Job Description: Responsible for managing day-to-day operations of the Member Advocacy and Appeals Department... and implementation of Member Advocacy and Appeals policies and procedures to create an effective and efficient operating environment...
regulation, standard, business change, etc. affecting the member advocacy and/or appeals process. Assists in the coordination...Job Description: Conducts critical analysis of highly complex and sensitive member and provider appeals, inquiries...
, etc. affecting the member advocacy and/or appeals process. At direction of management, assists in the coordination of changes...Job Description: Conducts critical analysis of highly complex and sensitive member and provider appeals, inquiries...