- Commonwealth Care Alliance (Boston, MA)
- 011540 CCA- Appeals & Grievances **Position Summary:** Appeals and Grievances Program Advisor monitors and supports the operations and compliance ... of the Appeals and Grievances department through many NCQA... department through many NCQA and other related quality program activities including: monthly case quality monitoring, coordination of… more
- Sharp HealthCare (San Diego, CA)
- …to Plan policy as needed.Completes and/or supervises the completion of all clinical appeals and grievances . Collaborates with Customer Care Manager to identify ... of care foundation for our NCQA required population health management program . Additionally, this position provides the representation of physician's insight,… more
- AdventHealth (Maitland, FL)
- …and makes recommendations on appealed provider claims and makes determinations for appeals & grievances from members. Provides support, shares administrative ... Days Off from Day One + Student Loan Repayment Program + Career Development + Pet Insurance + Conveniently...**Location:** **900 WINDERLEY PL, Maitland, 32751** As the physician advisor , the Executive Medical Director of Revenue Cycle educates,… more
- State of Montana (Lewistown, MT)
- …and advises about new laws that have no case precedent * Serves as a legal advisor across multiple fields of law; may develop expertise in specific fields of law and ... assignment requirements * Ensures appropriate and timeliness of pleadings, motions, appeals , case preparation, scheduling, and follow-up by Public Defenders *… more
- University of Colorado (Aurora, CO)
- …and appeals processes and serve as a neutral party and advisor in faculty grievances , promotion disputes, performance reviews, and departmental conflicts. ... and engagement. + Develop key performance metrics to measure faculty affairs program success and guide data-driven decision-making. + Recommend and lead new faculty… more
- Library of Congress (Washington, DC)
- …simple, informal complaints of team members and referring others, such as formal grievances and appeals , to the supervisor or an appropriate management official. ... project, problem to be solved, actionable events, milestones, and/or program issues under review, and deadlines and time frames...related to WPM and EE, serves as a principal advisor to LC managers, supervisors, and HCD liaisons and… more