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
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national
The Human Resources Director provides overall strategic and operational human resources leadership for multiple Nexstar work locations. The HR Director will drive key initiatives across performance management, organizational development, employee and labor relations, succession planning, and
About Cornell Tech Cornell Tech is Cornell University’s state-of-the-art campus in New York City that develops leaders and technologies for the AI era through foundational and applied research, graduate education, and new ventures. Located on Roosevelt
About Judi Health Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industrys first Unified Claims Processing architecture,
*Remote and must live in NY or the Tristate area * JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network strategy and development with respect
About Us LexisNexis Legal & Professional serves customers across the global legal market with leading information, analytics, and technology solutions. We support law firms, corporate legal departments, and government entities in advancing the rule of law
About Us LexisNexis Legal & Professional serves customers across the global legal market with leading information, analytics, and technology solutions. We support law firms, corporate legal departments, and government entities in advancing the rule of law
Most companies claim to have the best people. We say to them, Keep dreaming. Our people are second to none. They set us apart with their entrepreneurial spirit and ambition. They come to us from the
Requisition ID: 298847 Relocation Authorized: National - Single Telework Type: Full-Time Office/Project Work Location: New Albany, OH Extraordinary teams building inspiring projects: Since 1898, we have helped customers complete more than 25,000 projects in 160 countries
Requisition ID: 298846 Relocation Authorized: National - Family Telework Type: Full-Time Office/Project Work Location: New Albany, OH Extraordinary teams building inspiring projects: Since 1898, we have helped customers complete more than 25,000 projects in 160 countries
Requisition ID: 298840 Relocation Authorized: National - Family Telework Type: Full-Time Office/Project Work Location: New Albany, OH Extraordinary teams building inspiring projects: Since 1898, we have helped customers complete more than 25,000 projects in 160 countries
About NYLAG Founded in 1990, NYLAG is a leading civil legal services organization combatting economic, racial, and social injustice by advocating for people experiencing poverty or in crisis. Our services include comprehensive, free civil legal services,
Remote Appeals Pharmacist Fair Medication Access Work From Home | Strong Clinical Writing Focus Combine clinical expertise with advocacy in a fully remote Appeals Pharmacist role. Review medication coverage appeals, apply evidence-based guidelines, and ensure fair
Specialised Part-Time Consulting Opportunity We are sharing a specialised part-time consulting opportunity for experienced healthcare administration professionals with hands-on expertise in patient access, prior authorisation, claims, revenue cycle operations, provider enrolment, payer workflows, and medical records
Senior Staff Dentist, Utilization Management (Remote) NY Fully Remote New York - NY Help Shape the Future of Oral Health Care as a Senior Staff Dentist Are you an experienced dentist looking to expand your impact