Job DetailsJob Location: All States (Remote) - OKLead with Purpose. Drive Quality. Make a Meaningful Impact as a Manager, Grievance & Appeals.At Liberty Dental Plan, the Manager, Grievance & Appeals plays a vital leadership role in ensuring members
Exemption Status:United States of America (Non-Exempt) $19.80 - $25.50 - $31.19 “Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management,
Sidecar Health is redefining health insurance. Our mission is to make excellent healthcare affordable and accessible for everyone. We know that to accomplish this lofty mission, we need driven people who will make things happen. The
Become a part of our caring community The Grievances & Appeals Representative 2 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request is
City/StateVirginia Beach, VA Work ShiftFirst (Days) Overview: Overview The Director of Appeals and Grievance will plan, develop, and direct the department services and activities for all existing and new business opportunities. This includes setting strategic long- term
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
Department Name: Banner Staffing Services-AZ Work Shift: Day Job Category:General Operations The future is full of possibilities. At Banner Plans & Networks, we’re changing the industry to reduce healthcare costs while keeping members in optimal health.
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective
Anticipated End Date:2026-09-28 Position Title:Grievance/Appeals Analyst I (US) Job Description: Grievance/Appeals Analyst I Shift: Tuesday–Saturday Location: Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach
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.
GlobalHealth is seeking a Licensed Practical Nurse to oversee Appeals and Grievances, ensuring timely, compliant resolution per regulatory requirements. This role leads the A&G team, coordinates resources, and reports on critical metrics. Remote-first position with occasional travel
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.
Claims Support Specialist 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 for
GlobalHealth, Inc. is seeking a Nationally remote, clinical leader to direct Appeals & Grievances operations from Oklahoma City. The role oversees scheduling, resource balance, and the end-to-end appeals/grievances process, ensuring regulatory compliance and timely resolutions for members. The
Sagility (BroadPath, a Sagility Company) is seeking an Appeals and Grievance Specialist to join the remote team. The role reviews, investigates and resolves complaints, grievances, and appeals from members and providers, serving as the primary contact through resolution.
Job DetailsJob Location: Florida and Oklahoma - FLPosition Type: Full TimeLiberty Dental Plan is hiring a Customer Care Analyst to take care of our members and their needs!The Customer Care Analyst serves as a confidential, neutral
Rithum is the world’s most trusted commerce network, accelerating how brands, suppliers, and retailers work together to deliver seamless e-commerce experiences. We provide an unmatched platform for brands and retailers, enabling them to accelerate growth, optimize
With a career at The Home Depot, you can be yourself and also be part of something bigger. Position Purpose: The District Asset Protection Manager (DAPM) is responsible for teaching, coaching, and training associates to ensure