Appeal And Grievance Intake Coordinator Job at Blue Cross Blue Shield of Arizona (Phoenix)

Appeal & Grievance Intake Coordinator

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

2 years of experience in a Medicare Advantage (Part C) and Prescription Drug Benefit (Part D) insurance plan and/or other managed care organization
High school diploma or GED in general field of study
Math, communications and business skills normally demonstrated by a high school degree or equivalent
Intermediate PC user, including Microsoft Word, Excel, Outlook, Power Point, and Adobe Acrobat Pro
Intermediate skill using office equipment, including copiers, fax machines, scanners and telephones
Maintain confidentiality and privacy as outlined by HIPAA
Strong critical thinking skills
Must possess highly developed interpersonal skills and communications skills, with a strong customer service orientation, and practice interpersonal and active listening skills to achieve customer satisfaction
Compose a variety of business correspondence
Interpret and translate policies, procedures, programs and guidelines

Job Responsibility

Performs triage (intake, classification, case file setup and assignment) of Medicare Part C and D grievances and appeals
provides administrative, clerical, and other related support to the Grievance and Appeals (G&A) staff
establishes, maintains, and monitors grievance and appeal workload tracking and workflow processes
assists with maintaining regulatory compliance, timeliness requirements and ensuring accuracy standards are met
completes day-to-day operational tasks assigned according to defined processes and procedures
prepares G&A case file folders and assists with tracking and maintaining G&A case records and files
and assists with collecting and reporting G&A related performance and regulatory data

Fulltime

Benefits Coordinator

We are looking for a Benefits Coordinator to support employee accommodation and ...

Location

United States , Little Falls

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience supporting benefits, leave administration, or employee accommodation processes in a structured setting
Working knowledge of FMLA and related leave management practices, including documentation and case tracking
Background in benefits coordination, compensation and benefits, or other human resources functions tied to employee support
Ability to interpret medical or educational records and apply policies to determine appropriate next steps
Strong communication and interpersonal skills with the ability to handle sensitive matters with discretion and empathy
Proven organizational skills with attention to detail, accuracy, and confidentiality in documentation management
Ability to collaborate effectively with multiple departments while balancing compliance requirements and employee needs

Job Responsibility

Guide employees through accommodation and leave request processes by explaining options, collecting required information, and coordinating timely follow-up
Conduct interactive discussions with employees to assess workplace, physical, academic, or technology-related accommodation needs and identify appropriate solutions
Review medical and educational documentation to evaluate eligibility and support informed accommodation determinations
Manage leave cases from intake through resolution, including recordkeeping, status tracking, correspondence, and coordination with departments in accordance with applicable regulations and university guidelines
Provide hands-on assistance to employees with disabilities by addressing concerns, resolving accommodation issues, and connecting individuals with relevant campus or community resources
Administer grievance and appeal matters related to accommodations or leave by helping ensure concerns are reviewed, investigated, and brought to resolution appropriately
Partner with academic and administrative teams to advance accessibility efforts and reinforce a compliant, inclusive workplace culture across the university
Contribute to the refinement of procedures, compliance reviews, and planning initiatives that strengthen equitable access and employee support programs
Maintain detailed and confidential documentation related to employee communications, accommodation requests, leave activity, and case outcomes
Monitor developments in accessibility practices and leave administration to recommend effective approaches and support continuous improvement

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Benefits Coordinator

We are looking for a Benefits Coordinator to support employee accommodation and ...

Location

United States , Little Falls

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience supporting benefits, leave administration, or employee accommodation processes in a structured setting
Working knowledge of FMLA and related leave management practices, including documentation and case tracking
Background in benefits coordination, compensation and benefits, or other human resources functions tied to employee support
Ability to interpret medical or educational records and apply policies to determine appropriate next steps
Strong communication and interpersonal skills with the ability to handle sensitive matters with discretion and empathy
Proven organizational skills with attention to detail, accuracy, and confidentiality in documentation management
Ability to collaborate effectively with multiple departments while balancing compliance requirements and employee needs

Job Responsibility

Guide employees through accommodation and leave request processes by explaining options, collecting required information, and coordinating timely follow-up
Conduct interactive discussions with employees to assess workplace, physical, academic, or technology-related accommodation needs and identify appropriate solutions
Review medical and educational documentation to evaluate eligibility and support informed accommodation determinations
Manage leave cases from intake through resolution, including recordkeeping, status tracking, correspondence, and coordination with departments in accordance with applicable regulations and university guidelines
Provide hands-on assistance to employees with disabilities by addressing concerns, resolving accommodation issues, and connecting individuals with relevant campus or community resources
Administer grievance and appeal matters related to accommodations or leave by helping ensure concerns are reviewed, investigated, and brought to resolution appropriately
Partner with academic and administrative teams to advance accessibility efforts and reinforce a compliant, inclusive workplace culture across the university
Contribute to the refinement of procedures, compliance reviews, and planning initiatives that strengthen equitable access and employee support programs
Maintain detailed and confidential documentation related to employee communications, accommodation requests, leave activity, and case outcomes
Monitor developments in accessibility practices and leave administration to recommend effective approaches and support continuous improvement

What we offer

medical, vision, dental, and life and disability insurance
company 401(k) plan

Manager, Appeals and Grievances

The Manager, Appeals & Grievances is responsible for leading, operating, and adv...

