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
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.
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
Description Bay Area Retina Associates is a group practice of highly experienced ophthalmologists specializing in cutting edge retinal treatments. BARA has 10 convenient locations in the Bay Area with over 40 years in the industry. The
Overview *a cover letter must be included in your submission for consideration* The Graduate Medical Education (GME) Program Coordinator partners and collaborates with the program director and leadership on all aspects of GME program management, including
Who We Are At C.A. Carlin, we take brands to new heights. We are one of the leading privately held sales agencies in the industry. Thanks to nimble growth and associations with our operating partners, C.A.
Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S.
Salary/Position Classification 30,000.00 annual, Non-Exempt (Eligible for overtime) 4 hours per week 100% Remote Work Availability: No Hybrid Work Availability (requires some time on campus): No Purpose of Position The Associate Residency Program Director will assist
This role is for one of our clients Compensation: $40 - $50 per hour We are seeking experienced healthcare administrative professionals with deep, hands-on expertise in the operational and back-office functions that keep healthcare organizations running
Become a part of our caring community The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data
Company Description About NYPCC New York Psychotherapy and Counseling Center (NYPCC) is New York State’s largest community mental health clinic, serving more than 15,000 clients each month through accessible in-person and telehealth services. With over 50