- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... required to achieve that purpose. Job Summary The Supervisor, Customer Solution Center Appeals...independently. Ability to solve complex issues and identify creative solutions . Computer ease and literacy with Microsoft Office (Word,… more
- LA Care Health Plan (Los Angeles, CA)
- Manager, Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... support the safety net required to achieve that purpose. Job Summary The Manager, Customer Solution Center Appeals and Grievances is responsible for the… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will… 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 & ... support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances...net required to achieve that purpose. Job Summary The Customer Solutions Center Appeals ... II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017...success of new and current staff. Conducts training for Customer Solution Center A&G team… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeal and...A minimum of 5 years experience in regulatory auditing ( Appeals & Grievances, Call Center , Enrollment) in a ... exemption requests prior to proceeding with the recruitment process. Job Summary The Customer Solution Center Audit Readiness Specialist II is responsible… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Member Navigator II- Palmdale (onsite) Job Category: Customer Service Department: Even MORE Outreach & Service Location: Los ... net required to achieve that purpose. Job Summary The Customer Solution Center Member Navigator...of experience resolving health care eligibility, access, grievance and appeals issues, preferably in health services, legal services and… more
- CVS Health (Fresno, CA)
- …and, may require coordination of responses from multiple business units. Ensure timely, customer focused response to appeals . Identify trends and emerging issues ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...and report and recommend solutions . Independently coaches others on appeals ensuring… more
- Transdev (San Francisco, CA)
- …have at least three (3) years of experience conducting assessments of client/ customer eligibility for ADA paratransit services. Key Duties: This position's primary ... in-person interview to arrive at a determination. Analysts also participate in any appeals hearing related to a contested determination. The person in this position… more
- LA Care Health Plan (Los Angeles, CA)
- …Management, Utilization Management, Risk Adjustment, Products, Customer Solution Center (CSC), reporting and Analytics, Appeals and Grievances and the ... when appropriate. Must demonstrate ability to work collaboratively and seek solutions proactively applying critical thinking skills in evaluating priorities and … more
- CVS Health (Sacramento, CA)
- …constituents expectations are met or exceeded. + Identifies trends and any emerging customer service issues and works to develop solutions to address potential ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and… more
- City and County of San Francisco (San Francisco, CA)
- …significant Main Library, an anchor institution in the city's Civic Center , 27 neighborhood branch libraries that serve all neighborhoods throughout the ... Library divisions to understand business needs and collaborate on technology solutions ; research artificial intelligence (AI) tools and recommend how the Library… more
- CVS Health (Sacramento, CA)
- …constituents expectations are met or exceeded. + Identifies trends and any emerging customer service issues and works to develop solutions to address potential ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and… more
- Manulife (Los Angeles, CA)
- …Manulife Investment Management's global real estate platform provides investment solutions globally as part of its comprehensive private markets capabilities, ... on all real estate tax issues including coordinating all information, assessments, appeals and communication with consultants. Main point of contact for the real… more
- Sacramento County (Sacramento, CA)
- …to) the following positions: Wellness Crisis Call Center and Response Team. Click here (https://personnel.saccounty.net/Documents/WCCCRT-MRT-SBHPS-PositionFlyer.pdf) ... and instruction + Research and evaluate work problems, and recommend solutions + Develop and maintain cooperative, effective working relationships with others… more
- LA Care Health Plan (Los Angeles, CA)
- …analysis, management reporting and operational reporting specific but not limited for Customer Solutions Center , which includes Enrollment Services, Even ... root cause analysis of problem areas and recommend alternative solutions . Must be able to work in an environment...MORE, Call Center and Appeals & Grievances. Collaborates with end users to gather… more
- FRENCH AMERICAN INTERNATIONAL SCHOOL (San Francisco, CA)
- …community of individuals who are an actual representation of the world we live in. If this appeals to you, here is what we can guarantee: + A chance to work in a ... practical, will have the student learning experience at the center of their approach, and will uphold the school's...user experience, and effectiveness + Lead and model a customer -service culture in the technology department + Lead a… more
- Robert Half Accountemps (Alhambra, CA)
- Description A Medical Center in Los Angeles is seeking a dedicated and driven Medical Revenue Cycle Specialist to join its respectable hospital. The Medical Revenue ... on account Requirements UB04 form, Medical Collections, Medical Denials, Medical Appeals , Hospital Revenue Cycle, Medical Billing, Basic Medical Terminology Robert… more
- Robert Half Accountemps (Los Angeles, CA)
- Description A Surgery Center in Los Angeles is in the need of a Surgery Medical Billing Collections Specialist. The Surgery Medical Billing Collections Specialist ... Ambulatory Surgery, Ambulatory Surgery, Surgery, Medical Denials, Charge Entry, Medical Appeals Robert Half is the world's first and largest specialized talent… more
- LA Care Health Plan (Los Angeles, CA)
- …to allow for integration with claims, appeals and grievances, and our customer service center . The COE ensures regulatory compliance, provides subject matter ... reviews and audits. Identifies problems and develops efficient and effective solutions in a timely manner, which sharing information with key stakeholders.… more