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    Grievance and Appeal - Columbus, United States - CVS Pharmacy, Inc.

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    Description
    Complete escalated Grievance and Appeal cases submitted by state and federal regulatory bodies. Required Qualifications. Grievance and Appeals Experience. Preferred Qualifications. Compliance experience Education. High School Diploma or GED Required. Analyst, Technology, Retail, Benefits


  • CVS Columbus, United States

    Created grievance and appeals cases in the G&A system and sends acknowledgement letters to members and providers. Required Qualifications. Data Entry Skills. Preferred Qualifications. Organized, ability to multi-task, Detail oriented. Education. High Appeals, Intake, Coordinator, ...

  • C Vs Pharmacy

    Analyst, Complaint

    18 hours ago


    C Vs Pharmacy Columbus, United States

    Research and process grievances and appeals for Dual eligible members and providers. Perform outreach to obtain additional information. Interact with Medical Directors and Nurses as well as Leadership. Required Qualifications. Must have experience pr Appeals, Analyst, Medical Dir ...


  • State of Ohio Columbus, United States

    About Us: · The Ohio Casino Control Commission has the responsibility to ensure the integrity of casino gaming, sports gaming, skill-based amusement machines and fantasy contests by licensing, regulating, investigating and enforcing state laws. · What We Do: · The Ohio Casino Con ...


  • Forest Hills Center Columbus, United States

    PURPOSE OF YOUR JOB POSITION · The primary purpose of this position is to plan, organize, develop and direct the overall operation of the Human Resource Department in accordance with current federal, state, and local standards, guidelines, and regulations that govern the facilit ...


  • Hughston Clinic Columbus, United States Full time

    Position Goal · Manage all aspects of billing, and assigned staff and Billing Support Services to ensure prompt and accurate payment for claims including patient satisfaction. · Position Responsibilities Manages clinic claims for electronic or hard copy mail and forwards to app ...


  • Forest Hills Center Columbus, United States

    PURPOSE OF YOUR JOB POSITION · The primary purpose of this position is to plan, organize, develop and direct the overall operation of the Human Resource Department in accordance with current federal, state, and local standards, guidelines, and regulations that govern the facilit ...


  • Hughston Clinic Columbus, United States Full time

    Position GoalManage all aspects of billing, and assigned staff and Billing Support Services to ensure prompt and accurate payment for claims including patient satisfaction. Position Responsibilities Manages clinic claims for electronic or hard copy mail and forwards to appropriat ...


  • CVS New Albany, United States

    The Sr. Manager, Service Operations is a leader of leaders. This role will maintain oversight of functions in local service center, including but not limited to customer service, claim, provider services, complaints, grievances, and appeals, implemen Operations, Customer Service, ...