- Elevance Health (Los Angeles, CA)
- **Manager II Grievance / Appeals - Claims Support** **Location: * CA Residential Requirement** This position will work a hybrid model (remote and office). Ideal ... within 50 miles of one of our PulsePoint locations. The **Manager II Grievance / Appeals ** is responsible for management oversight of grievances and appeals… more
- LA Care Health Plan (Los Angeles, CA)
- …Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA , US, 90017 Position Type: ... Required: At least 5 years of experience resolving health care eligibility, access, grievance and appeals issues, preferably in health services, legal services… more
- LA Care Health Plan (Los Angeles, CA)
- …and Grievances Quality Auditing Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA , US, 90017 Position ... consistent and accurate manner. This position will focus on quality review of non-clinical grievance and appeals cases for all line of business (LOB) to identify… more
- LA Care Health Plan (Los Angeles, CA)
- …Required: At least 0-2 years of experience resolving health care eligibility, access, grievance and appeals issues, preferably in health services, legal services ... Category: Customer Service Department: Even MORE Outreach & Service Location: Los Angeles, CA , US, 90017 Position Type: Full Time Requisition ID: 11326 Salary Range:… more
- LA Care Health Plan (Los Angeles, CA)
- … Compliance Advisor Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances Location: Los Angeles, CA , US, 90017 Position ... documentation and categorization, service authorization request and coverage determination , Appeals and Grievances across all lines of business). This position is… more
- LA Care Health Plan (Los Angeles, CA)
- …Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA , US, 90017 Position Type: ... required to achieve that purpose. Job Summary The Supervisor, Customer Solution Center Appeals & Grievances is responsible for direct supervision and support of the… more
- LA Care Health Plan (Los Angeles, CA)
- … Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA , US, 90017 Position Type: ... required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member… more