of Position We are seeking a talented Grievance & Appeals Specialist who will be responsible for responding to written/verbal grievances, complaints, appeals, and disputes submitted by members and providers in accordance with NCQA, CMS, State, and other regulations. They will process appeals and grievances to facilitate the accurate administration of benefits and clinical

of Position We are seeking a dynamic Grievance and Appeals Dispute Specialist who will be responsible for processing disputes submitted by contracted and non contracted providers. The types of correspondence handled by the individual will include, but is not limited to; correspondence, HQSI/ESMSEF appeals and Cotiviti disputes. This individual will provide technical and ad

Reporting to the Senior Human Resource Business Partner, the HR Business Partner is a professional position that provides strategic Human Resources (HR) consultation and solutions to various assigned organizational unit(s) by serving as a strategic partner to leaders, managers, faculty and employees, integrating HR strategy and providing guidance that adds value to JAX's

The Sr. Labor Relations Consultant provides advanced labor relations expertise and/or represents YNHHS's interests on matters covered by YNHHS's policies, procedures, guidelines, and practices, collective bargaining agreements, and applicable labor and employment laws/regulations. Maintains a high level of confidentiality regarding all elements and interactions of the wor