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We are seeking a talented Grievance & Appeals Specialist who will be responsible for responding to written/verbal grievances, complaints, appeals, and disputes submitted by members and providers in accordance with NCQA, CMS, State, and other regulations.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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The Customer Service Representative provides assistance to passengers and crew throughout the different stages of travel through our Jet Aviation FBOs. This position serves as the main point of contact for service requests, inquiries, suggestions, and complaints.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Primary responsibilities will include greeting and directing guests within the Calvin Klein Club premium service area VIP entrance, VIP coat check, and The Vault; conducting sweeps, providing wheelchair escorts, operating elevators, and responding to guests' questions, comments, and complaints.
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Senior Grievance and Appeals Specialist. Knowledge of Medicare/Medicaid Grievance and appeals process. Lead investigations and responses to SDOH (State Department of Health) and CMS (Center of Medicaid and Medicare) complaints.
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Maintain and Provide Oversight of Quality Assurance Systems including: Deviations and Investigations; Corrective and Preventive Actions; Product Complaints; Change Control; Document Control; and GxP Training.
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The NYU Student Health Center is seeking a per-diem dermatologist (7 - 14 hours per week) to provide consultations on referral from our primary care services for common problems including acne, psoriasis, pigmented lesions, and other presenting complaints.
$170 an hourExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Reports necessary complaints and partners with CSM/NRC to ensure full resolutionFiles weekly site visit and customer contact reports for service improvement purposesEducates and trains physicians and hospital personnel – OR, Radiology, Central Sterile Processing, Biomedical and Information Technologies – ontechnical matters relating to our technology-enabled procedures.
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Meets performance measurement goals for Grievance and Appeals Resolution Services. Evaluates case details, proposes recommendations, or makes decisions as applicable; ensures organization decision is implemented according to the Grievance and Appeals policies and case resolution.
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Keeps Building Manager informed at all times in the areas of: property conditions, tenant complaints, suggestions for improvement of property performanceAnswer telephones, make copies, scans, and faxes, distribute incoming mail and faxes, and other general clerical functions for the property.
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NYSIG, including the duty to receive and investigate complaints from any source concerning allegations of corruption, fraud, criminal activity, conflicts of interest or abuse in the Gaming Commission.
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Act as manager on duty for the hotel in the absence of the Front Office Manager dealing with complaints, problem-solving, disturbances, special requests, and any other issues that may arise. Our client, a luxury hotel in Manhattan, is looking for an experienced Hotel Front Desk Manager to join their team for a few months.
TemporaryExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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At the direction of the Safety Director, conduct special inspections and respond to emergencies, accidents, incidents, complaints, severe weather issues, cranes and special projects during normal work hours, nights, weekends and/or holidays as needed.
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Fosters a healthy and collaborative relationship with the Union members in Green Bay,Represent company in grievance meetings, contract negotiations and other labor relations activities. Job Summary:Reporting directly to the CEO/President, ensures efficient, effective, and productive operations of the purchasing, inventory management, warehouse, logistics, service, warranty administration, and dealer training.
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Sodexo is seeking a Labor Relations Director to manage labor relations activity across an assigned territory including leading labor negotiations, interpreting and administering collective bargaining agreements and grievance procedures, and building constructive union relationships.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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The Deputy Commissioner for Law Enforcement will also have oversight of the Law Enforcement Bureaus strategy for filing complaints on behalf of the agency to address patterns and practice of discrimination, and the litigation of matters before the Office of Administrative Trials and Hearings.
$165,000 - $185,000Full-timeExpandApply NowActive JobUpdated 6 days ago
grievance complaints jobs in Secaucus, NJ
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