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AdventHealth Logo
Consumer Access Specialist Lead
AdventHealth

Orlando, Florida

NEW!
AdventHealth Logo
Consumer Access Sr. Manager
AdventHealth

Orlando, Florida

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Baylor Scott & White Health Logo
Quality Improvement & Data Consultant (Hybrid)
Baylor Scott & White Health

Dallas, Texas

NEW!
Memorial Sloan Kettering Cancer Center Logo
Clinical Risk Manager - Quality & Safety
Memorial Sloan Kettering Cancer Center

New York, New York

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AdventHealth Logo
Consumer Access Specialist Lead
AdventHealth

Orlando, Florida

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Vanderbilt Health Logo
Financial Analyst
Vanderbilt Health

Nashville, Tennessee

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AdventHealth Logo
Financial Advocate
AdventHealth

Maitland, Florida

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Medical Director Multispecialty
CommonSpirit Health Mountain Region

Colorado Springs, Colorado

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Vanderbilt Health Logo
Sr. Financial Analyst
Vanderbilt Health

Nashville, Tennessee

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Harris Health System Logo
New Member Clinical Coor (S+P)
Harris Health System

Houston, Texas

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AdventHealth Logo
Cancer Institute Scheduler
AdventHealth

Winter Park, Florida

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RWJBarnabas Health Logo
RWJBarnabas Health is Seeking a Medical Director of the Mechanical Support Critical Care Unit
RWJBarnabas Health

Newark, New Jersey

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UCLA Logo
Finance Manager (Hybrid)
UCLA

Los Angeles, California

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Practice Manager I
CommonSpirit Health Mountain Region

Lakewood, Colorado

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Utilization Management Director
CommonSpirit Health Mountain Region

Centennial, Colorado

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AdventHealth Logo
Financial Advocate
AdventHealth

Maitland, Florida

NEW!
Memorial Sloan Kettering Cancer Center Logo
Director, External Quality and Safety Programs and Reporting - Quality & Safety
Memorial Sloan Kettering Cancer Center

New York, New York

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Medical Director - Multispecialty
CommonSpirit Health Mountain Region

Colorado Springs, Colorado

NEW!
AdventHealth Logo
Epic Clinical Analyst Intermediate
AdventHealth

Altamonte Springs, Florida

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AdventHealth Logo
Lead Registration Repesentative
AdventHealth

Lake Mary, Florida

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BJC HealthCare Logo
Program Manager - Gov't Reimbursement
BJC HealthCare

Saint Louis, Missouri

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UCLA Logo
Finance Manager (Hybrid)
UCLA

Los Angeles, California

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UCLA Logo
Project Manager - Institute for Precision Health
UCLA

Los Angeles, California

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Vanderbilt Health Logo
Manager of Social Work and Therapeutic Services for Vanderbilt Psychiatric Hospital
Vanderbilt Health

Nashville, Tennessee

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AdventHealth Logo
Billing Resolution Coordinator
AdventHealth

Maitland, Florida

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Appeals & Grievance Specialist - Government Plans
JOB SUMMARYThe Appeals and Grievance Specialist performs reviews, within operational aspects, of the member and provider complaints, appeals and grievance cases for products for all lines of business. Responsibilities include, but are not limited to: timely classification and resolution of cases; review, research and coordination of complaints, grievances, appeals and reconsiderations consistent with statutory and federal regulatory guidelines.ESSENTIAL FUNCTIONS OF THE ROLEMaintains data entry requirements for all complaints, appeals and grievances.Builds case files for each complaint, appeal and grievance, and ensures compliance with organizational and regulatory guidelines.Inve


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