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
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united
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
Job Title: Appeals And Grievance Coordinator This is a temporary, full-time position with an expected duration to July 2026, full time Monday through Friday. Position Purpose: The Appeals and Grievance Coordinator is responsible for the processing and resolution
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
Grievances And Appeals Nurse Pride Health is hiring a Grievances and Appeals Nurse for a well-known client! (Remote Contract) Schedule: 5x8s Day shift Contract: 6 months Pay Rate: 40-45/hr Primary Responsibilities: Serves as a clinical and administrative subject
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.
Quality Improvement Coordinator (QIC) - Grievances 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
We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: Employee Relations Specialist Location: Beijing, Greater China About the role We are looking for an Employee
We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: Employee Relations Specialist Location: Yokohama, Japan About the role We are looking for an Employee Relations
企業概要 At Western Digital, our vision is to power global innovation and push the boundaries of technology to make what you thought was once impossible, possible. At our core, Western Digital is a company of problem
Position Summary At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. Under
Job DetailsJob Location: Redding, CA 96001Salary Range: $24.00 - $35.00 HourlyThe Compliance Coordinator is responsible for overseeing adherence to North American Mental Health Services (NAMHS) policies, procedures, and practices to ensure compliance with federal, state, and
The Global Human Resource and Administration Manager is responsible for overseeing and leading all HR and administrative functions across multiple regions. This role ensures the alignment of HR strategies with the companys global objectives, promotes best
With a career at The Home Depot, you can be yourself and also be part of something bigger. Position Purpose: The District Services Manager (DSM) plays a pivotal role in driving Services sales growth by cultivating
Location:Work from home (Pennsylvania) Shift:Rotation (United States of America) Scheduled Weekly Hours:40 Worker Type:Regular Exemption Status:Yes Job Summary:Location: Pennsylvania (onsite/hybrid/remote with periodic in state travel) Reports to: Chief Medical Officer Department: Health Services / Medical Management
Company Description NBCUniversal is one of the worlds leading media and entertainment companies. We create world-class content, which we distribute across our portfolio of film, television, and streaming, and bring to life through our global theme
OVERVIEW: Guidepoint’s Human Resources team thrives on problem-solving and creating happier employees. As Guidepoint works to achieve its mission of making individuals, businesses, and the world smarter through personalized knowledge-sharing solutions, the Tokyo, Japan office is
With a career at The Home Depot, you can be yourself and also be part of something bigger. Must reside within 20 miles of Virginia Beach, VA. Schedule is Monday - Friday 7am-3:30pm. Position Purpose: The
The TIENS Group Co., Ltd. is a multinational conglomerate, integrating industrial capital, business capital and financial capital with its scope of business covering biotechnology, health management, hotel and tourism industry, education & training, e-commerce and finance