- Banner Health (AZ)
- …innovation to employment settings by including remote and hybrid opportunities. In the role of Health Plans Grievance and Appeals Coordinator, you will be an ... nationally recognized healthcare leader that integrates Medicare and private health plans. Our main goal is to reduce healthcare...concerns and inquiries on the various levels of the grievance and appeals process. CORE FUNCTIONS 1.… more
- VNS Health (Manhattan, NY)
- …and audits subcontractors who have delegated responsibility for managing grievance and appeals on behalf of the plan to ensure operational and regulatory ... to day activities for staff handling of grievances and appeals for one of the following VNS Health...and select journal reading. Identifies and recommends changes to plan grievance and appeal operations accordingly. +… more
- Banner Health (AZ)
- …by supporting the development of the team and by assisting in the preparation of the Health Plan in all State Hearings. This position is the standard by which ... remote and hybrid opportunities. In the role of Senior Grievance & Appeals Coordinator, you will utilize...Marketing Guidelines for AHCCCS, HCG and CMS. Knowledge of Health Plan policies, health care… more
- CVS Health (Lansing, MI)
- …**Preferred Qualifications** * Medical Management - Medicare Complaints, Grievance & Appeals experience. * Health Plan Experience Highly Preferred ... Bring your heart to CVS Health . Every one of us at CVS ...of this Medical Director role are related to Medicare Appeals . * Direct daily work on part C … more
- Elevance Health (Los Angeles, CA)
- **Title: Grievance / Appeals Analyst I** **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 ** Grievance / Appeals Analyst I** is an entry level...$33.58/hr. Locations: California In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Elevance Health (Richmond, VA)
- **Title: Grievance / Appeals Analyst II** **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 ** Grievance / Appeals Analyst II** will be responsible for...skills, and analytical skills. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… 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 ... Entities and Quality Improvement Organizations. + Collaborates with professionals, health plan departments such as Claims and...and assists with compiling reports and analysis on the grievance and appeals process. + Participates in… more
- Elevance Health (Los Angeles, CA)
- **Manager II Grievance / Appeals - Claims Support** This position will work in a hybrid model (remote and office). Ideal candidates will live within 50 miles of ... one of our PulsePoint locations. The **Manager II Grievance / Appeals ** is responsible for management oversight of grievances and appeals departmental units to… more
- Henry Ford Health System (Troy, MI)
- …transportation, and pharmacy member appeals and grievances for Health Alliance Plan 's (HAP's): Commercial, Medicare Advantage, Medicare-Medicaid Program ... At least two (2) years of member appeal and grievance experience . + Minimum of two (2) years...Information Technician (RHIT) preferred. Additional Information + Organization: HAP ( Health Alliance Plan ) + Department: Appeals… more
- Elevance Health (Olathe, KS)
- …one of our Kansas Elevance Health PulsePoint locations. The **Provider Grievance and Appeals - Business Change Advisor** is responsible for representing the ... **Provider Grievance and Appeals - Business Change Advisor**...or paralegal is preferred Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more