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27 Appeals and Grievances Supervisor Jobs

Complaints and Grievances Lead

DentaQuest Mequon, WI

• Oversight of development of training program for existing, and new staff members. • Responsible for providing ongoing, and development training… DentaQuest

  • Overview
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Appeals and Grievances Supervisor – new

Blue Shield of California 100+ Reviews El Dorado Hills, CA

Come join the hardest working, not-for-profit health plan in California and help deliver our mission to ensure all Californians have access to… Glassdoor

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Medicare Appeals & Grievances Supervisor – new

Blue Shield Of California 100+ Reviews Woodland Hills, UT

• Ensure that the Appeals & Grievances department goals are implemented, accurately communicated and achieved • Ensure that the Appeals… Glassdoor

  • Overview
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Complaints and Grievances Supervisor

DentaQuest 55 Reviews Coral Gables, FL

• Monitor daily, weekly and monthly complaints, grievances, appeals and Fair Hearing turnaround times to ensure compliance with client contracts… DentaQuest

  • Overview
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Complaints and Grievances Lead

DentaQuest 55 Reviews Mequon, WI

• Oversight of development of training program for existing, and new staff members. • Responsible for providing ongoing, and development training… DentaQuest

  • Overview
  • Reviews
  • Salaries

Clinical Quality Nurse

MemorialCare 4 Reviews Newport Beach, CA

• Clinical Quality Nurse needed in Quality Management Department to provide support with QI audits, and coverage for grievances/appeals. Essential… Beyond.com

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HR Analyst

Sprouts 100+ Reviews Phoenix, AZ

The Human Resources Analyst will provide professional-level Human Resources support in areas of Sarbanes-Oxley, Compliance, and EEOC/Lawsuits. This… Snagajob

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Support Specialist II (Member Advocacy and Appeals)

HMSA 17 Reviews Honolulu, HI

Provides high level administrative and clerical support to Member Advocacy and Appeals department. • Handles the intake, closing and reporting… Glassdoor

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RN Supervisor, Utilization Management (Appeals)

AmeriHealth Caritas 30 Reviews Philadelphia, PA

• Supervises staff when preparing and presenting appeal cases to the Appeals Panel. <… Glassdoor

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MI DUALS Mgr, Member Services – new

First Health Group Detroit, MI

include: Develops, monitors and reviews performance reports and service performance trends for each account against the plan and recommends specific… Glassdoor

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MI DUALS Mgr, Member Services – new

Detroit, MI

include: Develops, monitors and reviews performance reports and service performance trends for each account against the plan and recommends specific… Glassdoor

DEPARTMENTAL CIVIL SERVICE REPRESENTATIVE

Los Angeles County 55 Reviews Los Angeles, CA

• Prepares written responses on behalf of the Department for employee grievance appeals and the Employee Relations Commission. • Plans investigative stra… Glassdoor

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DEPARTMENTAL CIVIL SERVICE REPRESENTATIVE

Los Angeles County Department of Public Health 13 Reviews Los Angeles, CA

• Prepares written responses on behalf of the Department for employee grievance appeals and the Employee Relations Commission. • Plans investigative stra… Glassdoor

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Supvr, Service Bill Review Operations

Aetna 100+ Reviews Tucson, AZ

Supervisor, Service Operations position is responsible for the daily activities and supervision of a team of employees supporting the Bill Review… Glassdoor

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Supvr, Service Bill Review Operations

Tucson, AZ

Supervisor, Service Operations position is responsible for the daily activities and supervision of a team of employees supporting the Bill Review… Glassdoor

Mgr, Service Operations

Aetna 100+ Reviews Plymouth, MN

Maintains oversight of functions in local service center, including but not limited to customer service, claim, provider services, complaints… Glassdoor

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