Director Member and Provider Appeals

Responsible for all activities associated with appeal analysis, decision-making and closure as described below:Appeal Intake Validate intake determinations regarding timeliness, member benefits, employer group, and provider contract provisions for Appeals Specialist, Appeals, Specialist, Processing, Healthcare, Medical, Information

More Information about this Job: IMMEDIATE OPENING      Medical Billing-Revenue Cycle – Appeal Specialist     The Appeal Specialist supports the functions of the Revenue Cycle Appeal team by assisting in the review of denied and underpaid claims for the formal appeal and dispute process with the payor. Responsibilities include, but are not...

The Diocese of Kansas City-St. Joseph, Missouri is seeking an Executive Director of Stewardship and Development who is responsible for planning and directing a comprehensive stewardship and development program for the Diocese. This includes stewardship education on time, talent, and treasure; annual Diocesan/Bishops appeal; annual fundraising activities,...

The Diocese of Kansas City-St. Joseph, Missouri is seeking an Executive Director of Stewardship and Development who is responsible for planning and directing a comprehensive stewardship and development program for the Diocese. This includes stewardship education on time, talent, and treasure; annual Diocesan/Bishop’s appeal; annual fundraising activities,...

The Diocese of Kansas City-St. Joseph, Missouri is seeking an Executive Director of Stewardship and Development who is responsible for planning and directing a comprehensive stewardship and development program for the Diocese. This includes stewardship education on time, talent, and treasure; annual Diocesan/Bishop’s appeal; annual fundraising activities,...

The Diocese of Kansas City-St. Joseph, Missouri is seeking an Executive Director of Stewardship and Development who is responsible for planning and directing a comprehensive stewardship and development program for the Diocese. This includes stewardship education on time, talent, and treasure; annual Diocesan/Bishop’s appeal; annual fundraising activities,...

Director of Fermentation Summary Our client, a venture funded, sustainable aviation fuel development company has engaged GForce Life Sciences to provide an experienced Director of Fermentation to join their expanding team. This individual will orchestrate the scientific and operational aspects of fermentation, impacting quality, product performance, and...

This position has the ability to be part-time of full-time. The food services director will oversee all aspects of the Child Nutrition Program (CNP) operation of a local charter school with approximately 300 students.The job functions include administrating, planning, directing assessing, implementing, and evaluating the program in order to meet the...

Join our dynamic team at Petzl America, a leading brand in the outdoor and industrial industries dedicated to providing tools, techniques, and ideas that minimize risk while enabling access to the inaccessible. As we continue to evolve and thrive, we are seeking a strategic and experienced Finance Director to drive financial performance and guide our company...

**Director of MDS** A nursing home is seeking a Director of MDS. The Director of MDS is responsible for the overall successful completion of the MDS process from admission to discharge in accordance to company policy and procedure, State and Federal guidelines, and all other appropriate entities. **Responsibilities and Duties**: - Ensure collection of...

Job DescriptionJob DescriptionJob purposeThe Director of IT manages and directs the information technology operations of Holiday Oil, Cottonwood Distribution and Holiday Trucking while driving continuous improvement through thoughtful analysis, strategy development and implementation to support the growth and operations of these companies.Duties and...

Job DescriptionJob DescriptionJoin our dynamic team at Petzl America, a leading brand in the outdoor and industrial industries dedicated to providing tools, techniques, and ideas that minimize risk while enabling access to the inaccessible. As we continue to evolve and thrive, we are seeking a strategic and experienced Finance Director to drive financial...

**Creative Director- Retail Media Network** - All Openings Location: Salt Lake City, UT. Company Description: Merkle is a leading data-driven, technology-enabled, global performance marketing agency that specializes in the delivery of unique, personalized customer experiences across platforms and devices. For more than 30 years, Fortune 1000 companies and...

Director of MDS A nursing home is seeking a Director of MDS. The Director of MDS is responsible for the overall successful completion of the MDS process from admission to discharge in accordance to company policy and procedure, State and Federal guidelines, and all other appropriate entities. Responsibilities and Duties: Ensure collection of resident...

Job Type Full-time Description Company Overview Biomerics is a world-class manufacturer and innovative polymer solutions provider for the medical device and biotech industries. As a vertically integrated company, we specialize in designing, developing, and producing medical devices for diagnostic and interventional procedures. We are focused on...

Server in Salt Lake City, UT at Utah University Center Club **Location:** **Job Description** Server *Responsible for providing food and beverage STAR Service to Members and Guests while consistently displaying the Three Steps of Service at every opportunity. Work closely and coordinate with other team members to ensure Member/Guest satisfaction and...

[Janitor / Custodian] - Competitive Pay and Benefits / Flexible Hours / Employee discounts on hotel stays and other services / Exceptional Training Program - Hotel Cleaning Services is a leading provider of comprehensive cleaning solutions for hotels and hospitality establishments. They are seeking detail-oriented and diligent individuals to join their team....

Job DescriptionJob DescriptionThe Wellness Director is responsible for guiding patients towards healthy lifestyle behaviors primarily through medical exercise prescription. The Wellness Director works in tandem with Physical Therapists, and Dietitians to provide patients with a collaborative team approach to addressing whole health. With access to...

Job DescriptionJob DescriptionThe Wellness Director is responsible for guiding patients towards healthy lifestyle behaviors primarily through medical exercise prescription. The Wellness Director works in tandem with Physical Therapists, and Dietitians to provide patients with a collaborative team approach to addressing whole health. With access to...

SEARCH Group Partners, a premier recruiting firm, is looking for Director, Human Resources, for one of our clients located in Salt Lake City, UT. This is a hybrid position, working in the office 3 days a week. Our client is looking for a strong business partner! This role will be a key driver of leadership culture, providing strategic direction to and...