- Elevance Health (Los Angeles, CA)
- …Work Hours:** Monday-Friday; 8am-5pm PST The ** Manager II Grievance/ Appeals ** is responsible for management oversight of grievances and appeals ... ** Manager II Grievance/ Appeals (RN)**...** Manager II Grievance/ Appeals (RN)** **Location** : **Hybrid... departmental units to investigate, resolve, and respond to grievances and appeals , manages inventory and production… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC ... Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist II is...II is responsible for assisting the Appeal and Grievances Compliance, Training and QA Manager to… more
- LA Care Health Plan (Los Angeles, CA)
- Technical Applications Manager II Job Category: Information Technology Department: IT Solutions Delivery Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Technical Application Manager II reports to the Senior ...of Membership Eligibility and Enrollment, Member Maintenance, PCP assignment, Appeals and Grievances preferred. EDI 5 years… more
- LA Care Health Plan (Los Angeles, CA)
- …care setting. Experience in health care auditing and monitoring (preferably in Appeals , Grievances , Quality Improvement, Utilization Management (UM) and so ... Compliance Advisor II Job Category: Administrative, HR, Business Professionals Department:...Compliance unit, the Advisor also advises and supports the Manager , Director, and Chief Compliance Officer on other duties… more