• Supervisor, Customer Solution

    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 (03/30/24)
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  • Customer Solution Center

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Appeals and Grievances Coordinator I 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 Coordinator I supports the … more
    LA Care Health Plan (03/14/24)
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  • Manager, Customer Solution

    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 (03/15/24)
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  • Customer Solution Center

    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 (04/15/24)
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  • Customer Solution Center

    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 (04/27/24)
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  • Customer Solution Center

    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 (03/23/24)
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  • Utilization Management/ Appeals

    LA Care Health Plan (Los Angeles, CA)
    …and to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist ... Utilization Management/ Appeals and Grievances Nurse Specialist RN II Job...Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017… more
    LA Care Health Plan (03/13/24)
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  • Grievance & Appeals Coordinator I

    TEKsystems (Los Angeles, CA)
    …of documents including copying, faxing and scanning incoming mail. Skills: customer service, call center , healthcare, HIPPA, medical terminology Additional ... Skills & Qualifications: Customer Services Appeals Grievances 100% Remote, but...partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of… more
    TEKsystems (04/17/24)
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  • Customer Solution Center

    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 (02/20/24)
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  • Customer Solution Center

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Member Navigator II Job Category: Customer Service Department: Even MORE Outreach & Service Location: Los Angeles, CA, US, 90017 ... 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
    LA Care Health Plan (03/27/24)
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  • Supervisor, Customer Solution

    LA Care Health Plan (Los Angeles, CA)
    Supervisor, Customer Solution Center Member Relations Navigator Job Category: Customer Service Department: Even MORE Outreach & Service Location: Los ... required to achieve that purpose. Job Summary The Supervisor, Customer Solution Center Member Relations...solutions to handle irate callers, and provide optimal customer service for internal and external customers. Must be… more
    LA Care Health Plan (02/28/24)
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  • Clinical Quality Program Manager II (Cahps)

    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
    LA Care Health Plan (04/10/24)
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  • Sr. Financial Reporting Analyst, Asset Management

    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
    Manulife (04/23/24)
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  • Report Writer III (ALD)

    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
    LA Care Health Plan (04/26/24)
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  • Clinical Operations Executive

    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
    LA Care Health Plan (03/10/24)
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