- 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 Appeals & ... required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist II is responsible for assisting… more
- CenterWell (Sacramento, CA)
- …our caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive ... with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require… more
- Humana (Sacramento, CA)
- …Medical Director relies on medical background and reviews health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope and ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Sacramento, CA)
- …Director (CMD) relies on medical background to review health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope and ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Robert Half Accountemps (Los Angeles, CA)
- Description We are looking for a detail-oriented Medical Revenue Cycle Associate to join our team our team in Los Angeles, California. The Medical Revenue Cycle ... Associate will play a critical part in optimizing the...balances as necessary. * Prepare and submit corrections or appeals for rejected claims, adhering to payer-specific guidelines and… more
- City and County of San Francisco (San Francisco, CA)
- …any questions, contact Tamara Ranney at ###@sfgov.org. Under general direction, the Associate Engineer performs professional engineering work in the field and office ... engaged in engineering projects. The essential functions of the Associate Engineer class may vary depending on assignment and...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- UCLA Health (Los Angeles, CA)
- …members? UCLA Health Medicare Advantage Plan is looking for a dedicated and forward-thinking Associate Medical Director to help shape the future of our plan. In this ... + Provide clinical determinations for UM (prior authorizations, concurrent reviews, appeals , grievances, peer-to-peer). + Support day-to-day UM and Clinical … more
- Volunteers of America Los Angeles (Los Angeles, CA)
- People Relations Partner Associate III Location:Los Angeles, CA Job ID:4053 Salary:$80116.92 - $84333.6 Per Year Area of Interest:Human Resources Division:Corporate ... vision and retirement benefits. JOB SUMMARY AND PURPOSE The People Relations Partner Associate III assists the HR team by providing the support necessary to maintain… more
- Robert Half Legal (Irvine, CA)
- …will not have a set expectation of days in office. This is an associate role defending complex civil litigation cases and representing matters pending in state and ... Responsibilities: + The firm does not want any person, associate or partner, handling their own case A-Z. There...a lot of law and motion - many MSJ, appeals , etc. Somebody with experience in a heavy writing… more
- Meta (Sacramento, CA)
- …Job" online on this web page. **Required Skills:** Business Integrity Associate Responsibilities: 1. Develop compelling analyses to execute data-informed initiatives ... tradeoffs 13. 4. Operational process development with end-to-end enforcement- appeals infrastructure process, policy/process development, escalations and investigations of… more