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Vanderbilt Health

Nashville, Tennessee

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Vanderbilt Health

Nashville, Tennessee

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Banner Health

Mesa, Arizona

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Vanderbilt Health

Nashville, Tennessee

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Vanderbilt Health

Nashville, Tennessee

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Geisinger

Wilkes-Barre, Pennsylvania

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Vanderbilt Health

Nashville, Tennessee

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Memorial Sloan Kettering Cancer Center

New York, New York

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Sacramento, California

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Northwest Permanente, Kaiser Permanente Northwest

Portland Metro Area, Oregon

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Tenet Executive Search

San Antonio, Texas

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Vanderbilt Health

Nashville, Tennessee

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Baylor Scott & White Health

Dallas, Texas

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Vanderbilt Health

Nashville, Tennessee

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Carilion Clinic

Christiansburg & Roanoke, Virginia

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Nationwide Children's Hospital

Columbus, Ohio

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Vanderbilt Health

Nashville, Tennessee

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Vanderbilt Health

Nashville, Tennessee

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Rutgers Robert Wood Johnson Medical School

New Brunswick, New Jersey

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Banner Health

Tucson, Arizona

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Vanderbilt Health

Nashville, Tennessee

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Memorial Sloan Kettering Cancer Center

New York, New York

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Banner Health

Phoenix, Arizona

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Appeals and Grievance Specialist
JOB SUMMARYThe 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 with organizational and regulatory guid


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