Anticipated End Date:2026-09-04 Position Title:Grievance and Appeals and State Fair Hearing Program, Business Change Manager Job Description: Grievance and Appeals and State Fair Hearing Program, Business Change Manager Location: Overland Park or Topeka, Kansas. This role is required
Job Description The New York City Law Department is seeking applicants for the position of Assistant Corporation Counsel in its Appeals Division. The Appeals Division litigates appeals arising from nearly all of the Law Department’s practice areas and prepares
Overview: Respond to all assigned levels of denials by submitting appeal letters and required documentation to insurance companies within the appeal filing time limits. Submit external review requests and required documentation to the state within the filing time
Great benefits. Competitive pay. We know these are some of the things people look for in a job. If you’re the kind of person who believes that honoring and empowering our nation’s veterans is more than
Benefits Comprehensive Health Coverage – Medical, dental, and vision plans to keep you and your family healthy. Future Security: 401(k) with matching Student Loan Support – Up to $10,000 repayment assistance, because we invest in your
Overview Empower AI is AI for government. Empower AI gives federal agency leaders the tools to elevate the potential of their workforce with a direct path for meaningful transformation. Headquartered in Reston, Va., Empower AI leverages
Anticipated End Date:2026-10-26 Position Title:Grievance/Appeals Rep II Job Description: Grievance/Appeals Representative II Shift: Monday-Friday Location: Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to
Internal Candidates are welcome to apply if you are willing to obtain an RN license for the state of California PLEASE NOTE: The California RN license background check and RN license approval is required PRIOR to
Description Start 11/2 – HARD START Position Purpose: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members.Education/Experience: High school diploma or equivalent. Associate’s degree preferred. 2+
Join a Leader in Healthcare Payment Integrity At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As a recognized leader in payment integrity solutions, we specialize in DRG Validation, High-Cost Outlier
About Judi Health Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industrys first Unified Claims Processing architecture,
Benefits Comprehensive Health Coverage – Medical, dental, and vision plans to keep you and your family healthy. Future Security: 401(k) with matching Student Loan Support – Up to $10,000 repayment assistance, because we invest in your
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your
JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers
About Blue Cross and Blue Shield of Minnesota At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and
Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. Provides medical leadership of all for utilization management, cost containment, and medical quality
GeneDx (Nasdaq: WGS) delivers personalized and actionable health insights to inform diagnosis, direct treatment, and improve drug discovery. The company is uniquely positioned to accelerate the use of genomic and large-scale clinical information to enable precision
Assistant District Attorney - Public Records/Appeals - (2600068O) Description Seeking an Assistant District Attorney to work in the Norfolk District Attorney’s Appeals Unit focusing on Public Records requests. The primary function of this position is responding to records
Assistant District Attorney - Public Records/Appeals 2600068O Description Seeking an Assistant District Attorney to work in the Norfolk District Attorney’s Appeals Unit focusing on Public Records requests. The primary function of this position is responding to records requests,
Team: Revenues & Benefits Job Family: Providing M – CBG11 Salary: £42,396 - £45,758 per annum pro rata Hours: 37 hours per week Location: You will be expected to attend a CBC office location as often