Grievances and Appeals Coordinator - Detroit

Engagement Description · The Grievance and Appeals (G&A) Coordinator is responsible for processing appeals, grievances, complaints, and inquiries received from members, authorized representatives, and regulatory agencies. The Coordinator is expected to analyze the customer's conc ...

Engagement Description · The Grievance and Appeals (G&A) Coordinator is responsible for processing appeals, grievances, complaints, and inquiries received from members, authorized representatives, and regulatory agencies. The Coordinator is expected to analyze the customer's conc ...

The Grievance and Appeals (G&A) Coordinator is responsible for processing appeals, grievances, complaints, and inquiries received from members, · analyze the customer's concerns, · Analytical mindset- having the ability to examine a matter, · Excellent written and verbal communic ...

Grievance & Appeals Coordinator | Remote | Contract · Walker Healthforce is seeking a Grievance & Appeals Coordinator with 2+ years of experience. This is a 6-9 month contract opportunity. · CORE REQUIREMENTS: · 2 years in customer service/concierge services · Strong critical t ...

The Grievance and Appeals (G&A) Coordinator is responsible for processing appeals, grievances, complaints, and inquiries received from members, · Analytical mindset- having the ability to examine a matter, · Excellent written verbal communication skills, · Ability to analyze in ...

Health Alliance Plan is looking to grow their Medical Appeals Team with an experienced Registered Nurse. The position involves reviewing appeals for medical necessity using established medical criteria and working in partnership with Medical Directors. · ...

Job Description · PARALEGAL - MI · Support a small group of attorneys handling insurance defense cases. The ideal candidate will have experience handling Personal Auto: No-Fault/PIP, UM/UIM, & Bodily Injury cases · Location: Detroit, MI / Hybrid Role · Salary: $75K - $100K · Supp ...

The Court Clerk 3 will perform highly difficult, complex and responsible office work in the Court Services division of the Clerk's office. · Duties include but are not limited to handling complex public contact work, · reviewing and processing documents for completeness, · accura ...

The Court Clerk 3 will perform highly difficult, complex and responsible office work in the Court Services division of the Clerk's office. · Duties include but are not limited to handling complex public contact work, reviewing and processing documents for completeness, accuracy a ...

Under the direction of the Department Director or Manager, coordinates and facilitates operations in key department areas related to patient access for infusion authorizations. · ...

The Archdiocese of Detroit is seeking a mission-aligned professional to serve as the Associate Director of Parish Development. · This vital role will lead the development and implementation of strategic offertory campaigns to strengthen year-round giving at the parish level, · wh ...

Provides medical services to patients in an assigned area. · Evaluates and treats patients with appropriate medical diagnostic and treatment skills. · ...

Trustpoint is pleased to partner with a boutique appellate law firm in Detroit in their search for a Senior Appellate Attorney to join their expanding appellate group in a partner-track role. · ...

The Court Clerk will perform highly difficult and responsible office work in the Court Services division of the Clerk's office. Duties include handling public contact work and reviewing documents for completeness. · High school diploma; AND · At least five (5) years of full time ...

Join our client's MA Inpatient Precertification team and support high-quality patient care through comprehensive utilization review. · ...

We are looking for a talented Communications Specialist to join our team on a long-term contract basis in Detroit, · Michigan.This role requires a versatile and detail-oriented individual who can manage various aspects of communications, · including social media, website updates, ...

The Rehabilitation Institute of Michigan is seeking a Rehab Care Coordination Specialist to develop and supervise the implementation of interdisciplinary treatment plans for patients in the inpatient setting. · ...

The Department Budget Manager in the Wayne County Treasurer's Office is responsible for completing and monitoring compliance of the annual budget. · A Bachelor's degree in Business Administration Finance Accounting Public Administration or related field. · One year of full-time p ...

+The Individual Giving Manager is responsible for developing and executing individual giving strategy and overseeing day-to-day operations that strengthen donor engagement, retention, and long-term support for Belle Isle. · +Supervise the Development Coordinator's gift processing ...

Inpatient Precertification Nurse (RN) – Utilization Management Join our client's MA Inpatient Precertification team and support high-quality patient care through comprehensive utilization review. · Perform medical necessity reviews for inpatient, outpatient, ambulatory, and ancil ...