Training Specialist for Appeals and Grievances

Job SummaryThe Customer Solutions Center Appeals and Grievances (A&G) Training Specialist II is a crucial role within CCG Business Solutions, LLC. As a subject matter expert in training and development, you will be responsible for creating and delivering high-quality training programs that drive business results.In this role, you will work closely with the...

Job Description:The Customer Solutions Center Appeals and Grievances Training Specialist II plays a critical role in ensuring that staff have the necessary skills and knowledge to perform their duties effectively. This includes providing ongoing training on core processing systems, A&G processing procedures, and regulatory changes that affect established...

Job OverviewCelebrate your passion for learning and development by joining CCG Business Solutions, LLC as a Customer Solutions Center Appeals and Grievances Training Specialist II. With our company's commitment to empowering individuals and fostering success, you will have the opportunity to design and deliver comprehensive training programs that boost...

Job Summary:The Training and Development Manager is responsible for providing ongoing training on core processing systems, appeals and grievances processing procedures, and regulatory changes. This role involves working with the quality team to ensure consistency, efficiency, and productivity among staff.This position requires a strong understanding of...

Job DescriptionIn this challenging role, you will be responsible for developing and delivering training programs to enhance the performance of the Customer Solutions Center A&G team. As a key member of our team, you will design and conduct training sessions to ensure that staff have the necessary skills and knowledge to provide excellent customer service.Key...

About UsL.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 over 2 million members.Our MissionWe provide access to quality healthcare for Los Angeles County's vulnerable and low-income...

**Job Summary:**We are seeking an experienced Training Specialist II - Regulatory Compliance to join our team at CCG Business Solutions, LLC. The successful candidate will be responsible for developing and delivering comprehensive training programs to ensure employees have the necessary skills and knowledge to perform their jobs effectively.**Key...

About the JobAt CCG Business Solutions, LLC, we are committed to delivering exceptional training programs that enhance employee performance and drive business results. We are currently seeking a skilled Training Specialist II to join our team.The ideal candidate will have a strong background in learning principles, facilitation, and program development. They...

About Us:CCG Business Solutions, LLC is a consulting company that believes success starts with the individual. We have been providing business solutions and talent placement services since 2007. Our team understands the principles of connecting purpose to business.We are currently recruiting for a Customer Solutions Specialist to join our team. This role is...

About the Role:We are seeking a highly skilled Training Specialist to join our team at CCG Business Solutions, LLC. As a Customer Solutions Center Appeals and Grievances Training Specialist II, you will be responsible for designing, developing, and delivering training programs that meet the needs of our staff.Your primary responsibilities will include...

Job Overview:Customer Solutions Center Appeals and Grievances Training Specialist II is responsible for designing, developing, and delivering comprehensive training programs to enhance the skills and knowledge of staff. The role involves working closely with department management to identify training needs and develop curriculum that meets regulatory...

**Job Title:** Training Specialist II - Regulatory Compliance**Estimated Salary:** $77,265 - $100,445 per yearThe Customer Solutions Center Appeals and Grievance (A&G) Training Specialist II is responsible for providing ongoing training on the core processing system, A&G processing procedures, training regulatory changes which will affect established...

**Job Description:**The Customer Solutions Center Appeals and Grievance (A&G) Training Specialist II role involves developing and delivering comprehensive training programs to ensure employees have the necessary skills and knowledge to perform their jobs effectively.**Key Responsibilities:**Designing and implementing training curricula that meet the needs of...

Job Summary:We are seeking a Quality Management Specialist to join our team at Thrifty Management Services. As a Quality Management Specialist, you will be responsible for working with the Quality Compliance Nurses to develop, implement, and refine the Quality Management Program. You will also oversee and manage Health Plan Audits, as well as respond to...

Job Description:The Customer Solutions Specialist is a key member of our team, responsible for providing ongoing training on core processing systems, appeals and grievances processing procedures, and regulatory changes. This role involves working with the quality team to ensure consistency, efficiency, and productivity among staff.This position requires a...

Key ResponsibilitiesGathers documents for Legal or outside counsel in preparation of grievance appeals.Interprets and advises management on routine and complex contract administration questions.Researches assigned aspects of law and arbitral precedent related to contract proposals and grievance matters.Additionally, the Employee Relations Specialist will...

Job SummaryL.A. Care Health Plan is seeking a highly skilled Customer Solution Center Appeals and Grievances Specialist II to join our team. This role is responsible for investigating and resolving member and provider complaints and appeals, exercising strong independent judgment in compliance with regulatory requirements.Key ResponsibilitiesReview and...

Job Overview:CUSTOMER SOLUTIONS CENTER APPEALS AND GRIEVANCES TRAINING SPECIALIST II is a critical role in our organization, responsible for delivering ongoing training to the Customer Solution Center A&G team.Key Performance Indicators:This role is measured by its ability to provide high-quality training, resulting in improved employee performance and...

Job DescriptionWe are seeking a skilled Quality Compliance Nurse or Compliance Coordinator to join our team at Preferred IPA of California.As a key member of our healthcare team, you will be responsible for supporting the development and implementation of our Quality Management Program, as well as managing Health Plan Audits and responding to Appeals and...

OverviewL.A. Care Health Plan, a leading provider of healthcare services in Los Angeles County, is seeking an experienced Healthcare Compliance Specialist to join our team. In this critical role, you will be responsible for investigating and resolving member and provider complaints and appeals, ensuring compliance with regulatory requirements such as CMS,...