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1-15 of 42,812 Jobs
Athletics: Team Manager
Covenant College StudentsLookout Mountain, GA
Seek to resolve differences in accordance with the scriptural patterns summarized in the Staff Manual policy on Fair Treatmen t as well as the Grievance and Appeals Procedure.
Full-time
Grievance / Appeals Analyst I / II / Senior
Anthem, IncMemphis, TN
+ Utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to nursing and/or medical staff for review.
Full-time
Medicare Sales Agent
Allyalign Health IncPico Rivera, CA
In this model, AllyAlign is responsible for administering the health plans, providing shared services such as member enrollment, call center, claims processing, authorization processing, financial services, compliance services and grievance and appeals administration.
Grievance / Appeals Analyst I / II / Senior
Anthem, IncBaton Rouge, LA
Utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to nursing and/or medical staff for review.
Registered Nurse RN Clinical Quality Analyst WellMed San Antonio TX
UnitedHealth GroupGonzales, TX
Sound knowledge of process flow of UM including prior authorization and/or clinical appeals and grievance reviews
blog.jobsearcher.com
14 Interview Tips to Help Smoothly Navigate Your Interviews

So, you worked hard to create a great resume and send it out to the right people. Now you got a call back. One of the employers wants to meet you and the job sounds great. 

Grievance And Appeals Analyst
Baylor Scott & WhiteBee Cave, TX
JOB SUMMARY The Appeals and Grievance Coordinator is responsible for intake into the Appeals and Grievances Department, including verbal and written complaints, grievances and requests for appeals that involve complex matters submitted by Members and Providers.
Grievance / Appeals Analyst I / II / Senior
Anthem, IncDenver, CO
+ Utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to nursing and/or medical staff for review.
Full-time
Grievance / Appeals Analyst I / II / Senior
Anthem, IncCary, NC
Utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to nursing and/or medical staff for review.
Full-time
Grievance & Appeals Coordinator
EPITECDearborn, MI
The Grievance and Appeals (G&A) Coordinator is responsible for processing appeals, grievances, complaints, and inquiries received from members, providers, authorized representatives, and regulatory agencies.
blog.jobsearcher.com
The Easy 2021 Guide to How to Make A Resume

When you apply for a job, your resume will be the first impression an employer gets of you, and we all know how important it is to make a great first impression!

Recruiter
Learning JungleCharlotte, NC
Organize and administer staff consultation and grievance procedures.
Full-time
Health Net of California: Supervisor, Appeals Grievance
Health Net of CaliforniaTarzana, CA
Position Purpose:The Supervisor of Appeals & Grievances is accountable for the recruitment, hiring, promotion, counseling, and daily supervision of Grievance and Appeals Specialists and administrative support as they receive, investigate and resolve member complaints, member grievances, and provider disputes.
Grievance And Appeals Specialist, Clinical (Remote)
Visiting Nurse Service of New YorkRussell, IA
Resolves grievances, appeals and external reviews for one of the following VNSNY CHOICE product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health.
Remote
Customer Support Rep
HealthCare TalentMontebello, CA
Provide assistance with inquiries such as eligibility, authorizations status, PCP changes, appeals and grievance intake, and various other inquiries.
blog.jobsearcher.com
The 5 Most Insightful Types of Questions to Ask Interviewers

An ideal interview is one in which there is a productive exchange between the interviewer and the candidate. Hence it is normal and expected for you to have some questions to ask interviewers. The interviewer usually opens the floor for this after they are done asking the major questions they have prepared. Many prospective candidates get so lost in selling themselves as the appropriate candidate for the job that they forget to prepare questions for the interviewer.

Trial Attorney
The Midtown GroupWashington, DC
Represents client in administrative hearings in various fora, including, but not limited to: Office of Employee Appeals, Office of Human Rights, Office of Administrative Hearings, Equal Employment Opportunity Commission, grievance hearings before hearing officers and arbitrators, and at times before the Office of the State Superintendent of Education(OSSE) hearing officers.
Full-time
Grievance And Appeals Analyst
Highmark HealthMarshall County, KS
Company : Highmark Inc. Job Description : JOB SUMMARY The job conducts and documents thorough investigations of all complaint and grievance case types, communicating resolution to members in accordance with Center for Medicare and Medicaid Services (CMS) requirements.

grievance appeals and grievance