Location

United States , New York; Lake Mary

Salary:

103400.00 - 149430.00 USD / Year

Healthfirst

Expiration Date

Until further notice

Requirements

Bachelor's degree from an accredited institution or equivalent work experience
Experience with appeals and grievance processing and compliance
Experience building and managing a team and leading work processes in a fast-paced environment
Experience preparing and delivering written and verbal information to multiple types of audiences
Demonstrated ability to work well with others, understand process flows and correlating platforms, recommend options and implement solutions
Experience setting direction for department and managing staff performance
Experience managing multiple concurrent priorities
Proven ability to work across areas in an organization to yield results

Job Responsibility

Ensure management team is accurately monitoring performance through daily meetings, coaching, feedback, documentation and disciplinary actions in collaboration with the Intake Vendor
Help Standardize and Optimize in how Appeals and Grievances are routed
Work with Providers and DSE on educating providers in how to submit Appeals timely and accurately
Assist in leading the AOR / WOL Outreach team in coordination with the supervisor
Identify trends and recommend solutions for improvement
Determine best practices and strategically deploy approaches to meet production, compliance and quality targets and to perform all Appeals & Grievances tasks
Manage, develop and engage team. Work with leadership to establish and implement departmental goals, establish monthly goal review process and implement a plan of action for identified gaps
Maintain delegated vendor relationship and ensure vendor performance and compliance measures are met
Institute and manage working relationships within various operational areas to identify and execute overall process improvements
Build partnerships with business areas across and outside of operations to improve communication and responsiveness to multiple conflicting resource demands

What we offer

medical, dental and vision coverage
incentive and recognition programs
life insurance
401k contributions

Fulltime

New

Kitchen Assistant

As a Kitchen Assistant, you’ll play a key part in the kitchen ensuring a busy se...

Location

United Kingdom , Milford

Salary:

Not provided

Ferry Boat Inn

Expiration Date

Until further notice

Requirements

A positive can-do attitude to support your team
A passion for challenges and thriving in a fast-paced kitchen
Willingness to learn and expand your skills in the kitchen

Job Responsibility

Help the kitchen service run smoothly by making sure it is well stocked and clean
Maintain hygiene levels and safety regulations in the kitchen to help guarantee the safety of your entire team and visitors
Communicate clearly with your team, ensuring they have everything they need

What we offer

Competitive salary
Pension contribution
Training and development at each level of your career
Discount of 33% for you and 15% for your loved ones on all of our brands
Free employee assistance program
Enhanced, family-friendly maternity and paternity policies
Menopause Friendly Employer
Discount of 50% for you and 25% for your loved ones at our Greene King Inns and hotels
Refer a friend – earn up to £1,500 for referring them
Wagestream – access your wage before payday

Parttime

New

Software Co-ordinator Electronics

As a successful family-owned company on a path to global growth, the Brose Group...

Location

India , Pune

Salary:

Not provided

Brose Fahrzeugteile

Expiration Date

Until further notice

Requirements

Graduate/post-graduate degree in Electrical, Electronics, or Instrumentation Engineering
8-12 years including experience in software coordination, project tracking, and cross-functional communication
Understanding of automotive SW development lifecycle
Good understanding of AUTOSAR architecture will be an advantage
Exposure and know-how of Agile methodology will be preferred
Experience with requirement management & defect management tools E.g.CodeBeamer
Knowledge of automotive protocols like CAN, CAN-FD, ISO 14229 etc. is a must
Knowledge of ASPICE, ISO 26262, and automotive cybersecurity concepts like HSM, Digital signature etc. are expected
Strong documentation, planning, and presentation skills
Experience with Vector tools (CANoe, CANalyzer) for analysis

Job Responsibility

Development of Automotive application software for DC motor driven Automotive mechatronic systems like Window Regulators, Power Operated Tailgates Smart-Latch etc.
Coordinate end-to-end software development activities for automotive mechatronic systems
Act as the central interface between application software development teams, electronics hardware teams, test teams, quality, project manager, and OEM customers
Ensure timely delivery of software releases, compliance to standards (ASPICE, MISRA, ISO 26262), and alignment with project milestones
Support requirement analysis, planning, risk identification, and cross-functional issue resolution
Coordinate with customers, project managers, systems, basic, and application software teams for scope, requirement clarity, schedule and updates
Create and update the software timing and release plans with the project manager
Track and control software development progress, report status, and highlight risks to PM and management
Coordinate SW architecture discussions and ensure traceability to requirements
Manage change requests, review impact, and align implementation priorities

What we offer

Competitive performance-based compensation
Health insurance
Attractive social and family-oriented programs
Comprehensive medical and insurance
Educational assistance
Community outreach, family, and sporting events
Flexible working hours
Collaborative work environment
Development programs
Training

Fulltime

New

Occupational Therapist

Top Pay - Flexible Hours - Create Your Own Schedule! Job Type: Full-time Schedul...

Location

United States , Elkhart

Salary:

Not provided

Aegis Therapies

Expiration Date

Until further notice

Requirements

Current license as an Occupational Therapist or ability to obtain in the state of practice.

What we offer

Support, local clinical mentorship, clinical education and unlimited CEUs
Leadership Advancement Opportunities
Flexible schedule, paid time off, plus one paid CEU day
Licensure and professional membership reimbursement
Interdisciplinary collaboration for providing the best patient care
Medical, dental, vision within 30 days or less
National opportunity to transfer while maintaining employment status
Multiple settings nationwide: CCRC, SNF, Assisted Living, Outpatient Clinics, Home Health
New Grads Welcomed

Fulltime

New

Payroll Manager

One of our well-known clients is seeking an experienced Payroll Manager to lead ...

Location

United States , Fenton

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

5+ years of progressive payroll experience, including leadership
Strong ADP experience (highly preferred)
Expertise in multi-state, multi-location payroll
Experience with commission and bonus payroll is a plus

Job Responsibility

Lead full-cycle, multi-state payroll for 1,000+ employees across multiple locations
Ensure payroll accuracy, compliance, and process efficiency
Oversee payroll operations and drive continuous improvement

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Fulltime

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Appeal And Grievance Intake Coordinator

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