• Appeals & Grievances

    LA Care Health Plan (Los Angeles, CA)
    Appeals & Grievances Regulatory Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... more
    LA Care Health Plan (02/02/25)
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  • Specialty Health Plans Auditor III

    LA Care Health Plan (Los Angeles, CA)
    …is the liaison in external and or (CMS) claim audits Organization Determination, Appeals & Grievances (ODAG) of delegates and subsequently monitors delegates ... more
    LA Care Health Plan (02/24/25)
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  • Medical Payment Accounting Coordinator II

    LA Care Health Plan (Los Angeles, CA)
    …provided to third party vendor, SOVOS. (15%) Validate documentation provided by (A&G) Appeals & Grievances Dept. for member reimbursement request to ensure all ... more
    LA Care Health Plan (12/19/24)
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