- Equitable (Charlotte, NC)
- Appeals and Complaints Team Leader , Disability and Absence Claims ( 25000055 ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : ... potential? Equitable is seeking an influential and dynamic Appeals and Complaints Team Leader to join our Disability and Absence Claims organization. The… more
- Equitable (Charlotte, NC)
- …Appeals Specialist to join our Disability and Absence Claims organization. The Appeals , Complaints , and Litigation Specialist is responsible for managing and ... and backgrounds. Those differences make us stronger as a team and a force for good in our communities....**Reporting and Analysis:** + Maintain detailed records of all appeals and complaints . + Analyze trends in… more
- CVS Health (Salem, OR)
- …complex requirements unique to states with pharmacy bills. This also includes being the appeals team SME in understanding the impact of appeal related issues and ... and responded. + Partner with legal to disposition pharmacy complaints and appeals that come through state...compliance, network and other teams to manage the pricing appeals . + Counsels and mentor pricing team … more
- Elevance Health (Roanoke, VA)
- …clinical programs and primary care options for seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare ... delivery. **Nurse Appeals Associate** **Location:** This position will work a virtual...Hearings and serves as a subject matter expert on complaints and grievances for non-clinical staff. + Participates in… more
- State of Colorado (Denver, CO)
- …with other clinics requesting consultation and/or assistance with coverage. Serves as the lead medical liaison with the mental health team . Supervises and trains ... Lead Mid-Level Provider - Gilliam Youth Services Center...may include but is not limited to facility management team , medical leadership team , mental health … more
- Library of Congress (Washington, DC)
- …work schedule. This is a non-supervisory, non-bargaining unit position. Responsibilities TEAM LEADER RESPONSIBILITIES. Articulates and communicates to the ... few days or for emergencies only; resolving simple, informal complaints of team members and referring others,...related to performance management or employee engagement.** Ability to lead a team .** Ability to provide consultation… more
- WellSpan Health (York, PA)
- …in assessing team weaknesses and strengths. + Resolves simple or informal complaints and refers formal grievances or appeals to appropriate officials. + ... Logistics and Distribution Technician Lead - York Hospital - OR - Full...assignments and distributes workload; manages day-to-day work flow within team ; reports to supervisor regarding completion of work flow.… more
- TEKsystems (Columbia, SC)
- …as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals . Determines whether to return, deny or pay claims following organizational ... to department guidelines. Examines and processes claims and/or non-medical appeals according to business/contract regulations, internal standards and examining… more
- State of Massachusetts (Everett, MA)
- …projects as assigned by the Director. Preferred Skills and Attributes: Demonstrated ability to effectively lead a team , preferably a large team (5 team ... well as the Department's guidance and policies. They will directly oversee a team of PRS Supervisors. Key Areas of Responsibility: 1. Oversee implementation of the… more
- State of Colorado (Sterling, CO)
- …vacancies at these locations. Colorado Department of Corrections Mission: We are a team of dynamic and diverse professionals building a safer Colorado by cultivating ... disorder treatment needs; + Participate as a member of an interdisciplinary clinical team which provides substance use disorder treatment; + Provide input needed for… more