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  • JOB DESCRIPTION Job Summary Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) ...

    Molina Healthcare — 2024-06-03  
  • JOB DESCRIPTION Job Summary Responsible for reviewing and resolving member and provider complaints/disputes and communicating resolution to members and provider (or authorized ...

    Molina Healthcare — 2024-06-18  
  • Candidates must reside in California or be in PST.  JOB DESCRIPTION Job Summary Responsible for reviewing and resolving member and provider complaints and communicating resolution ...

    Molina Healthcare — 2024-05-24  
  • JOB DESCRIPTION Job Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving ...

    Molina Healthcare — 2024-06-14  
  • Job Description Summary: Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors ...

    CHRISTUS Health — 2024-06-17  
  • Job Description Summary: Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors ...

    CHRISTUS Health — 2024-06-17  
  • JOB DESCRIPTION Job Summary Responsible for continuous quality improvements regarding member engagement and member retention.  Represents Member issues in areas involving ...

    Molina Healthcare — 2024-05-25  
  • Claims Appeals Specialist Houston, Texas

    Job Description Job Description Who we are: ManhattanLife Insurance and Annuity Company was founded in 1850, the Company’s longevity makes it one of the oldest and most reliable ...

    ManhattanLife Insurance & Annuity Company — 2024-06-18  
  • Commercial HVAC Technician San Antonio, Texas

    Job Description Job Description LOD Staffing has openings for HVAC Technicians The HVAC Technician is responsible for installing, maintaining, and repairing heating, ventilation, ...

    LOD Staffing — 2024-06-13  
  • Senior Project Manager Tucson, Arizona

    Job Description Job Description RICK is seeking a confident professional to be a part of our Tucson office If you are looking for a place to grow your career and make a difference ...

    RICK ENGINEERING COMPANY — 2024-06-17  
  • Job Description Job Description Salary: $20-$23 dollars per hour DOE Senior PsychCare has an immediate opportunity for a Revenue Cycle Specialist II to support our Billing ...

    Senior PsychCare — 2024-06-13  
  • RN Appeals Writer Atlanta, Georgia

    Description Appeal Experience REQUIRED Responsible For Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective ...

    Piedmont — 2024-06-18  
  • Academic Labor Relations Specialist Pittsburgh, Pennsylvania

    Academic Labor Relations Specialist The University of Pittsburgh, a prestigious research institution committed to academic excellence and fostering a supportive, inclusive ...

    University of Pittsburgh — 2024-06-15  
  • Lead Plant Operator Fountain Valley, California

    DESCRIPTION What do you value in your next job? At the Orange County Sanitation District our Core Values form the framework of our organization and reinforce our professional ...

    Orange County Sanitation District — 2024-06-09  
  • Regulatory Generalist Colville, Washington

    Regulatory GeneralistCATEGORY: Regulatory, Compliance, ContractsREQUISITION NUMBER: REGUL001267LOCATION: Colville, WA 99114, USAPostRegulatory GeneralistJob Category: Regulatory, ...

    Delta Dental of Washington — 2024-06-02  
  • JOB DESCRIPTION Job Summary Responsible for serving as the primary liaison between administration and medical staff.  Assures the ongoing development and implementation of ...

    Molina Healthcare — 2024-06-18  
  • JOB DESCRIPTION Job Summary Responsible for serving as the primary liaison between administration and medical staff.  Assures the ongoing development and implementation of ...

    Molina Healthcare — 2024-06-14  
  • Medical Director-WA Pediatrician Bothell, Washington

    JOB DESCRIPTION Job Summary Responsible for serving as the primary liaison between administration and medical staff.  Assures the ongoing development and implementation of ...

    Molina Healthcare — 2024-06-14  
  • JOB DESCRIPTION Job Summary Responsible for serving as the primary liaison between administration and medical staff.  Assures the ongoing development and implementation of ...

    Molina Healthcare — 2024-05-30  
  • RN Appeals Writer (Government Audit) Lenox Square Finance, Georgia

    Description: RESPONSIBLE FOR: Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective narratives for Medicare ...

    Piedmont Healthcare Corporate — 2024-06-18  

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