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
Position Summary: The Appeals & Grievances Clinical Specialist is responsible for receiving, investigating and responding verbally and in writing to member and provider clinical appeals and grievances. Duties and Responsibilities: Ensures that appeals and grievances are properly classified (e.g.
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
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
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.
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
The Phia Group, LLC is a thriving, service-oriented company headquartered in Canton, Massachusetts. As consultants, we represent health plans nationwide, providing our clients with innovative cost-containment solutions through our unique service offerings. As a result of
OverviewCotiviti works with more than 200 healthcare payers and health systems, including all of the top 25 plans in the United States, to deliver higher-performing payment accuracy, risk adjustment, quality improvement, and consumer engagement programs. We
Department Overview The Labor Relations Specialist plays a key role in assisting to develop and implement OHSU’s labor relations strategy and program. The person in this position will contribute to positive labor and employee relations. The
Job Summary: At Included Health, were redefining healthcare to ensure everyone has access to top-quality care. Our Clinical Quality and Safety team contributes in this mission. We are looking for a physician to join our team
With a career at The Home Depot, you can be yourself and also be part of something bigger.Position Purpose: The Region Equipment Services Manager (RESM) is responsible for leading profitable operations with the field team in
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
With a career at The Home Depot, you can be yourself and also be part of something bigger. Must reside within a 20mi radius of San Gabriel Valley, CA. Schedule is Sun-Thurs 9am-5:30pm. Position Purpose: The
With a career at The Home Depot, you can be yourself and also be part of something bigger. Position Purpose: The Manager of Inside Sales Support leads the Inside Sales Support teams that provide both transactional
With a career at The Home Depot, you can be yourself and also be part of something bigger. Position Purpose: The Manager of Inside Sales Support leads the Inside Sales Support teams that provide both transactional
BWXT Canada Ltd. (BWXT Canada) has over 60 years of expertise and experience in the design, manufacturing, commissioning and service of nuclear power generation equipment. This includes steam generators, nuclear fuel and fuel components, critical plant
Location:Work from home (Pennsylvania) Shift:Days (United States of America) Scheduled Weekly Hours:40 Worker Type:Regular Exemption Status:No Job Summary:Provides support in administration of the Appeals and Grievance process. Serves as a liaison between Members and the Plan with
Location:Work from home (Pennsylvania) Shift:Days (United States of America) Scheduled Weekly Hours:40 Worker Type:Regular Exemption Status:No Job Summary:Provides support in administration of the Appeals and Grievance process. Serves as a liaison between Members and the Plan with