- Centene Corporation (Sacramento, CA)
- …member and provider complaints, grievances and appeals + Maintain files on individual appeals and grievances + May coordinate the Grievance and Appeals ... High school diploma or equivalent. Associate's degree preferred. 2+ years grievance or appeals , claims or related managed care experience. Strong oral, written,… more
- Robert Half Accountemps (Los Angeles, CA)
- …guidelines for use by examiners or Participant Services Representatives. * Assist Appeals Coordinator with the preparation of Benefits Committee appeal cases. ... Los Angeles is in the immediate need of a Grievance & Appeals Specialist. The Grievance...2 years of experience as a Medical Claims Review Coordinator or in a similar role * Proficient in… more
- LA Care Health Plan (Los Angeles, CA)
- …Appeals and Grievances Coordinator I supports the Customer Solution Center Appeals & Grievance Specialists by handling the administrative functions of the ... Customer Solution Center Appeals and Grievances Coordinator I (Temporary)...staff to render decisions, assists the Customer Solution Center Appeals & Grievance Manager and Director in… more
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