Position Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining to the authorization of or delivery of clinical and non-clinical services. A&G works in
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the
At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health
Appeals And Grievances Medical Director At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.
Appeals And Grievances Medical Director At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.
Clinical Grievances Nurse At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build
Appeals And Grievances Medical Director At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.
Appeal & Grievance Coordinator Reviewer I We are seeking an Appeal & Grievance Coordinator Reviewer I to review and research medical appeals and grievances, analyze claims and medical records, and ensure timely resolution in compliance with HIPAA, CMS, and
Job Title Responsible for utilizing clinical acumen and managed care expertise related to researching, resolving and responding to requests for member and provider appeals, grievances, reconsiderations and corrected claims for all lines of business with emphasis on
Healthiest Employer Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the
SUMMARY: Contribute to the professional standing and profitability of the company by supplying customers with outstanding service and results, as well as meeting the performance standards of this role. These are achieved by consistently recruiting, pro-actively
Its fun to work in a company where people truly BELIEVE in what theyre doing! Were committed to bringing passion and customer focus to the business. The DCX People Relations Specialist (Labor Relations) will work as
The Role: The Clinical Quality Specialist (RN) is a nurse who helps ensure the quality, safety, and value of the member journey at Included Health. This role focuses on how members experience care across all touch
Fender Musical Instruments Corporation is a world famous brand with offices across the globe. Within Fender Musical Instruments Corporation’s (FMIC) Human Resources team, we are building a global culture that embraces the spirit of the Fender
We believe that mental health is just as important as physical health. We recognize that mental health issues can be complex and multifaceted, and we are dedicated to treating the whole person, not just the symptoms.
Porch Group is a leading vertical software and insurance platform and is positioned to be the best partner to help homebuyers move, maintain, and fully protect their homes. We offer differentiated products and services, with homeowners
Initial Posting Date: 06/01/2026 Application Deadline:06/30/2026 Agency:Department of Corrections Salary Range:$24,264 - $30,042 Position Type:Employee Position Title:Psychiatrist (Salem/Wilsonville) Job Description: Psychiatrist (Salem/Wilsonville) Oregon State Penitentiary - Salem, Oregon Coffee Creek Correctional Facility – Wilsonville, Oregon Oregon
Why join Safeguard Global? We want to help you “Work in Any Way” - that means, making time for family, commitments, and life outside, so that you can have the best of both worlds. When you