Appeals and Grievances Professional, Senior Advocate

At Blue Shield of California, we are seeking a skilled Appeals and Grievances Case Manager, Senior to join our team. In this role, you will play a critical part in managing and resolving member appeals and grievances in a timely manner.About the RoleThis position involves answering inquiries, investigating issues, and providing explanations of health plan...

OverviewThe Appeals and Grievances team at Blue Shield of California plays a crucial role in managing and resolving member appeals and grievances. As an Appeals and Grievances Representative, Advanced Coordinator, you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to appeals and grievances within established...

About This RoleAs a Healthcare Advocate Coordinator at Blue Shield of California, you will play a critical role in managing and resolving member appeals and grievances in a timely manner.Your key responsibilities will include answering inquiries, investigating issues, and providing explanations of health plan benefits to members and providers. To succeed in...

Role OverviewThe Appeals and Grievances Representative, Advanced is responsible for managing member appeals and grievances. This role involves answering inquiries, investigating issues, and explaining health plan benefits to members and providers.

**About Blue Shield of California**Blue Shield of California is a health plan dedicated to providing high-quality, affordable healthcare services to our members. We are committed to improving the health and well-being of our community by delivering exceptional customer service, promoting healthy lifestyles, and supporting innovative healthcare...

Our team is responsible for resolving member appeals and grievances in a timely manner.About the RoleThis role involves answering inquiries, investigating issues, and providing explanations of health plan benefits to members and providers.You will be working with our Appeals and Grievances team to ensure that all cases are resolved within established...

Overview: Blue Shield of California seeks an experienced Operations Supervisor to lead the Commercial Appeals & Grievances department. This role is responsible for supervising coordinators, conducting research, and managing appeals and grievances.Responsibilities:Foster a collaborative work environment and develop high-performing teams.Manage routine...

About UsBlue Shield of California is a leading healthcare organization dedicated to delivering high-quality, affordable care to its members.Job SummaryWe are seeking an experienced Supervisor, Operations for our Commercial Appeals & Grievances department. This role will be responsible for overseeing the daily operations and people management functions within...

Company OverviewBlue Shield of California is a leading health care organization dedicated to improving the health and well-being of its members. Our team is passionate about delivering exceptional service and promoting healthy lifestyles.

About Sunrise Senior LivingSunrise Senior Living has championed quality of life in senior care for over 30 years. Our commitment to providing exceptional care and services has earned us a reputation as a leader in the industry.Job DescriptionWe are seeking a Caregiver Advocate to join our team at Sunrise Senior Living. As a Caregiver Advocate, you will be...

We are seeking a dynamic and creative Senior Living Activity Director to join our team at El Dorado Estates, the premier retirement community for active seniors in El Dorado Hills.About the Position:This role is perfect for someone who has a passion for working with seniors and a proven history of event coordinating, decorating, wedding planning, or teaching...

Job OverviewBlue Shield of California seeks a skilled Operations Leadership Manager to join its Commercial Appeals & Grievances team. In this role, you will be responsible for overseeing daily operations and people management functions, fostering a great work environment, and consulting with management on operational issues.Your ResponsibilitiesManage...

Job SummaryThe Care Management team at Blue Shield of California supports the mission of providing support to patients in maintaining health and wellness in the outpatient setting. As a Senior Care Manager, you will report to the Manager of Care Management and ensure that services are provided based on standardized procedures, including coordination of care...

Job SummaryWe are seeking an experienced Healthcare Operations Manager to join our team at Blue Shield of California.About the RoleThe ideal candidate will have a strong background in healthcare management, with experience in care coordination, utilization management, and quality improvement. The successful applicant will be responsible for ensuring that...

Job OverviewThe Senior Case Management Nurse is responsible for facilitating patient health and wellness in the outpatient setting.About the RoleThis position involves developing individualized care plans, coordinating care with specialists, and ensuring compliance with medical necessity and clinical guidelines.Key ResponsibilitiesDevelop treatment/care...

We are seeking a highly skilled Electrical Design Engineer to join our team in El Dorado Hills, CA.Job DescriptionRandstad USA is looking for an experienced Senior Electrical Design Engineer to design and develop production machinery systems.This role requires strong knowledge of AutoCAD Inventor, ladder logic programming for PLCs, and experience with...

Empowering Seniors to Live Their Best LivesWe are seeking an exceptional Occupational Therapist to join our team at EmpowerMe Wellness, where we are passionate about providing flexible and personalized therapy services to seniors in our care communities. As an Occupational Therapist, you will have the opportunity to make a meaningful difference in the lives...

About the JobThe Senior Software Engineer will report to the VP of Engineering, serving as an important member of an elite team of industry experts at Keeper to successively innovate and deliver industry-leading products.The ideal candidate will have a strong background in software development, with a focus on Privileged Access Management and...

Executive Leadership RoleWe are seeking a seasoned Chief Operating Officer to drive strategic growth and oversee daily operations in a rapidly expanding renewable energy organization.Job Summary:Leverage your expertise to develop and implement business strategies that align with the company's ambitious objectives.Oversee operational departments, ensuring...

Job OverviewWilson Construction Company is seeking a highly experienced Senior Utility Construction Manager to lead our utility transmission and distribution construction projects. This role requires a professional with strong leadership skills, excellent communication abilities, and extensive experience in managing large-scale utility construction...