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The Equal Opportunity Specialist 2 will be responsible for investigating complaints of discrimination in employment, benefits, and service. The Equal Opportunity Specialist 2 will be responsible for investigating complaints of discrimination in employment, benefits, and service.
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Proficient in Metavance, Formworks, and Pega (Grievance and Appeals) with an understanding of the clinical space. Proficient in Metavance, Formworks, and Pega (Grievance and Appeals) with an understanding of the clinical space.
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In-depth knowledge of all aspects of managed care medical management, including UM/CM, Grievance and Appeals, medical policy, clinical claims review (professional and facility), and delegated vendor oversight.
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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. May also engage in grievance and appeals reviews.
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Manages effectively the internal and external complaint process including but not limited to; compliance, PHRC, EEOC complaints. Education/Training: A BS or BA degree in Business, Communications, Human Behavior, or a related field of study normally required.
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Those functions may include but is not limited to the oversight and approval of laboratory protocols and reports, data review, batch record review, deviations, product complaints, change controls, and CAPAs using the quality management system.
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In addition, the Individual will be responsible for leading their Customer Care Location Team by strengthening internal & external customer relationships, on-boarding of new Customer’s and new Team members and addressing any and all Customer complaints in a timely & satisfactory manner.
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Develop solutions and responses to employee relations issues such as employee complaints, harassment allegations, and civil rights complaints. NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.
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The Quality Engineer will also function as a technical resource in deviations, defect analysis, complaints, establishing sampling plans, assessments, and protocols. Assist in root cause analysis of deviations/complaints.
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Respond to complaints from multiple sources including, but not limited to MCO, MA Provider Compliance Hotline, OMAPTips web site, letters, e-mail and phone. Coordinate cases with the Office of General Counsel (Legal Office) in preparation for testifying at provider hearings, potential face-to-face hearings and other court proceedings.
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Controls downtime of vehicles by receiving complaints and requests for equipment service, makes evaluations, makes service road calls to troubleshoot problems and make minor on-site repairs and, as required, makes arrangements to tow disabled vehicle back to shop for repair.
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Summary: The Customer Service Representative is responsible for providing excellent customer service to IPM guarantors who have questions or complaints regarding their IPM statement or other related aspects of the professional billing experience.
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Effectively manages union relations including hiring, discipline, rewards and recognition, and grievance handling with support from Human Resources. Knowledge of and adherence to all PCI, cGMP, and GCP policies, procedures, rules.
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Visiting our customer’s facilities primarily in North America but possibly South of the US/Mexican Border as well and their related Co-packers on a regular basis, fielding complaints, disposition of materials, documenting operating conditions of film and competitive activity are required.
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Notify Area Manager and/or member of the studio management team of any employee or client complaints or grievances, and assist the Area Manager to respond appropriately. Tour prospective clients through the facility, explain the [solidcore] workout in detail (including the science), and demo the workout.
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grievance complaints jobs in Harrisburg, PA
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