Senior Appeals & Grievances Coordinator
MJHS
MJHS seeks an Appeals & Grievances Coordinator to manage non-clinical aspects of member and provider appeals and grievances, ensuring accurate intake, validation, and timely processing in compliance with CMS, DOH, and Elderplan policies. The role includes case setup, triage, documentation, and coordination with clinical and operational teams to uphold high standards of accuracy and regulatory adherence. #J-18808-Ljbffr MJHS
$17 - $28.46 per hour
...community at a time. Position Summary Review, research, and enter grievance and appeal cases within one business day of receipt. Monitor multiple... ...needed. Participate in weekly team meetings with Intake Coordinators, analysts, Quality team members, managers, and project...SuggestedHourly payFull timeLocal area$20.19 - $28.13 per hour
...of providing health insurance that works for our members, no matter their circumstances. Job Summary: The Member Appeals and Grievances (A&G) Coordinator performs administrative functions associated with incoming Member Appeals and Grievances. The A&G Coordinator is responsible...SuggestedFull timeWork at officeRemote workFlexible hoursWeekend workAfternoon shift$22 - $23 per hour
Immediate need for a Grievance & Appeals Coordinator . This is a 12+ Month Contract opportunity with long-term potential and is US ( Remote ). Please review the job description below and contact me ASAP if you are interested. Job Diva ID: 26-07046 Pay Range: $22.00 -...SuggestedContract workWork at officeLocal areaImmediate startRemote work$17 - $25.65 per hour
...Position Summary Responsible for intake, investigation and resolution of appeals, complaints and grievances scenarios for all products, which may contain multiple issues and, may require coordination of responses from multiple business units. Ensure timely, customer...SuggestedHourly payFull timeContract workLive inLocal area- ...Healthfirst is seeking a Senior Manager, Clinical Appeals & Grievances in the New York area. The role leads daily operations, partners with cross‑functional leaders, and drives continuous improvement in clinical appeals and grievances processing to ensure timely, compliant...Senior
$122.9k - $188.02k
...The Senior Manager, Clinical Appeals & Grievances provides strategic and operational leadership for the Clinical Appeals & Grievances function, ensuring timely, high-quality, and compliant review of clinical appeals and/or grievance cases. This role oversees day-to-day...SeniorTemporary workWork experience placementLocal area- ...UnitedHealth Group's UnitedHealthcare division seeks a Senior Clinical Administrative RN to review member appeals and grievances, assess medical necessity, and prepare for... .... The candidate will review determinations, coordinate with clinical and non-clinical staff, and...SeniorRemote work
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$65k - $75k
Reputable, well established and growing Law Firm with tons of opportunity! We are currently seeking multiple Appeals Specialist or Coordinators. Direct Hire & Fully Remote!! This Jobot Job is hosted by: Ba Tran Are you a fit? Easy Apply now by clicking the "Quick Apply...Local areaRemote work$85k - $100k
...supportive culture. If you aspire to be the best, and work with the best, this is where you belong. About the Role The WE Senior Coordinator is an integral part of Latham’s Workplace Experience (WE) team and will be responsible for supporting the WE Manager(s) and...SeniorFull timeWork experience placementWork at officeLocal areaMonday to Friday- NYC based Prestigious legal services firm seeks an E-Billing Analyst to join their team! Responsibilities Prepare and submit appeals for rejected invoices. Logging reduced invoices for all clients. Following up with firm timekeepers to prepare for appeal replies. Negotiating...
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$85k
...The Senior Sourcing Coordinator will be responsible for day-to-day sourcing and costing activities for AmeriCo Group , including negotiations, product development, and factory allocations to maximize profit margins without compromising product quality or brand integrity...SeniorFull timeSeasonal workOverseas$75k - $85k
...Cole), relevant fashions and trusted, quality products to our consumers. We currently have a great opportunity for a Senior Textile Coordinator . Responsibilities include but are not limited to the following: Research trends in the market and understand how to...SeniorFull time- ...Musculoskeletal Transplant Foundation is seeking an Organ Placement Coordinator to assess, prioritize and assign incoming organ and tissue offers. You will coordinate with OPOs, researchers and internal teams, ensuring timely communication and documentation while maintaining...Senior
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- ...NYC Public Schools is seeking a Special Education Unit Appeal Attorney in New York City. Under the direction of the Special Education Appeals Unit Managing Attorney, this role involves complex legal work with significant implications. The successful candidate will serve...Senior
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$85k
...The Senior Sourcing Coordinator on AmeriCo Group will be responsible for day-to-day sourcing and costing activities, including negotiations, product development, and factory allocations to maximize profit margins without compromising product quality or brand integrity...SeniorFull timeSeasonal work- ...Mount Sinai Health System in New York is seeking a Supervisor, Certified Clinically Advanced Nutrition Coordinator (CCANC) to support a physician-led practice. The role involves facilitating nutritional management, coordinating care transitions, and collaborating with...Senior
- ...Latham & Watkins LLP in New York is seeking a Senior Coordinator – Revenue Operations to manage the revenue lifecycle for a group of matters, ensuring compliance and timely delivery. The role acts as the trusted adviser on billing, WIP, and accounts receivable, while...Senior
$29 - $34 per hour
...content, and more. Radial is the pre-eminent, purpose-built independent distributor for the streaming era. We are seeking a Senior Coordinator, Office of the CRO , to serve in a key role supporting Radial Entertainment’s Chief Revenue Officer and our global sales and...SeniorHourly payFull timeWork at office- ...LOVB Miami is seeking a Senior Coordinator, Business Solutions to support sales and client service within the Commercial team. This remote role partners with the VP of Business Solutions and cross-functional teams to develop sponsorship strategies, research insights,...SeniorRemote work
$110k - $150k
...Overview Large global professional services firm seeks a Senior Collections Coordinator to join their team. This role will be responsible for supporting the firm’s overall financial health and strengthening client relationships, while monitoring the office’s accounts...Senior- ...Fordham University seeks a Supervising Counselor and Coordinator for Group Therapy and Outreach Services to oversee Counseling and Psychological Services (CPS) programs at the Lincoln Center campus and provide a range of mental health services to a diverse student body...SeniorAfternoon shift
- ...Atria Senior Living, Inc. is seeking a Restaurant Coordinator in New York, NY to manage dining operations and ensure superior resident and guest experiences. The role collaborates with the Food & Beverage Director to maintain dining standards and resident satisfaction....SeniorFull time
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- ...clinical information to ensure appropriate scheduling of screening and diagnostic test procedures and/or physician appointments. Coordinates schedules with patients, physician, office staff and/or ancillary department as necessary. Communicates and dispenses instructions...SeniorWork at officeLocal areaRemote workMonday to FridayShift workDay shift
$80k - $90k
...Base Pay $80,000.00 - $90,000.00 / Year Job Category Program Coordination, Event Planning, Event Coordinator Industry Medical Communications... ...records, and preparing timely reports. #LI-Remote Summary The Senior Speaker Bureau Coordinator is responsible for overseeing the...SeniorContract workWork at officeRemote work$120k - $150k
...Senior BIM Coordinator (Remote) - Hydronic Piping Construction Gryphon Oakwood are retained with a $600M mechanical contractor to appoint a Senior BIM Coordinator who will manage the design and work with the fabrication of piping (mostly hydronic) for large-scale (up...SeniorFor contractorsRemote work
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