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www.prestigebrands.com

Tarrytown, New York

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FCP Euro

Milford, Connecticut

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ISSA

Rosemont, Illinois

JNPSoft, Inc.

Montreal, Quebec, Canada

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Northern Neck Electric Cooperative

Warsaw, Virginia

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Ames, Iowa

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Memorial Sloan-Kettering Cancer Center

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Northwest Medical Center

Houghton, Arizona

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Chapel Hill , North Carolina

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Phoenix Children's Hospital

Phoenix, Arizona

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Memorial Sloan Kettering Cancer Center

Monmouth, New Jersey

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Memorial Sloan-Kettering Cancer Center

New York, New York

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Gainesville, Florida

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Chicago, Illinois

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California Correctional Health Care Services

Multiple Locations, California

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Memorial Sloan Kettering Cancer Center

New York, New York

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Major, Lindsey & Africa

Syracuse, New York

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Yale University

New Haven, Connecticut

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Valley Children's Healthcare

Madera, California

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Seattle Cancer Care Alliance

Seattle, Washington

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Fred Hutchinson Cancer Research Center

Seattle, Washington

UT Southwestern Medical Center

Dallas, Texas

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Manager of Appeals and Grievance
JOB SUMMARYThe Manager of Appeals and Grievance is responsible for leading, organizing and directing the team responsible for reviewing, researching, investigating, negotiating and resolving Member and Provider complaints, appeals and grievances for all lines of business to include Medicare, Medicaid, CHIP, Commercial Products, and ASO products.ESSENTIAL FUNCTIONS OF THE ROLEManages staff responsible for the resolution of member complaints, grievances and appeals for the health plan, ensuring resolutions are compliant with established policies, procedures and regulatory requirements.Develops and evaluates direct reports and employees. Provides timely and direct feedback


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