Envolve Dental-Tampa, FLEst. $47,000 - $62,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Lead Appeals and Grievance Committee. Correspond with key individuals regarding grievance and appeal decisions....

Health Net of California-Woodland Hills, CAEst. $24,000 - $34,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Maintain files on individual appeals and grievances. Prepare response letters for member and provider complaints, grievances and appeals....

Gaston Family Health Services-Gastonia, NCEst. $64,000 - $91,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Orientation of New PACE Participants and their Families through communication of the enrollment process, of participants’ rights, protection of health...

Tivity Health-Ashburn, VAEst. $34,000 - $46,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Assist in processing Grievances and Appeals (as needed). Track initial/concurrent service authorizations, denials, authorization gaps, and appeals status....

Blue Cross Blue Shield of Michigan-Detroit, MIEst. $43,000 - $55,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

A.Member rights, b.Timely decisions about appeals, c.Fairness of the health plan's appeal decisions based on an independent reviewer....

One Call Care Management-Jacksonville, FLEst. $41,000 - $60,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Provider Relations Coordinator I. Provider Relations Coordinator - Jacksonville Downtown. Gathers, analyzes and reports grievances against providers....

AmeriHealth Caritas-Philadelphia, PAEst. $38,000 - $51,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

The grievance coordinator coordinates 1st and 2nd level appeal committee meetings and does a summary of the meeting....

Health Net, a Centene company-Woodland Hills, CAEst. $23,000 - $32,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Maintain files on individual appeals and grievances. Prepare response letters for member and provider complaints, grievances and appeals....

Examination Management Services Inc.-Fort Worth, TXEst. $41,000 - $53,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Respond to provider inquiries, concerns, complaints, appeals, and grievances and take ownership of issues from receipt through resolution....

Moda Health-Portland, OREst. $29,000 - $39,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Support, track, maintain, and ensure data and documentation for member appeals, grievances, and complaints are provided within necessary timelines....

Medical Mutual of Ohio-Cleveland, OHEst. $51,000 - $68,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

The Medicare Pharmacy Coordinator. Maintain working knowledge of processes regarding new or updated CMS regulations, Coverage Gap Discount, appeals, grievances,...

Care1st Health Plan-Monterey Park, CAEst. $30,000 - $39,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Appeals and grievance:. Previous experience in appeals and grievance, utilization management, or member services....

Global TPA LLC-Tampa, FLEst. $24,000 - $35,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Appeals and Grievances Department. The Case Coordinator is responsible for the intake, research and completion of designated cases in Appeals and Grievances....

Partnership HealthPlan of CA-Fairfield, CAEst. $38,000 - $51,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Processes and appropriately resolves assigned grievances including complaints, appeals, and state hearings within mandated time frames....

Department of the Army-Grayling, MI $41,000 - $53,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

(5) Provides assistance and information pertaining to employee relations and labor relations matters to managers, supervisors, union officials and technicians...

Chinese Community Health Plan-San Francisco, CAEst. $44,000 - $61,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Maintain grievance and appeal case files in CCHP’s Access database. This position is responsible for supporting the member Grievances and Appeals (GA) process....

SCAN Health Plan-Long Beach, CAEst. $50,000 - $66,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

2+ years of pharmacy experience at a Pharmacy Benefit Management Company processing appeals, coverage determinations or grievances....

eviCore healthcare-FloridaEst. $31,000 - $43,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

The Quality Management Coordinator II is responsible for data entry, benefit verification, screening of all appeals dispute forms, retrospective claim reviews,...

Plaza Hotel & Casino, LLC-Las Vegas, NVEst. $50,000 - $63,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Assists with internal disciplinary and separation appeal process for non-represented employees. Assists with the grievance process, up to and including...

Plaza Home Mortgage-San Diego, CAEst. $25,000 - $35,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Plaza’s employees are also protected against retaliation if they engage in a protected activity, whistle blowing, or the exercise of any appeal or grievance...


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