- CVS Health (Montgomery, AL)
- …to make health care more personal, convenient and affordable. **Position Summary** The Supervisor will assist in the hiring and managing of the Medicare Complaints ... Team staff. The Supervisor Manager must possess outstanding people skills, exercise good judgement, and contribute to a team environment. Ability to build positive… more
- Point32Health (TX)
- …colleagues and communities. **Job Summary** Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance ... the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works… more
- LA Care Health Plan (Los Angeles, CA)
- …experience in Managed Care with specific experience in resolving member and provider complaint and appeals issues, including eligibility, access to care, claims, ... Customer Solution Center Appeals and Grievances Specialist II Job Category: Administrative,...Monitors closure of complaints and works with Quality Control Supervisor to resolve all database issues. Prepare and analyze… more
- 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 and other...Federal and State Regulations. Complete individual summary scorecards for Supervisor feedback. + Track monthly scores on spreadsheet and… more
- State of Colorado (Denver, CO)
- …still be required to report to the listed address at the discretion of the supervisor and based on business need. Although the full salary range for this position is ... documents, and updating emission inventory systems. Discuss any alleged violations with the supervisor and the source so issues of non- compliance are resolved as… more
- State of Colorado (Greeley, CO)
- …livestock as mandated by Colorado statute upon direction from the immediate supervisor . + Issues inspection certificates and compiles permanent record of inspection ... State regulation within jurisdiction as directed from the immediate supervisor . + Position computes and reconciles inspection fees, minimum...May issue a violation warning, or a summons and complaint notice to anyone who has violated the brand… more
- State of Colorado (Denver, CO)
- …will still be required to report to the listed address at the discretion of the supervisor and based on business need. Be BOLD and make a real difference We are ... oversight of contracts with local agencies which may include inspections, complaint investigations and/or general open burning permits. The Compliance Monitoring… more
- Veterans Affairs, Veterans Health Administration (Asheville, NC)
- …and refers others, such as possible disciplinary actions, formal grievances and appeals , to the supervisor ; Communicates team consensus and recommendations to ... on work in progress, and reviews completed work to see that the supervisor 's instructions on work priorities, methods, deadlines, and quality have been met; Serves… more
- State of Colorado (Denver, CO)
- …work occasional evening, night, weekend, or holidays depending upon circumstances of survey or complaint . + Must be able to lift and carry up to 45lbs. of equipment ... Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel...to the listed address at the discretion of the supervisor and based on business need. Please click "Yes"… more
- State of Colorado (Lakewood, CO)
- …type letters and send to customers, and communicate with Air Care Colorado's complaint personnel + Process all emissions waiver requests, entering the data in a ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information Equity,… more