- CVS Health (Annapolis, MD)
- …3rd Party Provider (facility) independent, external review request. The primary role of the Complaint and Appeals Sr. Coordinator is to manage to resolution 3rd ... audits, triage correspondence, mail distribution, and managing incoming telephone calls. The Complaint and Appeals Sr. Coordinator for the National External… more
- Geisinger (Danville, PA)
- Job Summary Provides support in administration of the Appeals and Grievance process. Serves as a liaison between Members and the Plan with appeals regarding ... and concerns regarding quality of care or service. PresentsMember appeals to the Plan Medical Staff and Center for...file and departmental tracking database. + Ensures that all complaint , appeal and grievance time frames are met as… more
- MyFlorida (Tallahassee, FL)
- SENIOR CONSUMER SERVICE ANALYST - 41000554 Date: Jan 27, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 844826 Agency: Office of the Attorney General Working Title: SENIOR CONSUMER SERVICE ANALYST - 41000554 Pay Plan: Career Service Position Number:… more
- UPMC (Moosic, PA)
- We have an exciting opportunity for a full-time Senior Medical Director to join our leadership team with UPMC Community Care! As Senior Medical Director, you ... invite you to learn more and apply today! The Senior Medical Director provides guidance for clinical operational aspects...prompt response and action at all stages of the complaint and grievance process. + Works with Provider Relations… more
- NextEra Energy (Juno Beach, FL)
- ** Senior Tax Planning Manager, Tax Controversy** **Date:** Feb 5, 2025 **Location(s):** Juno Beach, FL, US, 33408 **Company:** NextEra Energy **Requisition ID:** ... team today! **Position Specific Description** We are seeking a Senior Tax Planning Manager, Tax Controversy to become a...software * Experience with US and state income tax appeals process and tax litigation a plus * Energy… more
- Sharp HealthCare (San Diego, CA)
- …the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp Health ... from summary data of paid claims, encounters, authorization logs, complaint and grievance logs and other sources. + Achieves...CMO CPTAC and Peer Review Committees. + Partners with Senior Management including CMO and COO to prepare ongoing… more
- State of Colorado (Denver, CO)
- …around PBM enforcement and spread pricing; + Facilitating communication between division senior leadership and external stakeholders regarding the details of the PBM ... complaints received about PBMs or where PBMs are a party to a complaint received by the division. Minimum Qualifications, Substitutions, Conditions of Employment &… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …IA Job Type Full-time Job Number 25-01574 Agency 167 Department of Inspections, Appeals & Licensing - Iowa Office of Civil Rights Opening Date 12/17/2024 Closing ... full- and part-time administrative associates and clerk specialists. + Complaint Filing: Oversee the administrative requirements of the employment investigative… more
- US Coast Guard (Glen Burnie, MD)
- …procurement capabilities to support specific SFLC activities. The incumbent is a Senior Supervisory Contract Specialist who provides technical advice to the SFLC ... expected to attain and maintain an unlimited warrant. The incumbent supervises Senior Contract Specialists and program managers responsible for a variety of… more
- AIG (Jersey City, NJ)
- …rewarding and successful career. + Managing litigation from the filing of a complaint through appeals , including all steps in between: evaluating claims; ... meaningful on-the-job experiences and instructor-led masterclasses. Through exposure to senior leaders, mentoring circles, networking and volunteering, you will… more