Grievance and Appeals Resolution Specialist

Job Summary:Strategic Staffing Solutions is seeking a highly skilled Grievance and Appeals Coordinator to join our team. As a key member of our team, you will be responsible for processing grievances and organization determinations, analyzing and researching data, and providing comprehensive responses in accordance with established regulatory and...

Job Title: Grievance & Appeals CoordinatorAbout the Role:Strategic Staffing Solutions is seeking a skilled Grievance & Appeals Coordinator to join our team. As a key member of our team, you will be responsible for coordinating grievance and appeals processes for our clients.Key Responsibilities: Coordinate grievance and appeals processes Develop and...

Job DescriptionAs a key member of the Detroit Wayne Integrated Health Network team, the Customer Service Appeals Specialist plays a vital role in ensuring that the appeals process is carried out in accordance with local, state, and federal regulations. This position requires strong analytical and communication skills, as well as the ability to work...

Job Overview Bodman PLC is seeking a seasoned Conflict Attorney to oversee the firm's conflict of interest protocols and ensure compliance with ethical standards. Key Responsibilities The successful candidate will be responsible for reviewing daily conflict reports, identifying potential conflicts, and implementing resolutions. They will also work closely...

Job Summary: We are seeking a highly skilled Human Resources Generalist to join our team at ASM Global. The successful candidate will be responsible for managing a variety of HR functions to support the strategic initiatives of the organization. This role will focus on recruitment, labor relations, training administration, compliance with OSHA regulations,...

Job Summary:As a Prior Authorization Specialist at LanceSoft, you will play a critical role in supporting our clients' providers and UM reviewers with prior authorization requests for post-acute care services. Your expertise will be essential in manually entering authorization requests into our clients' Care Management systems, following rules and algorithms...

Job Title: Prior Authorization Specialist - Post-Acute Care CoordinatorJob Summary: We are seeking a skilled Prior Authorization Specialist to join our team at LanceSoft. In this role, you will be responsible for supporting clients' providers and UM reviewers with prior authorization requests for post-acute care services.Key Responsibilities:* Manually enter...

Adecco USA is assisting a client in their search for a skilled Medical Billing Specialist to work on a fully temporary onsite basis in Wayne, NJ. This role offers weekly pay starting at $28 an hour and requires a working knowledge of medical billing and claims processes.Key Responsibilities:Organize payments, handle denied claims, and follow-ups with...

Job Title: Clinical Review SpecialistUmanist Staffing LLC is seeking a highly skilled Clinical Review Specialist to join our team. As a Clinical Review Specialist, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services to ensure medical necessity, appropriate...

Job SummaryWe are seeking a highly skilled Tax Law Specialist to join our team at the Internal Revenue Service. As a Tax Law Specialist, you will be responsible for providing expert advice on tax laws and regulations to taxpayers and revenue agents.Key ResponsibilitiesProvide expert advice on tax laws and regulations to taxpayers and revenue agents.Analyze...

Job Title: Tech Image SpecialistJob Description:Valnet Tech Sites is seeking a skilled Tech Image Specialist to enhance the visual content and identity of our Consumer Tech portfolio, which includes Android Police, XDA, and Pocket-lint. As a Tech Image Specialist, you will create custom feature images daily for various content types, utilizing tools like...

Job Title: Medical CoderJob Summary:This role is responsible for coordinating activities within the clinical editing unit, focusing on the development, implementation, and decision-making related to clinical editing software. The successful candidate will analyze reports to determine appropriate payment levels based on standard billing practices and medical...

Job Title: PIP Litigation SpecialistWe are seeking a highly skilled PIP Litigation Specialist to join our team at NJ CURE.Job SummaryThe ideal candidate will be responsible for referring new suits to counsel, adjusting litigation pending, and negotiating settlements. This role requires a strong understanding of PIP regulations, excellent negotiation skills,...

Job Summary:CURE Auto Insurance is seeking a skilled IT Support Specialist to provide fast and effective technical support to our growing workforce. As a Technical Helpdesk Professional, you will be responsible for responding to inquiries, diagnosing and resolving computer hardware and software problems, and implementing effective solutions.Key...

Job SummaryFlex-N-Gate Corporation is seeking a skilled IT Support Specialist to ensure proper computer operations for end users. The ideal candidate will have strong organizational skills, excellent communication skills, and proficiency with database applications and administration systems.Key ResponsibilitiesAdminister a small, uniform site or assist in...

** Job Summary **The Food Preparation Specialist is a vital member of our culinary team, responsible for preparing, stocking, and maintaining the salad bar to ensure an appealing and clean display. This role involves preparing fresh ingredients, replenishing items, and ensuring that the salad bar meets quality and food safety standards.** Key...

Job Summary:The Medicare Part D Pharmacy Resident position at Emergent Holdings is designed to provide a comprehensive learning experience in the field of Medicare Part D pharmacy practice. As a resident, you will have the opportunity to work with a team of experienced professionals to develop and implement clinical pharmacy programs, manage formulary and...

Harvard Resource Solutions LLC is seeking a highly skilled Corporate Paralegal Specialist to join our team in Detroit. The ideal candidate will have a strong background in corporate law and be able to perform a variety of tasks, including reviewing and drafting legal documents, conducting research, and interacting with clients and other stakeholders.Key...

Job SummaryWe are seeking a highly skilled BIM Implementation Specialist to join our team at Flex Workforce Solutions. As a key member of our engineering team, you will be responsible for overseeing the implementation of Building Information Modeling (BIM) processes and technologies across our projects.Key Responsibilities:Lead the implementation of BIM...

Job SummaryAs a key member of the G-TECH Services team, the Business Operations Specialist will play a vital role in evaluating and recommending new production workflows, work processes, and systems to improve customer service levels and overall quality. This position requires strong analytical and problem-solving skills, as well as excellent communication...