• Coordinator , Appeals

    Evolent (Sacramento, CA)
    …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Appeals and Grievances ** at Evolent is responsible for reviewing ... prior authorization experience. This role is distinct from other coordinator positions in that it is dedicated to case...required. + Minimum of 3 years' experience in an Appeals and Grievances role or comparable administrative… more
    Evolent (10/11/25)
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  • Senior Coordinator , Complaint…

    CVS Health (Sacramento, CA)
    …quality measures, with respect to letter content and turn-around time for appeals , complaints and grievances handling. -Independently researches and translates ... PST Responsible for Oversight of that that investigates and resolution of appeals scenarios for all products, which may contain multiple issues and, may… more
    CVS Health (10/11/25)
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  • Pharmacy Coordinator

    Highmark Health (Sacramento, CA)
    …through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a resource for technical ... staff. + Other duties as assigned or requested. **QUALIFICATIONS:** **Minimum** + High school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician certification… more
    Highmark Health (09/09/25)
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