- Elevance Health (Costa Mesa, CA)
- …of clinical information. + The analyst may serve as a liaison between grievances & appeals and /or medical management, legal, and/or service operations and ... granted as required by law._ The **Medicaid Grievance and Appeals Intake Analyst ** is an entry level...analyzes and processes non-complex pre service and post service grievances and appeals requests from customer types… more
- City and County of San Francisco (San Francisco, CA)
- …bargaining agreements. + Key duties include negotiating resolutions to grievances , investigating complaints of serious employee misconduct, and conferring with ... professional human resources experience, similar to 1241 Human Resources Analyst , in one or more of the following areas...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- LA Care Health Plan (Los Angeles, CA)
- …assurance (especially related to claims, health services/population health as well as appeals and grievances systems, applications, etc.) Knowledge of and ... Quality Configuration Assurance Analyst III Job Category: Information Technology Department: Enterprise...(including but not limited to, claims processing, population health, appeals and grievances , etc.) and the systems… more
- Sacramento Municipal Utility District (Sacramento, CA)
- …in written Labor Relations work, including disciplinary documents, reports, responding to grievances or appeals **Physical Requirements** Applicants must be able ... Title: Senior Labor Relations Analyst Department: Employee Relations Location: Sacramento, CA, US,...and draw logical conclusions; investigate a variety of issues, grievances , and complaints in a timely and sensitive manner;… more
- LA Care Health Plan (Los Angeles, CA)
- …Solution Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position ... call documentation and categorization, service authorization request and coverage determination , Appeals and Grievances across all lines of business). This… more
- The County of Los Angeles (Los Angeles, CA)
- …personnel in their unit and effectively recommending the adjustment of grievances and disciplinary problems. Other positions are assigned such functions as: ... first level technical and administrative supervision to the complaint or advanced-level appeals unit. Essential Job Functions + Supervises the activities of all… more