Current jobs related to Appeals & Grievances Training Specialist - Los Angeles - Clovity
-
Appeals and Grievances Manager
2 weeks ago
Los Angeles, California, United States Insight Global Full timeJob SummaryThe Appeals and Grievances Supervisor is responsible for overseeing the Appeals and Grievances department, ensuring thorough investigations are completed according to company policies and procedures. This role involves leading and directing the team's work, monitoring research, negotiation, and resolution of all types of appeals and grievances....
-
Appeals and Grievances Manager
2 weeks ago
Los Angeles, California, United States Insight Global Full timeJob SummaryThe Appeals and Grievances Supervisor is responsible for overseeing the Appeals and Grievances department, ensuring thorough investigations are completed according to company policies and procedures. This role involves leading and directing the team's work, monitoring research, negotiation, and resolution of all types of appeals and grievances.Key...
-
Appeals and Grievances Specialist
3 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeJob SummaryThe Customer Solution Center Appeals and Grievances Specialist II will receive, investigate and resolve member and provider complaints and appeals exercising strong independent judgment.This position will provide resolution of complaints in compliance with regulatory requirements, including CMS, DHCS, DMHC, MRMIB and NCQA standards.This position...
-
Appeals and Grievances Manager
3 hours ago
Los Angeles, California, United States Mitchell Martin Inc. Full timeJob SummaryThe Appeals and Grievances Supervisor is responsible for leading and directing the work of the Appeals & Grievances department. This includes monitoring research, negotiation, and resolution of appeals and grievances to ensure thorough investigations are completed in accordance with company policies and procedures.Key ResponsibilitiesDirect...
-
Appeals and Grievances Supervisor
10 hours ago
Los Angeles, United States Mitchell Martin Inc. Full timeJob summary:The Supervisor, Customer Solution Center Appeals & Grievances is responsible for direct supervision and support of the team responsible for the intake, research, resolution, tracking, trending and reporting within the Appeals & Grievances department.This position will be accountable for leading and directing the work for the Appeals & Grievances...
-
Appeals and Grievances Specialist
3 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeJob SummaryThe Customer Solution Center Appeals and Grievances Specialist II will receive, investigate and resolve member and provider complaints and appeals exercising strong independent judgment.This position will provide resolution of complaints in compliance with regulatory requirements, including CMS, DHCS, DMHC, MRMIB and NCQA standards.This position...
-
Appeals and Grievances Team Lead
3 hours ago
Los Angeles, California, United States Insight Global Full timeJob SummaryThe Appeals and Grievances Supervisor is responsible for leading a team that handles appeals and grievances in a healthcare setting. This role involves supervising and supporting team members, monitoring research and resolution of appeals and grievances, and ensuring thorough investigations are completed according to company policies and...
-
Los Angeles, California, United States CCG Business Solutions, LLC Full timeJob Title: Customer Solutions Center Appeals and Grievances Training Specialist IIAt CCG Business Solutions, LLC, we are seeking a highly skilled and experienced Training Specialist II to join our team. As a key member of our Customer Solutions Center Appeals and Grievances team, you will be responsible for providing ongoing training on the core processing...
-
Grievance and Appeals Operations Manager
4 weeks ago
Los Angeles, California, United States Insight Global Full timeJob OverviewThe Grievance and Appeals Operations Manager is tasked with overseeing and guiding the team responsible for the reception, investigation, resolution, monitoring, analysis, and reporting within the Grievances and Appeals division. This role is pivotal in steering the efforts of the department by ensuring comprehensive investigations are conducted...
-
Healthcare Appeals and Grievances Manager
2 weeks ago
Los Angeles, California, United States Insight Global Full timeJob SummaryThe Appeals and Grievances Supervisor is a critical role within the Customer Solution Center, responsible for leading a team that handles appeals and grievances in a healthcare setting. This position requires strong leadership and analytical skills, with the ability to manage large volumes of data and navigate complex regulatory requirements.Key...
-
Grievance and Appeals Coordinator
4 weeks ago
Los Angeles, United States MedPOINT Management Full time $55,000 - $68,000Job DescriptionJob DescriptionResponsible for the research and documentation of written and verbal complaints and appeals filed by members to the respective health plan. The coordinator is responsible for identifying the issues and categorizing and entering the information into a database.Duties and Responsibilities1. Responsible for handling of assigned...
-
Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $67,186.00 (Min.) - $87,342.00 (Mid.) - $107,498.00 (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 members,...
-
Los Angeles, United States L.A. Care Health Plan Full timeCustomer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11505 Salary Range: $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent...
-
Appeals and Grievances Specialist
3 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeJob SummaryThe Customer Service Representative II plays a critical role in ensuring that member and provider complaints and appeals are resolved in a timely and fair manner. This position requires strong independent judgment, conflict resolution, and persuasion skills to resolve complex issues.Key ResponsibilitiesInvestigate and resolve administrative...
-
Healthcare Manager II Grievance/Appeals
3 days ago
Los Angeles, California, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled and experienced Manager II Grievance/Appeals to join our team at Elevance Health. As a key member of our Claims Support department, you will be responsible for managing the grievance and appeals process, ensuring compliance with regulatory requirements, and providing exceptional service to our clients and...
-
Los Angeles, California, United States L.A. Care Health Plan Full timeJob Title: Supervisor, Customer Solution Center Appeals and GrievancesJob Summary:The Supervisor, Customer Solution Center Appeals and Grievances is responsible for leading and directing the work of the Appeals and Grievances department. This includes monitoring the research, negotiation, and resolution of all types of appeals and grievances to ensure...
-
Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $67,186.00 (Min.) - $87,342.00 (Mid.) - $107,498.00 (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...
-
Los Angeles, United States L.A. Care Health Plan Full timeSalary 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...
-
Los Angeles, United States L.A. Care Health Plan Full timeCustomer Solution Center Appeals and Grievances Specialist II (ALD) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11362 Salary Range: $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent...
-
Healthcare Manager II Grievance/Appeals
1 week ago
Los Angeles, California, United States Elevance Health Full timeJob DescriptionAt Elevance Health, we are seeking a highly skilled Manager II Grievance/Appeals to join our team. This role will be responsible for managing the grievances and appeals departmental units, ensuring compliance with regulatory requirements, and providing exceptional service to our clients and providers.Key Responsibilities:Maintain and...
Appeals & Grievances Training Specialist
3 months ago
**Job Title**:Customer Solution Center Appeals and Grievances Training Specialist
**Position Type**:Position will be Hybrid - will be conducting combination WebEx and in near future Onsite Trainings. Person must be flexible. Person will need to be working in state remote when working from home.
**Location**:Los Angeles, CA, US
**Job Type**:Permanent
**Salary Range**:USD $77,265 - $100,445 / yr
**Non-negotiable requirements of this position?**
**Must have 3 years experience in Healthcare Industry
**3 years experience designing and conducting trainings **A true Trainer
**Bachelors Degree or equivalent experience can be considered
**Job Type**: Contract
Pay: $77,000.00 - $100,000.00 per year
**Benefits**:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
Work setting:
- Call center
- Office
Application Question(s):
- 3 years experience in Healthcare Industry ?
- 3 years experience designing and conducting trainings **A true Trainer
- Managed Care experience?
Work Location: On the road
