Senior Program Manager for Provider Grievances and Appeals

Job SummaryThe Senior Regulatory Program Manager will be responsible for managing Provider Grievances, Provider Appeals, and Provider State Fair Hearings for the Kansas Health Plan.This role will work closely with management to identify and implement varied projects, programs, and plans that support the achievement of business unit and enterprise goals.Key...

Nurse Appeals Role OverviewThe Nurse Appeals role at Elevance Health is responsible for investigating and processing medical necessity appeals requests from members and providers. This position requires a strong understanding of healthcare regulations and policies, as well as excellent communication and analytical skills.Key Responsibilities:Conducts...

Job SummaryThis position is responsible for administering and managing the Technology Assisted (TA) waiver program. The incumbent will develop and interpret regulations, policies, and procedures pertaining to this waiver, then develop and implement protocols for program management and service delivery.Key ResponsibilitiesDevelop and implement program goals,...

Job Title: Labor Relations DirectorJob Summary:Lead labor and employee relations programs, policies, and procedures. Establish and maintain positive and productive labor-management relations, negotiate contracts, interpret the collective bargaining agreements, and administer grievance procedures and arbitrations. Provide expertise and guidance on labor and...

Job SummaryAs a Senior Provider Network Manager at Elevance Health, you will play a critical role in developing and maintaining positive provider relationships within the provider community. This involves regular on-site visits, effective communication of administrative and programmatic changes, and the facilitation of education and the resolution of...

Job Summary:Elevance Health is seeking a skilled Senior Provider Network Manager to join our team. As a key member of our network management team, you will be responsible for developing and maintaining positive provider relationships, communicating administrative and programmatic changes, and facilitating education and the resolution of provider issues.Key...

Job Summary:The LTSS Concierge Coordinator is responsible for supporting individuals in specialized programs by developing, monitoring, and revising Service Coordination forms and tools, such as the Person-Centered Support Plan (PCSP), to ensure individuals meet their established goals in the setting of their choice and accessing quality health care services...

Job Summary:As a Provider Network Manager Sr at Elevance Health, you will play a crucial role in developing and maintaining positive provider relationships within our provider community. Your primary responsibilities will include regular on-site visits, effective communication of administrative and programmatic changes, and facilitating education and the...

Job Summary:This role will be responsible for answering incoming phone calls related to Unemployment Insurance Appeal Hearings and hearing registrations. The ideal candidate will use knowledge of the Appeals process to assist external parties to provide clear and accurate information.Key Responsibilities:Answer phone calls and inquiries regarding Appeal...

Job Summary:This role will be responsible for answering incoming phone calls related to Unemployment Insurance Appeal Hearings and hearing registrations. They will use knowledge of the Appeals process to assist external parties to provide clear and accurate information. This position will maintain accurate daily call logs and ensure timely submission at the...

Employment BenefitsComprehensive medical, mental, dental, vision, and additional coverageSick & Vacation leaveWork-Life Balance programs: parental leave, military leave, jury leave, funeral leavePaid State Holidays (designated by the Governor annually)Fitness Centers in select locationsEmployee discounts with theRetirement and deferred compensation...

Job Title: Senior Lead Product Privacy CounselAbout the Role:CrowdStrike, Inc. is seeking a highly skilled Senior Lead Product Privacy Counsel to join our global privacy team. As a key member of our team, you will work remotely, reporting into our Privacy & Public Policy team and partnering with CrowdStrike's Legal team to advise and guide our Engineering,...

Job SummaryWe are seeking a highly experienced and skilled Senior Program Manager to lead our Kansas Community Behavioral Health Clinics program. This is a key role in our partnership with KanCare and HealthyBlue Kansas, requiring a Kansas behavioral health licensure (LCSW, LSCSW, LMFT, etc) and five (5) years combined experience in mental health and SUD...

Certified Nursing Assistant (CNA) Job DescriptionCedarhurst Senior Living is seeking a compassionate and skilled Certified Nursing Assistant (CNA) to join our team. As a CNA, you will play a vital role in providing exceptional care and support to our residents, ensuring their physical, emotional, and social needs are met.Key Responsibilities:Assist residents...

Legend Senior Living - A Great Place to WorkLegend Senior Living is proud to be recognized as a Certified Great Places to Work 6 years in a row. We are seeking a dedicated and compassionate Certified Nursing Assistant (CNA) to join our team at Legend at Capital Ridge.ResponsibilitiesAssist with daily care of residents, including personal care, grooming,...

OverviewBrookdale Senior Living is committed to creating a workplace where our associates can thrive and grow. As a Wellness Coordinator LPN, you will play a critical role in ensuring the highest quality of care for our residents.ResponsibilitiesManage the day-to-day healthcare operations of the community to ensure residents' healthcare needs are met.Ensure...

Job SummaryMize CPAs Inc. is seeking a highly skilled Program Manager to oversee multiple business-critical initiatives and drive organizational success. As a key member of our team, you will be responsible for strategizing, implementing, and maintaining program initiatives that align with our organizational objectives.Key Responsibilities:Develop and...

Mize CPAs Inc. is a leading regional accounting and IT firm seeking a skilled Program Manager to join our team in Topeka and/or Overland Park, Kansas. As a Program Manager, you will oversee multiple business-critical initiatives to help the organization achieve its goals.The ideal candidate will have at least five years of experience in program/project...

Career Opportunity for Licensed Practical NurseCedarhurst Senior Living is seeking a dedicated and compassionate Licensed Practical Nurse to join our team. As a Licensed Practical Nurse, you will play a vital role in providing high-quality care to our residents, promoting their physical, personal, and emotional well-being.Key Responsibilities:Provide nursing...

About Brookdale RosehillBrookdale Rosehill is a leading provider of senior living services, dedicated to making a positive impact on the lives of our residents and associates. We are committed to delivering exceptional care and services that promote the well-being and dignity of our residents.Job SummaryWe are seeking a highly skilled and experienced RN Unit...