- Healthfirst (NY)
- …and Responsibilities:** + Conduct quality audits of A&G items including grievances , pre-service appeals , and post service appeals utilizing appropriate ... to reduce errors and improve processes and performance to ensure quality . + Review and investigate appeals and grievances requests to ensure all requests are… more
- Point32Health (MA)
- …Summary** Under the direction of the A&G Manager, the Appeals & Grievances QA Auditor audits the quality of letters and keyed entries from the ... audit findings and identifies areas of opportunity for the A&G ( Appeals and Grievances ) department. Understands department, segment, organizational strategy… more