Advanced Search
Title
Company
Description

Location:

  • Remote only
  • Exclude remote
  • All results

Focus Search:

appeals and grievance
appeals coordinator
grievance and appeals
ncqa
utilization management
managed care
cms
health plan
medicaid
medicare
claims
cases
complaints
coordinator
regulatory
clinical
reporting
processing
Active Date
  • Active Date
  • Relevance
All Jobs
  • All Jobs
  • Active
1-15 of 41,686 Jobs
Appeals and Grievance Specialist
Baylor Scott & White HealthTemple, TX
JOB SUMMARY The Appeals and Grievance Specialist performs reviews, within operational aspects, of the member and provider complaints, appeals and grievance cases for products for all lines of business.
Full-time
Grievance & Appeals Coordinator I
MedicarePacoima, CA
2 years grievance or appeals, claims or related managed care experience.
Supervisor, Appeals Grievance
Health Net of CaliforniaSanta Monica, CA
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 & Appeals Coordinator I
Centene CorporationWoodland Hills, CA
May coordinate the Grievance and Appeals Committee
Full-time
Nurse Appeals
AnthemDelray Beach, FL
Documents and logs appeal/grievance information on relevant tracking systems and mainframe systems.
Nurse Appeals
AnthemKerrville, TX
Documents and logs appeal/grievance information on relevant tracking systems and mainframe systems.
Medical Director - Work at Home
Humana Inc.Phoenix, AZ
May also engage in grievance and appeals reviews and/or condition committees.
Work from home
Manager Grievance/Appeals (II)
Anthem, Inc.Bloomfield, NJ
Responsible for management oversight of grievances and appeals departmental units to investigate, resolve, and respond to client/provider grievances/appeals and ensure compliance with regulatory requirements.
Grievance / Appeals Analyst I / II / Senior
Anthem, IncAlbany, NY
+ 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
Manager Grievance/Appeals (II)
Anthem, Inc.Somerset, KY
Responsible for management oversight of grievances and appeals departmental units to investigate, resolve, and respond to client/provider grievances/appeals and ensure compliance with regulatory requirements.
Grievances And Appeals Representative 4 - Work at Home / Remote EST And CST
Humana IncDavenport, IA
2 - 4 years of grievance and appeals experience
Remote
Grievance / Appeals Analyst I / II / Senior
Anthem, IncCincinnati, OH
+ 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
Manager Grievance/Appeals (II)
Anthem, Inc.Nashville, TN
Responsible for management oversight of grievances and appeals departmental units to investigate, resolve, and respond to client/provider grievances/appeals and ensure compliance with regulatory requirements.
Full-time
Manager Grievance / Appeals (II)
Anthem, IncMiddletown, CT
Responsible for management oversight of grievances and appeals departmental units to investigate, resolve, and respond to client/provider grievances/appeals and ensure compliance with regulatory requirements.
Full-time
Grievance / Appeals Analyst I / II / Senior
Anthem, IncMaitland, FL
+ 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