- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... 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
- Sacramento Municipal Utility District (Sacramento, CA)
- …with one or more collective bargaining units, including day-to-day contract management, grievance response and resolution, and labor negotiations. The intent of this ... provides assistance in negotiating with labor unions as well as in grievance resolution efforts; provides ongoing employee relations services to SMUD departments by… more
- Sharp HealthCare (San Diego, CA)
- …from summary data of paid claims, encounters, authorization logs, complaint and grievance logs and other sources. + Achieves and maintains benchmarked utilization ... findings in conjunction with the Quality Improvement Manager. + Participates in the grievance process with the Chief Medical Officer, insuring a fair outcome for all… more
- Sharp HealthCare (San Diego, CA)
- …from summary data of paid claims, encounters, authorization logs, complaint and grievance logs and other sources. + Achieves and maintains benchmarked utilization ... prepare ongoing requests for statements and reviews for DMHC. + Participates in the grievance process with the Chief Medical Officer, insuring a fair outcome for all… more
- City and County of San Francisco (San Francisco, CA)
- …the City in state and federal civil litigation (through trial and appeals ), in administrative proceedings involving labor and employment matters, and provides ... 30 unions that represent City employees, including collective bargaining, labor grievance arbitrations, and defending unfair labor practice and other administrative… more