Become a part of our caring community The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if a grievance, appeal or further request is warranted
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
At Curana Health, were on a mission to radically improve the health, happiness, and dignity of older adults—and were looking for passionate people to help us do it. As a national leader in value-based care, we
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
Become a part of our caring community The Grievances & Appeals Representative 4 (Thursday-Monday shift) is responsible for managing appeal denials, by reviewing clinical documentation, determining whether further action is needed, and validating final determinations in coordination
Become a part of our caring community Join Humanas Wisconsin Medicaid team as a Grievances and Appeals Professional and make a meaningful impact in the lives of our members. Reporting to the Manager of Consumer Engagement, you
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.
JOB SUMMARY: The Medical Review Examiner Nurse is responsible for auditing provider and facility claims. Identifying issues related to and/or participates in various projects aimed at identifying areas of non-compliance and/or potential fraud, waste and abuse,
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
With a career at The Home Depot, you can be yourself and also be part of something bigger. Must reside within 15 miles of Silver Spring, MD. Schedule is Tuesday - Saturday. Position Purpose: The Rental
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we
Work Model: You’ll work in a hybrid model, onsite at your designated Regal Rexnord location, with flexibility to work remotely. _ Scope of Leadership Role We are seeking an experienced and business-focused Human Resources Business Partner
With a career at The Home Depot, you can be yourself and also be part of something bigger. Must reside within 30 miles of Olive Branch, MS. Schedule is Monday - Friday 7am - 4pm (1
With a career at The Home Depot, you can be yourself and also be part of something bigger. Must reside within 20 miles of Dalton, GA. Schedule is Monday - Friday 7am - 3:30pm. Position Purpose:
Job Purpose Responsible for employee relations cases, labor law compliance, and end-of-service calculations across UAE, KSA, and Jordan. Key Responsibilities Employee Relations Handles employee relations cases including grievances, misconduct, and workplace disputes: gathering information, conducting meetings with
Competition #2026-276-HHS Housing Services Coordinator (2026-276-HHS) Employment Type:Permanent Full-Time, Bargaining Unit Work Hours:35 hours/week (M-F 9am-5pm) Work Setting:Onsite – Limited opportunities to work remotely, 1070 Queen Street E, Toronto, ON Salary:External Rate:G7 - $56,802.64 Internal Rate:
Title: Labor Relations Specialist Schedule Format - Location: Hybrid - San Francisco Pay Information: $93,705 - $140,558Position Summary: The Labor Relations Specialist will direct support to the labor relations and employee relations functions for the company.
About Us We are a global climate technologies company engineered for sustainability. We create sustainable and efficient residential, commercial and industrial spaces through HVACR technologies. We protect temperature-sensitive goods throughout the cold chain. And we bring