Grievance and Appeals Coordinator

Created grievance and appeals cases in the G&A system and sends acknowledgement letters to members and providers. Required Qualifications. Data Entry Skills. Preferred Qualifications. Organized, ability to multi-task, Detail oriented. Education. High Appeals, Intake, Coordinator, Retail, Administrative, Benefits

Complete escalated Grievance and Appeal cases submitted by state and federal regulatory bodies. Required Qualifications. Grievance and Appeals Experience. Preferred Qualifications. Compliance experience Education. High School Diploma or GED Required. Analyst, Technology, Retail, Benefits

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we...

JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential.  HCS staff work to ensure that patients progress...

JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress...

Description Battle Ground Academy seeks a proven BGA Fund Coordinator to join its staff in The BGA Fund Coordinator is integral to the Advancement Office and advancing the mission of Battle Ground Academy. This professional will report to the Assistant Head of School for Advancement and oversee the daily programs and initiatives of the Development Office...

Hey there! We are GoldOller! We are seeking a talented and driven Marketing Coordinator to join our esteemed team. If you're a detail-oriented professional who is passionate about crafting compelling marketing strategies and executing impactful campaigns, we want to hear from you. Personal Qualities: On-ground enthusiast with a flair for local market...

Job Description Job Description Hey there! We are GoldOller! We are seeking a talented and driven Marketing Coordinator to join our esteemed team. If you're a detail-oriented professional who is passionate about crafting compelling marketing strategies and executing impactful campaigns, we want to hear from you. Personal Qualities: On-ground enthusiast with...

Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr-accessibleapplication@osu.edu. If you have questions while submitting an application, please review these frequently asked questions. Current Employees and Students: If you are currently employed or enrolled as a student at The Ohio State...

Job DescriptionJOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential.  HCS staff work to ensure that...

Summary About the position: This position will be assigned to Columbus AFB, MS. This is a Regular Full Time (RFT) position with benefits (medical, dental, life insurance, retirement, 401(k), and annual/sick leave. Duties Responsible for the overall economic and efficient operation of the Outdoor Recreation Program. Administers the business,...

GENERAL PURPOSE Establishes staffing patterns and schedules for nurses and nursing assistants. Works with human resources to advise them of staffing needs, terminations, and other information necessary for the smooth flow of work regarding employees. Interprets human resource policies for nursing staff. Essential Job Functions: •May assists in or prepare...

Emerald Nursing and Rehab Columbus - GENERAL PURPOSE Establishes staffing patterns and schedules for nurses and nursing assistants. Works with human resources to advise them of staffing needs, terminations, and other information necessary for the smooth flow of work regarding employees. Interprets human resource policies for nursing staff. Essential...

Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr-accessibleapplication@osu.edu. If you have questions while submitting an application, please review these frequently asked questions. Current Employees and Students: If you are currently employed or enrolled as a student at The Ohio State University,...

Job DescriptionJob DescriptionJOB TITLE:Relationship CoordinatorLOCATION:Corporate Center, Whitehall, OHSTATUS:Full time; Part timeFSLA JOB CLASS:Non-exemptREPORTS TO:Agribusiness Team LeadREQUIRED TRAVEL:25%DIRECT REPORTS:NoneRECRUITER:N/A If working for a company with an empowered group of individuals dedicated to the financial well-being of their...

* Act as liaison between managed care organizations and the facility professional clinical staff. * Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. * Monitor patient length of stay and extensions and...

About Us: The Ohio Casino Control Commission has the responsibility to ensure the integrity of casino gaming, sports gaming, skill-based amusement machines and fantasy contests by licensing, regulating, investigating and enforcing state laws. What We Do: The Ohio Casino Control Commission is a bipartisan regulatory body made up of seven Commissioners, an...

Provide guidance and support to Director for Home Based and Early Intervention systems. Coordinate with Director, Associate Directors and staff. Supervises Home Based staff; screens, interviews and recommends applicants for hire; recommends assignments, transfers, promotions, disciplinary actions, grievance resolutions and other personnel actions; evaluates...

Job DescriptionJob DescriptionTemp Service Coordinator (Summer Only) $18-$20/hrFounded in 1976, Custom Air has grown into a premier contractor by believing in and delivering on the philosophy of “Doing what’s Right” for our customers and our employees. Our team environment provides opportunities for our employees to continue to improve and grow while...

Job DescriptionJob Description Job Description: Under the direction of the Real Estate Manager, the Leasing Associate is responsible for maximizing occupancy by generating qualified traffic, networking within the local community, scheduling appointments, securing rentals, promoting resident retention, and providing or coordinating exceptional customer...