appeals & grievance specialist Jobs - 371


Molina Healthcare - all cities,NY

**Job Description****Job Summary**Researches and documents Medicaid and Medicare Advantage denial determinations for reconsiderations/appeals in a thorough, professional and expedient manner. May include evaluation for medical necessity and...

Date : 2024-12-17T23:34:29Z

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Northwell Health - Melville,NY

Job Description Reviews and responds to Corporate Compliance Audits and serves as a resource for the Health System. Reviews denial trends and identifies coding issues and knowledge gaps. Job Responsibility Serves as liaison...

Date : 2024-12-22T06:31:32Z

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Win - Brooklyn,NY

Title of Position: Case Manager Department: Transitional Housing Reports to: Social Service Supervisor FLSA Status: Non-Exempt Salary: $25.22/hr. Positions reporting to this position: None Purpose of the Position The Case Manager is responsible for...

Date : 2024-12-21T20:04:17Z

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StateJobsNY - all cities,NY

Duties Description 1. Preside over administrative proceedings involving incarcerated individuals at assigned correctional facilities. 2. Arrange for witness testimony and documentary and video evidence. 3. Ensure that appropriate...

Date : 2024-12-21T09:02:22Z

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Trinity Health - Albany,NY

Job Description: Employment TypePart timeShiftDay ShiftDescriptionPosition Summary: In accordance with the St. Peter's Health Partners Mission and Values, develops, implements and evaluates a comprehensive program of lactation services across the...

Date : 2024-12-13T04:25:08Z

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StateJobsNY - Albany,NY

Duties Description STANDARD DUTIES: The incumbent assigned to the Human Resources Performance Management Unit (PMU) will serve as a liaison to provide assistance, advocacy, guidance and advice on all facets of Performance Management. The incumbent...

Date : 2024-12-17T23:36:08Z

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New York State Civil Service - Albany,NY

NY HELP YesAgency Labor, Department ofTitle Human Resources Specialist 1/Trainee 1/2 - Albany (NY HELPS)Occupational Category Other Professional CareersSalary Grade 18Bargaining Unit M/C - Managerial/Confidential (Unrepresented)Salary Range From...

Date : 2024-12-17T23:36:24Z

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State of New york - Rome,NY

Please note: State agencies that contact job applicants do not usually request personal or financial information via text message or over the phone in connection with your response to a job posting. If you are contacted for such information by these...

Date : 2024-12-17T23:36:45Z

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Capital District Physicians' Health Plan - Albany,NY

Grounded by a compelling mission, core values, and compassion for people, CDPHP and its family of companies offer a strong foundation for a rewarding career. Established in 1984, CDPHP is a physician-founded, member-focused, and community-based...

Date : 2024-12-17T23:34:34Z

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State of New york - Albany,NY

Please note: State agencies that contact job applicants do not usually request personal or financial information via text message or over the phone in connection with your response to a job posting. If you are contacted for such information by these...

Date : 2024-12-17T23:35:29Z

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