumberland River Behavioral Health, Inc. (Harlan, KY)
- Job Title: Adult Peer Support Specialist Qualifications: Must have good oral and written communication skills. The peer specialist may have a college degree in a ... school diploma. Have experience as a recipient of mental health services and/or recovery services and is willing to...check and drug screen. Summary The Certified Peer Support Specialist functions as a fully integrated team member to… more
- AdventHealth (Palm Coast, FL)
- **Patient Safety Specialist ** **All the benefits and perks you need for you and your family:** + **Benefits & Paid Days Off from Day One** + **Student Loan Repayment ... FL 32164 **The role you'll contribute:** The Patient Safety Specialist is a qualified individual who provides direction and...understanding of data and analytic tools as well as health care information systems and technology with an advanced… more
- LA Care Health Plan (Los Angeles, CA)
- …those candidates that live in the Pacific Time Zone. Established in 1997, LA Care Health Plan is an independent public agency created by the state of California ... Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC...County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million… more
- LA Care Health Plan (Los Angeles, CA)
- …Range: $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... Customer Solution Center Appeals and Grievances Specialist II (ALD) Job Category: Customer Service Department:...County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million… more
- Packing Corp of America (Wallula, WA)
- SR HUMAN RESOURCES SPECIALIST /GENERALIST Wallula, WA 99363, USA Req #20531 Thursday, August 8, 2024 As a Fortune 500 company, Packaging Corporation of America (PCA) ... Trust We are seeking resumes for anSr. Human Resources Specialist / Generalist(1 Opening) in our Wallula, WA facility....both hourly and salaried employees with issues/concerns related to health and welfare benefits. Enlist the assistance of the… more