• 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 (07/08/25)
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  • Manager, Customer Solution

    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 (07/08/25)
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  • Customer Solution Center

    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 (07/17/25)
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  • Customer Solution Center

    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
    LA Care Health Plan (07/11/25)
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  • Customer Service Representative

    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
    CVS Health (08/01/25)
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  • Member Services Representative

    TEKsystems (Roseville, CA)
    …High school diploma. + Minimum 1 year experience in a high-volume call center (60+ calls/day); healthcare customer service preferred. + Strong grammar, spelling, ... inbound calls and walk-ins regarding benefits, eligibility, claims, and appeals . + Draft and process eligibility and medical ...partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of… more
    TEKsystems (07/28/25)
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  • Member Services Representative (Open Enrollment)

    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
    TEKsystems (07/21/25)
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  • Associate Director, Field Reimbursement…

    J&J Family of Companies (Sacramento, CA)
    …it might be found. Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for an **Associate Director, ... treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we… more
    J&J Family of Companies (07/30/25)
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  • Associate Director, Field Reimbursement…

    J&J Family of Companies (South San Francisco, CA)
    …it might be found. Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for an **Associate Director, ... treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we… more
    J&J Family of Companies (07/30/25)
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  • Senior Behavioral Health Peer Specialist

    Sacramento County (Sacramento, CA)
    …and instruction + Research and evaluate work problems, and recommend solutions + Develop and maintain cooperative, effective working relationships with others ... state, and local laws, codes, and regulations + Apply customer service skills, including the identification of customer...Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days… more
    Sacramento County (07/22/25)
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