- Elevance Health (Cerritos, CA)
- ** Manager II Grievance / Appeals - Claims Support** **Location: *CA Residential Requirement** This position will work a hybrid model (remote and office). ... of California within 50 miles of one of our PulsePoint locations. The ** Manager II Grievance / Appeals ** is responsible for management oversight of… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist II...This position will focus on quality review of non-clinical grievance and appeals cases for all line… more
- CareOregon (Portland, OR)
- …Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Pharmacy Benefit Specialist II Exemption Status Non-Exempt Department Pharmacy Manager Title Pharmacy ... appeals and notify members and providers of outcome. + Assist the Appeals & Grievance Coordinators, Pharmacists, Medical Directors and Quality Improvement… more