• Lead Customer Solution Center

    LA Care Health Plan (Los Angeles, CA)
    Lead Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... to achieve that purpose. Job Summary The Lead of Customer Solution Center Appeals...solutions to handle irate members, and provide optimal customer service for internal and external customers. Must be… more
    LA Care Health Plan (09/17/24)
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  • 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 (10/31/24)
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  • Customer Solution Center

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Appeals and Grievances Nurse Specialist LVN II Job Category: Clinical 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 Nurse Specialist LVN II is… more
    LA Care Health Plan (11/04/24)
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  • Customer Solution Center

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Compliance Audit Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... 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 (11/05/24)
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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 (11/07/24)
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  • Customer Solution Center

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Member Navigator II (Location- Metro Los Angeles) Job Category: Customer Service Department: Even MORE Outreach & Service ... net required to achieve that purpose. Job Summary The Customer Solution Center Member Navigator...of experience resolving health care eligibility, access, grievance and appeals issues, preferably in health services, legal services and… more
    LA Care Health Plan (10/15/24)
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  • Clinical Quality Program Manager III

    LA Care Health Plan (Los Angeles, CA)
    …Management, Utilization Management, Risk Adjustment, Products, Customer Solution Center (CSC), reporting and Analytics, Appeals and Grievances and the ... evaluating business operations and processes. Identifies areas where technical solutions would improve business performance. Consults across business operations,… more
    LA Care Health Plan (11/07/24)
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