- Elevance Health (St. Louis, MO)
- ** Manager I - Grievances & Appeals - Provider Disputes** **Location** : This position will work a hybrid model (in office 1-2 days per week). The ideal ... Maine, Missouri, Virginia, Indiana, Kentucky or New York. The ** Manager I - Grievances & Appeals...management oversight of receipt, investigation and processing associated with member/ provider grievances and appeals . **How… more
- Elevance Health (St. Louis, MO)
- … appeals departmental units to investigate, resolve, and respond to client/ provider grievances / appeals and ensure compliance with regulatory requirements. ... will live within 50 miles of one of our PulsePoint locations. The ** Manager II Grievance/ Appeals ** is responsible for management oversight of grievances and… more
- Sharecare, Inc. (Jefferson City, MO)
- …open enrollment / new hire plan selection, claims issues, ID card issues, grievances / appeals , utilization management (UM) status, including but not limited to ... an exciting and innovative remote role newly created to provide meaningful support to members and their families through...payers or 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management… more