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Joint School of Public Health @ Old Dominion University and Norfolk State University
Norfolk, Virginia
Associate Professor or Professor & Chair of the Department of Health Behavior, Policy, and Managemen
Joint School of Public Health @ Old Dominion University and Norfolk State University
Norfolk, Virginia
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Jackson Physician Search
North Carolina
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California Correction Health Care Services
Statewide, California
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Jackson Physician Search
Pennsylvania
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St. Joseph Regional Medical Center
Lewiston, Idaho
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Jackson Physician Search
California
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Appeals and Grievance Specialist - Commercial Plans
JOB SUMMARYHybrid position - Temple, TXThe 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
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