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
Job Description ONLY PERMANENT EMPLOYEES IN THE TITLE AND THOSE THAT ARE REACHABLE ON THE ASSOCIATE LABOR RELATIONS ANALYST CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. Division/Program Summary: The Division of Administration Bureau of Human Resources
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 Judi Health replaces fragmented, outdated systems with the industrys first Unified Claims Processing architecture,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
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,
People Business Partner Remote USA - Must live within Philadelphia or New York Area As a CBRE People Business Partner, you will assist with the roll-out and communication of HR initiatives, policies, and procedures. This job
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
UnitedHealthcare is shaping the health care experience and improving communities. We offer remote work within the U.S. and opportunities to impact care quality and access. The Physician Associate will conduct clinical review and adjudication of appeals
UnitedHealthcare, a part of UnitedHealth Group, seeks a Physician Associate to perform clinical review and adjudication of appeals and grievances across various health plans. You will work with an integrated team including medical directors and other PAs