- 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 ... purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist... Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II provides direct… more
- CareOregon (Portland, OR)
- …Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Pharmacy Benefit Specialist II Exemption Status Non-Exempt Department Pharmacy Manager Title ... include customer service, claims processing, prior authorizations, formulary exceptions, appeals , grievances , and project participation. Essential Responsibilities… more
- LA Care Health Plan (Los Angeles, CA)
- …closely with translation vendors during the high-volume periods. The C&L Specialist II investigates and analyzes member grievances related to C&L Services to ... Cultural and Linguistic Services Specialist II Job Category: Clinical Department:...C&L grievance and complaint process by working closely with Appeals and Grievances (A&G) and language vendors… more
- LA Care Health Plan (Los Angeles, CA)
- …Audit Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: Full ... Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution,...and categorization, service authorization request and coverage determination , Appeals and Grievances across all lines of… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and approve medically necessary… more
- Centene Corporation (Springfield, IL)
- …**Position Purpose:** Documents and addresses customer complaints and issues (Ie, grievances , appeals , Claims Tracking Module) based on regulatory requirements. ... Supports and collaborates with team members and other functions to document and identify a compliant solution for complaints and issues. + Processes all received customer inquiries, complaints, and issues using internal tools as defined by the state and… more
- Centene Corporation (Phoenix, AZ)
- …**Position Purpose:** Documents and addresses customer complaints and issues (Ie, grievances , appeals , Claims Tracking Module) based on regulatory requirements. ... Supports and collaborates with team members and other functions to document and identify a compliant solution for complaints and issues. + Candidate needs to reside in Arizona + Processes all received customer inquiries, complaints, and issues using internal… more
- State of Colorado (Canon City, CO)
- CDOC Boiler Operator Lieutenant CSTS II (Canon City) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4646520) Apply CDOC Boiler Operator ... Lieutenant CSTS II (Canon City) Salary $5,437.00 - $7,613.00 Monthly Location...pay, creates, schedules, and assigns tasks, and resolves informal grievances according to agency policy while reducing inmate idleness… more
- State of Colorado (Limon, CO)
- CDOC Journeyman Electrician Lieutenant CSLTS II (Limon) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4534689) Apply CDOC Journeyman ... Electrician Lieutenant CSLTS II (Limon) Salary $5,709.00 - $7,993.00 Monthly Location Limon,...completion of annual training; + Resolve conflict and informal grievances at the lowest level possible; + Ensure safe,… more
- State of Colorado (CO)
- …for overtime compensation. Department Contact Information Ryan McCombs, Human Resources Specialist , ###@state.co.us Salary Note Although the full salary range for ... makes recommendations to hire, promote or transfer; + Manages informal grievances , provides documentation to support corrective actions when needed; + Oversees… more
- State of Colorado (CO)
- …for overtime compensation. Department Contact Information Ryan McCombs, Human Resources Specialist , ###@state.co.us Salary Note Although the full salary range for ... makes recommendations to hire, promote or transfer; + Manages informal grievances , provides documentation to support corrective actions when needed; + Oversees… more
- State of Colorado (CO)
- …for overtime compensation. Department Contact Information Ryan McCombs, Human Resources Specialist , ###@state.co.us Salary Note Although the full salary range for ... makes recommendations to hire, promote or transfer; + Assists with informal grievances , provides documentation to support corrective actions when needed; + Oversees… more