Lead Spec, Appeals

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 Medicare and...

Job Description***Remote and must live in the United States***JOB DESCRIPTIONJob 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...

Job DescriptionJob DescriptionJob Summary The Specialist, Member Rights serves as a member advocate within the agency. This position ensures that members are informed of their rights and supports members through mediation and problem solving with interdisciplinary teams (IDTs). Maintains and manages an accessible appeals and grievance system for members to...

Job DescriptionJob DescriptionAperto Property Management, Inc.is a full-service, fee-based apartment management company for conventional and affordable multi-housing communities. At APM, Inc., our mission is to simply be the best apartment management company in the United States and to provide quality management, professional service, and superior operating...

Your Role The Federal Employee Program (FEP) Care Management team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with their care including a multidisciplinary team and the member’s treating physicians. The Registered...

**IPS - Rubbercraft** is seeking a **NPI Production Scheduler** who will be responsible for New Product Introduction manufacturing scheduling. Activities may include: preparing NPI production schedules for the department and for each technician, expediting and scheduling material and tooling deliveries, and providing status reports for NPI projects through...

**TITLE** GOVERNMENT ADMINISTRATION MANAGER *** Reports to AMM Director of Administration. Individual is responsible for overseeing all aspects of AMM operations utilized to provide Fiscal Intermediary services to assigned Government contracts, Fiscal Intermediary clients, including maintaining communication with client leadership, resolving problems, and...

Job DescriptionJob Type:RegularPlains All American (PAA) is an industry-leading transportation and midstream provider specializing in transportation, storage, processing and marketing solutions for crude oil and natural gas liquids (NGLs). We own an extensive network of pipeline transportation, terminalling, storage and gathering assets in key crude oil and...

Job Title: Senior Specialist, Mechanical EngineeringJob Code: 11089Job Location: Palm Bay, FLJob Description: Seeking an Electronic Packaging / Mechanical Engineer with a minimum of 8 years of experience to work with a cross-functional team to develop Avionics systems Electronic Packaging. The position will follow the product from conceptualization through...

Job Summary: We are seeking a skilled and experienced Head Chef to lead our culinary team in creating delicious and visually appealing dishes. The Head Chef will be responsible for overseeing all aspects of kitchen operations, menu planning, and ensuring high-quality food production. **Duties**: - Plan and direct food preparation and culinary activities -...

Job Type:RegularPlains All American (PAA) is an industry-leading transportation and midstream provider specializing in transportation, storage, processing and marketing solutions for crude oil and natural gas liquids (NGLs). We own an extensive network of pipeline transportation, terminalling, storage and gathering assets in key crude oil and NGL producing...

SkyBridge Luxury & Associates is thrilled to announce our partnership with an exquisite luxury beachfront property in Huntington Beach. We are on the search for an experienced Food and Beverage Manager who will play a crucial role in elevating the dining experience to new heights. This opportunity is not just about managing a team; it's about leading with...

SkyBridge Luxury & Associates is thrilled to announce our partnership with an exquisite luxury beachfront property in Huntington Beach. We are on the search for an experienced Food and Beverage Manager who will play a crucial role in elevating the dining experience to new heights. This opportunity is not just about managing a team; it's about leading with...

SkyBridge Luxury & Associates is thrilled to announce our partnership with an exquisite luxury beachfront property in Huntington Beach. We are on the search for an experienced Food and Beverage Manager who will play a crucial role in elevating the dining experience to new heights. This opportunity is not just about managing a team; it's about leading with...

SkyBridge Luxury & Associates is thrilled to announce our partnership with an exquisite luxury beachfront property in Huntington Beach. We are on the search for an experienced Food and Beverage Manager who will play a crucial role in elevating the dining experience to new heights. This opportunity is not just about managing a team; it's about leading with...

The Web Developer/Designer will be responsible for overhauling our existing websites, focusing on user experience, design aesthetics, and functionality. Your goal will be to create visually appealing sites that are easy to navigate and optimized for converting visitors into leads and customers. Responsibilities: • Design, develop, and enhance websites to...

Job DescriptionJob DescriptionJob descriptionOur Client is looking for an Epic Tapestry Analyst.Consultant will design, build, test, and implement clinical application systems and will provide support to clinical users through knowledge of clinical processes, documentation needs, workflows, and clinical practice standards when adapting software to meet their...

Job DescriptionJob DescriptionWe’re looking for an enthusiastic, highly-motivated customer service representative to provide an excellent experience to our customers. Job seekers should have a background in service, and exceptional communication, listening, and problem-solving skills. If you love interacting with people and you’re interested in new...

Job DescriptionJob DescriptionThe Web Developer/Designer will be responsible for overhauling our existing websites, focusing on user experience, design aesthetics, and functionality. Your goal will be to create visually appealing sites that are easy to navigate and optimized for converting visitors into leads and customers.Compensation:$20 - $25...

Job Type:RegularPlains All American (PAA) is an industry-leading transportation and midstream provider specializing in transportation, storage, processing and marketing solutions for crude oil and natural gas liquids (NGLs). We own an extensive network of pipeline transportation, terminalling, storage and gathering assets in key crude oil and NGL producing...