Applications Development Manager Regular Exempt GENERAL DESCRIPTION: The Application Development Manager is responsible for administering, managing, and ensuring that information system development and maintenance projects assigned to their unit, both for the short and long term,
Grievances & Appeals Specialist Regular Exempt Analyzes, investigates, supports, and answers Grievances, Dental Pre-Service, and Payment Appeals filed by members, insureds, and Providers within the time stipulated contractually for both Lines of Business (LOB) and following
Grievances & Appeals Senior Specialist Regular Exempt General Description: Analyzes, investigates, resolves, and answers grievances received through the Center for Medicaid and Medicare Services (CMS) and Complaint Tracking Module (CTM), pre-service appeals, Office of Insurance Commissioner