- Commonwealth Care Alliance (Boston, MA)
- …clinical, operations, pharmacy, dental, reporting, and member services. - Supports the Senior Appeals & Grievance Coordinator and A/G Coordinator in ... **What You'll Be Doing:** - Processing of Grievances & Appeals . - Responsible for the progress of grievance... Appeals . - Responsible for the progress of grievance and appeal intervention and resolution. - Assure verbal… more
- Health First (Rockledge, FL)
- …(Health Insurance)* **Organization:** **HF Administrative Plan Inc* **Title:** *HFHP Appeal / Grievance Coordinator - Member Appeals Grievances* **Location:** ... a professional image to the public. *Stewardship: * * Elevating issues to senior management as necessary to minimize financial risks. * Reporting trends to help… more
- CVS Health (Salt Lake City, UT)
- …carrying a modified case load including but not limited to:-Research incoming electronic appeals , complaints and grievance to identify if appropriate for unit ... Identify correct resource and reroute inappropriate work items that do not meet appeals , complaints and grievance criteria. -Research Standard Plan Design or… more