- Elevance Health (Woodland Hills, CA)
- …End Date:** 2024-09-09 **Position Title:** Manager I - Grievances & Appeals - Member Appeals **Job Description:** ** Manager I - Grievances & ... Appeals - Member Appeals ** **Location** : This position will work a hybrid...of our Elevance Health PulsePoint locations in California. The ** Manager I - Grievances & Appeals… more
- Elevance Health (Woodland Hills, CA)
- …and processes non-complex pre service and post service grievances and appeals requests from customer types (ie member , provider, regulatory and third ... make an impact:** + Reviews, analyzes and processes non-complex grievances and appeals in accordance with external...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Woodland Hills, CA)
- …**How you will make an impact:** + Conducts investigations and reviews of member and provider medical necessity appeals . + Reviews prospective, inpatient, or ... forwards to Medical Director for approval. + Ensures that appeals and grievances are resolved timely to...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Woodland Hills, CA)
- …entities. + Utilizes leadership skills and serves as a subject matter expert for appeals / grievances /quality of care issues and is a resource for clinical and non ... **Anticipated End Date:** 2024-09-18 **Position Title:** Nurse Appeals (Quality) CA **Job Description:** **Nurse Appeals (Quality) - California candidates only**… more