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Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope.
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They will engage in continuous learning and become increasingly familiar with the health plan grievance and appeals processes over time. The Junior Grievance Coordinator is a supportive member of the Grievance and Appeals team, ensuring AlohaCare members and providers of compliant, ethical, and timely resolution of their grievance or appeal.
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Represent the Hotel and act as the spokesperson at grievance and mediation hearings. Educate and guide managers and supervisors through the grievance process and on contract interpretation.
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Represents the University in federal and state court in litigation matters, including, but not limited to, such matters as civil suits, torts, contracts, employment, discrimination, constitutional violations, student affairs, and public records, including appeals.
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Comprehensive benefits package including medical, dental, vision, other voluntary health benefits and 401k with company match. Playfly Aspire, an affiliate of Playfly Holdings, LLC, is an award-winning sports and entertainment marketing firm that is globally recognized for innovative ticket and sponsorship sales, consulting, and research services.
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Represents the University in administrative hearings or other proceedings in matters involving external agencies, including but not limited to Hawai i Labor Relations Board, Labor Appeals Board, Hawai i Civil Rights Commission, U.S. Equal Employment Opportunity Commission, Office of Civil Rights, State Land Use Commission, Board of Land and Natural Resources, State Ethics Commission, Office of Information Practices and federal agencies funding research.
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Health and welfare benefits for eligible employees (Medical, Dental, 401k and more!) Albertsons Companies is committed to bringing people together around the joys of food and to inspire well-being by transforming the grocery and pharmacy-health experience for our customers.
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The position is responsible for independently performing highly specialized legal duties and for providing legal advice and counsel to the Chief Judge and/or Associate Judges of the Intermediate Court of Appeals on matters that affect the State of Hawaii’s legal and judicial system and community, the general public, and Judiciary court operations.
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In addition, The Estée Lauder Companies offers a variety of benefits to eligible employees, including health insurance coverage, wellness and family support programs, life and disability insurance, retirement savings plans, paid leave programs, education-related programs, paid holidays and vacation time, and many others.
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Responsible for the oversight of 4 departments, and growth of directors and associate director, fully developing leaders of leaders: Case Management, Disease Management / Personal Nurse, Utilization Management / Appeals, and Experience and Optimization team.
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The Company operates stores across 34 states and the District of Columbia with 24 banners including Albertsons, Safeway, Vons, Jewel-Osco, Shaw's, Acme, Tom Thumb, Randalls, United Supermarkets, Pavilions, Star Market, Haggen, Carrs, Kings Food Markets and Balducci's Food Lovers Market.
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We make investments in for-profit companies, provide grants to non-profit organizations, advocate on policy and regulatory issues, and we sometimes act as a catalyst or convener around critical issues related to local food production, renewable energy, clean transportation choices, and fresh water resources.
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Albertsons Companies Inc. has always been a people-oriented business, and thoughtful people practices remain a core element of our company’s philosophy. Albertsons Companies is a leading food and drug retailer in the United States.
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Collaborate with other departments (e.g. Registrar's Office, Counseling and Behavioral Health, Residence Life, Security) on student concerns and issues. Facilitates alternative forms (i.e., mediation, restorative justice) of dispute resolution, when appropriate, and consult with the Dean of Students, Title IX Coordinator, and legal counsel regarding complex higher education legal and regulatory issues.
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Positioned at the nexus of popular culture and kama‘aina tradition, HoMA appeals to a wide and inclusive audience. The Marketing and Communications Manager, reporting directly to the Chief Communications Officer, is responsible for the development and execution of all marketing and communications activities for the Honolulu Museum of Art, including media relations, advertising, digital content, social media, and audience development efforts.
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grievance and appeals jobs Title: health Company: Association For Community Affiliated Plans in Honolulu, HI
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