Appeals & Grievances Coordinator - Mass State, Southborough, MA, US

This is an exciting place to be within the healthcare industry. · Handle a large volume of incoming grievances (both formal and informal) from receipt through resolution. · ...

The Appeals and Grievances Coordinator will coordinate process and document all aspects of member appeals grievances as well as provider appeals across all our product offerings Commercial Medicaid Medicare. · Bachelor's Degree Related Field of Study preferred · ...

+The Appeals and Grievance Coordinator will coordinate, process, and document all aspects of member appeals and grievances, · as well as provider appeals across all our product offerings (Commercial, Medicaid and Medicare). · ...

We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. · Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a ...

The incumbent will coordinate, process, and document all aspects of member appeals and grievances across our product offerings. Responsible for documenting and owning the life cycle of all member appeals and grievances and provider appeals. · ...

Join our client's team as an Appeals & Grievances Coordinator and play a vital role in ensuring seamless resolution processes for member grievances and appeals within our innovative health plan. · Manage a high volume of incoming grievances and appeals from initiation to resoluti ...

+Join our client's team as an Appeals & Grievances Coordinator and play a vital role in ensuring seamless resolution processes for member grievances and appeals within our innovative health plan. · +Manage a high volume of incoming grievances and appeals from initiation to resolu ...

We are hiring a full-time Unit Manager to join our dynamic care team at Marlborough Hills Rehabilitation & Health Care Center · Shift is Monday-Friday 8a-4p with weekly pay. · Here at Athena Health Care Systems, our employees are the heart of our organization, and we take immense ...

We are hiring a full-time Unit Manager to join our dynamic care team at Marlborough Hills Rehabilitation & Health Care Center. · Working with our team and residents will give you purpose in your professional and personal life. · Here at Athena Health Care Systems, our employees a ...

+The Sr Manager Clinical Services manages and oversees the daily functioning of all direct reports supporting assigned contracted clinical work. · +Provide supervision and daily guidance to clinical managers and lead staff ensuring that the service provided meets or exceeds clini ...

This position may have a signing bonus available. · A member of the Recruitment Team will confirm eligibility during the interview process. · Facilitates implementation of the nursing process by providing support and direction and by acting as the clinical and administrative reso ...

This position oversees nursing staff throughout the hospital with full authority to make decisions regarding nursing practice within established policies. · ...

Brief Description · Who We Are: · ECI's mission is to be the global leader of professional consulting services for the life sciences industry. Our clients lean on our diverse perspectives and decades of expertise to tackle their toughest challenges and we take pride in providing ...

We are hiring a full-time Unit Manager to join our dynamic care team at Marlborough Hills Rehabilitation & Health Care Center · Shift is Monday-Friday 8a-4p with weekly pay. · Here at Athena Health Care Systems, our employees are the heart of our organization, and we take immense ...

+Job summary · Under the direction of the Director, Clinical Services, the Sr. Manager, Clinical Services manages and oversees the daily functioning of all direct reports supporting assigned contracted clinical work.+ · +This position is also responsible for ensuring compliance w ...

The Sr. Manager, Clinical Services manages and oversees the daily functioning of all direct reports supporting assigned contracted clinical work. · This position is also responsible for ensuring compliance with all applicable state and federal laws and regulations and necessary p ...

The Social Worker will assist in overseeing the development, implementation, supervision and ongoing evaluation of the Social Services Department designed to meet and attain residents highest practicable well-being. · ...

The SE Office Coordinator has overall responsibility for all daily front office functions. Responsible for the maintenance of records of transportation for the members of the program and maintain a good relationship with our transportation vendor. · Fallon Health provides equal e ...

About us: · Fallon Health is a company that cares. · We prioritize our members--always-making sure they get the care they need and deserve. · Greet participants and public with positive demeanor. · Answer telephone calls; direct calls to appropriate staff; transcribe and convey m ...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. · Exemption Status: · ExemptHiring Range: · $86, $156,520.00Please note that the final offer may vary within this range based on ...