appeals and grievances representative, advanced-calpers Jobs - 373
Grievance and Appeals Clinical Specialist
VNS Health - New York,NY
Employment Type : Full-Time
Overview Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines - Managed Long-Term Care (MLTC), Medicare Advantage (MA), or Select Health. Ensures regulatory compliance,...
Client Director - SLED New York
Apex Systems - Albany,NY
Employment Type : Full-Time
CLIENT DIRECTOR – STATE OF NEW YORK WHO WE ARE Apex Systems is a leading global technology services business that incorporates industry insights and experience to deliver solutions that...
Dental Claims Review Analyst - Remote
EmblemHealth - New York,NY
Employment Type : Full-Time
Dental Claims Analyst Analyze, review, and process suspended claims, predetermination, and service requests based on industry standards and clinical guidelines. Research, analyze, and investigate member benefits, policy and procedures for...
Benefits Specialist
TransPerfect - New York,NY
Employment Type : Full-Time
OVERVIEW As part of the North America Benefits team, the Benefits Specialist will be responsible for administering and delivering best-in-class benefits for our employees. This role involves providing expert support...
Field Reimbursement Manager - New York
Amgen - New York,NY
Employment Type : Full-Time
Career Category Sales & Marketing Operations Job Description Join Amgen's Mission of Serving Patients At Amgen, if you feel like you're part of something bigger, it's because you are. Our shared mission—to serve patients living with...