- CenCal Health (Santa Barbara, CA)
- …needed and intake of grievances/ appeals . Hours of operation for the CareConnect Call Center include 8:00am-8:00pm, 7 days a week and must be able to work a ... the population utilizing medical services (eg, medical receptionist, regional center coordinator, patient advocacy, customer service representative, or… more
- UC Davis Health (Sacramento, CA)
- …required action Ability to maintain composure, efficiency and a positive, customer -service oriented manner during periods of peak workload, with frequent ... the resources available to help solve the problem, create and implement viable solutions , and follow through to ensure the problem is resolved to the satisfaction… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Coordinator I (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances ... 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 (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 (Los Angeles, CA)
- Manager, Customer Solution Center Appeals and Grievances Job Category: Management/Executive 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 (Los Angeles, CA)
- Customer Solution Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit...minimum of 5 years of experience in regulatory auditing ( Appeals & Grievances, Call Center , Enrollment) in… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Training Development Specialist III Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & ... net required to achieve that purpose. Job Summary The Customer Solution Center (CSC) Training...technical or complex content into accessible and engaging learning solutions . Work with the quality team on quality and… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Quality Auditor II Job Category: Customer Service Department: Even MORE Quality Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Customer Solution Center Quality Auditor...Outreach, Ansafone, Web Inquiries, MRU (Member Relations Unit), and Appeals and Grievance, performance against key performance indicators and… more
- CVS Health (Sacramento, CA)
- …constituents expectations are met or exceeded. + Identifies trends and any emerging customer service issues and works to develop solutions to address potential ... are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital… more
- TEKsystems (Roseville, CA)
- …benefits, and claims inquiries. This role requires strong communication skills, a customer -first mindset, and the ability to manage high call volumes in a ... and written correspondence + Explain plan benefits, eligibility, claims processing, and appeals + Draft eligibility, sick leave, and basic medical appeals … more
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