Lead Spec, Appeals

JOB DESCRIPTION Job Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member and provider complaints and communicating resolution to members or  authorized representatives in accordance with the standards and requirements established by the Centers for...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must reside within the state of Arizona. Position Purpose: Analyze and resolve...

We are looking for a Travel Special Procedures Tech Allied for a great Travel allied job in Louisville, KY.This Special Procedures Tech Travel allied job pays for 40 hours a week for 13 weeks. Below are the details of this Travel Allied Job including the Travel assignment salary:Specialty: Special Procedures Tech AlliedTravel Special Procedures Technologist...

We are looking for a Travel Special Procedures Tech Allied for a great Travel allied job in Louisville, KY.This Special Procedures Tech Travel allied job pays for 40 hours a week for 13 weeks. Below are the details of this Travel Allied Job including the Travel assignment salary:Specialty: Special Procedures Tech AlliedTravel Special Procedures Technologist...

Overview RN Special Projects Coordinator - Emergency Room Part Time, 48 Hours Per Pay Period, Day Shift Position Summary: Responsible for coordinating the Stroke Program at Morristown Hamblen Healthcare by working in conjunction with the Stroke Medical Director, Stroke Nurse Practitioner, Regulatory, Quality, and Hospital Administration to...

Elevance Health Medical Director Louisville , Kentucky Apply Now At Federal Health Products and Services - FHPS , a proud member of the Elevance Health, Inc. family of companies, it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our...

Our Company BrightSpring Health Services Overview Clinical Denials Management and Audit monitors, responds to, and performs the clinical denial and appeal processes across Home Health branches for all payor types striving to improve clinical documentation and minimize lost revenue. They conduct analysis on denials and appeals and identify trends that...

Overview:Yugo is the trusted name for student housing, globally. Every day we connect young people to opportunities and students to amazing spaces. Here at Yugo, we like to do things differently. It's about people, planet, and passion.We are looking for #Futureshapers who want to positively influence and shape the lives of others. We want the people who make...

Please use Google Chrome or Mozilla Firefox when accessing Candidate Home. By joining the American Red Cross you will touch millions of lives every year and experience the greatness of the human spirit at its best. Are you ready to be part of the world's largest humanitarian network? Join us-Where your Career is a Force for Good! Job Description: WHY...

Job DescriptionJob DescriptionAre you an experienced site civil engineer drawn working on complex projects? Consider an essential role as a Lead Engineer with The Kleingers Group. Our Louisville Development Group is looking for a Lead Engineer who can take professional responsibility for the outcome of design plans, setting the design strategy, leading...

At American Signature Inc., we believe everyone has the right to a well-furnished life. Every day, our customers embark upon their personal style journey—an adventure. To that purpose, we are committed to providing our customers with an easy and fun furniture shopping experience. The Visual Merchandiser is critical in ensuring we meet that goal, by...

Position Overview: We are currently seeking a talented Kitchen/Cabinet Designer to join our team. As Kitchen/Cabinet Designer, you will be responsible for creating customized cabinetry designs that meet the unique needs and preferences of our clients. Your creativity, attention to detail, and expertise in cabinet design software will be essential in...

Position Overview: We are currently seeking a talented Kitchen/Cabinet Designer to join our team. As Kitchen/Cabinet Designer, you will be responsible for creating customized cabinetry designs that meet the unique needs and preferences of our clients. Your creativity, attention to detail, and expertise in cabinet design software will be essential in...

The Shift Leader will be responsible for directing the overall operation of the restaurant and overseeing a team of employees that deliver exceptional guest service.As the day-to-day operator of the store, the Shift Leader is expected to:Create a positive working environment by fostering teamwork among Team Members through effective training, communication,...

The Department of Obstetrics and Gynecology and Womens Health at University of Louisville School of Medicine values a culture of diversity and inclusion and is seeking a full-time academic specialist in general obstetrics and gynecology to join our team. Applicants at all levels of experience will be considered. Successful candidates exemplify uncommon...

OverviewNovant Health Cardiology WS is looking for a RN Ambulatory Spec Lead to responsible for assisting Providers by preparing patients for medical exam, assessment, and telephone triage. In partnership with the clinic administrator, ensures implementation and success of NHMG goals, organizes and directs the clinical environment, and coordinates teams to...

Description As a Tech Specialist, you will: Have involvement in and oversight of monitoring of all customer facing environments across all platforms and business units Drive remediation of system and application issues in these environments Ensure escalation in a timely and efficient manner to appropriate next level of support following department...

OverviewWound Care Experience is Not Required. Expansion of Knowledge with Hypberbaric MedicineNovant Health is looking for a RN Ambulatory Spec Lead responsible for assisting Providers by preparing patients for medical exam, assessment, and telephone triage. In partnership with the clinic administrator, ensures implementation and success of NHMG goals,...

OverviewWound Care Experience is Not Required. Expansion of Knowledge with Hypberbaric MedicineNovant Health is looking for a RN Ambulatory Spec Lead responsible for assisting Providers by preparing patients for medical exam, assessment, and telephone triage. In partnership with the clinic administrator, ensures implementation and success of NHMG goals,...

Join Our Community of Food People!QUALITY AND DEDICATION BEGINS WITH OUR TEAM, SO JOIN CHEF’STORE TODAY!We work as one to help our customers.We offer competitive pay, Retail Sales Associates start at $19.81/HR!Schedule: Open availability and weekends required.ESSENTIAL DUTIES AND RESPONSIBILITIES  Ensure proper inventory levels, based on store capacity,...