Grievance and Appeals Coordinator

A-Line Staffing is now hiring a Grievance and Appeal Coordinator in the Woodland Hills CA area. The Grievance and Appeal Coordinator would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week. If you are interested in this Grievance and Appeal Coordinator position, please contact Melissa Ortiz at...

JOB TITLE: Appeals and Grievance Coordinator FLSA STATUS: Non-Exempt DEPARTMENT: Appeals and Grievances REPORTS TO: Supervisor, Appeals & Grievances JOB SUMMARY: Responsible for reviewing and resolving member complaints and appeals and communicating resolution to members in accordance with the standards and requirements established by Medicare and...

Hiring for Grievance and appeals Coordinator Tek Systems is currently hiring for Healthcare program coordinators for one of top healthcare company in Florida.Description:Position Purpose: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members.Education/Experience: High...

Hiring for Grievance and appeals Coordinator Tek Systems is currently hiring for Healthcare program coordinators for one of top healthcare company in Florida.Description:Position Purpose: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members.Education/Experience: High...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must be located in the state of California. This is a remote role. Position...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must be located in the state of California. This is a remote role. Position...

JOB SUMMARY: Oversees the department work activities assuring compliance with all regulatory guidelines and policy protocols. Serves as the team leader for the team who receives, investigates, and responds to all member grievances & appeals. Responsible for the overall compliance which include timely and accurate resolutions of grievances & appeals....

Job Title:Grievance and Appeals Coordinator 1 2 openings Contract Duration: 6+ mont contract with potential to convert to full-time Pay Rate: $20-22/hr Location: Remote/Hybrid - must be local to Woodland Hills, CA (may need to come in for meetings) Work Hours:M-F anywhere between 8am-6pm (staggered shifts) Must accept shift given-no flexibility in schedule....

Job Title:Grievance and Appeals Coordinator 1 2 openings Contract Duration: 6+ mont contract with potential to convert to full-time Pay Rate: $20-22/hr Location: Remote/Hybrid - must be local to Woodland Hills, CA (may need to come in for meetings) Work Hours:M-F anywhere between 8am-6pm (staggered shifts) Must accept shift given-no flexibility in schedule....

Customer Solution Center Appeals and Grievances Nurse Specialist RN II **Job Category**:Clinical**Department**:CSC Appeals & Grievances**Location**:Los Angeles, CA, US, 90017**Position Type**:Full Time**Requisition ID**:10889**Salary Range**: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)- Established in 1997, L.A. Care Health Plan is an...

Customer Solution Center Appeals and Grievances Nurse Specialist RN II **Job Category**:Clinical**Department**:CSC Appeals & Grievances**Location**:Los Angeles, CA, US, 90017**Position Type**:Full Time**Requisition ID**:10886**Salary Range**: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)- Established in 1997, L.A. Care Health Plan is an...

Bright Vision Technologies has an immediate opportunity for **Appeals and Grievances Training Specialist at Los Angeles, CA, US.** Job Title**:Appeals and Grievances Training Specialist** Job Location**:Los Angeles, CA, US** Job Type**: Hybrid** **Education Required**: Bachelor's Degree in Business Administration or Healthcare Related Field In lieu of...

Salary Range: $88, Min.) - $115, Mid.) - $142, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...

Salary Range: $88, Min.) - $115, Mid.) - $142, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...

Manager II Grievance/Appeals - Claims Support *Location: CA Residential Requirement This position will work a hybrid model (remote and office). Ideal candidates will live in the state of California within 50 miles of one of our PulsePoint locations. The Manager II Grievance/Appeals is responsible for management oversight of grievances and appeals...

Salary Range:  $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)   Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...

Salary Range:  $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)   Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...

This position requires previous Grievance and Appeals experience. Position is remote but candidates must reside in the state of California. Schedule: Must be available to work an 8 hour shift anytime between 8am-6pm PST Pay rate: $22/hour Work equipment: Will be provided and shipped out Education requirement: High School Diploma salary: $21.99 - $22 per...

**Customer Solution Center Appeal and Grievance Compliance Advisor** **Hybrid** **Position will be hybrid - during audits that are conducted in the year will come on site to collaborate with team. Person must be flexible and ideally live local to Los Angeles. Person must be living in state while working remote.** **Los Angeles, CA,...

Salary Range:  $77,265.00 (Min.) - $100,445.00 (Mid.) - $123,625.00 (Max.)   Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...