- 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, ... and internal audits. Regulatory compliance : Works closely with Customer Solution Center Management to determine and handle effectiveness/accuracy of… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Quality...Compiles quality data on a daily/monthly basis to measure compliance with internal policies and procedures as well as ... net required to achieve that purpose. Job Summary The Customer Solution Center Quality Auditor...as deemed necessary. Frequently compiles quality data to measure compliance as well as regulatory requirements. Review quality reports,… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Service Representative I Job Category: Customer Service Department: Customer Solution Call Center Location: Los ... net required to achieve that purpose. Job Summary The Customer Solution Center Service Representative...via the member data base system, QMEIS. Ensures department compliance with Health Insurance Portability and Accountability Act (HIPAA)… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Customer Solution Call Center Job Category: Customer Service Department: Customer Solution Call Center Location: Los Angeles, CA, ... achieve that purpose. Job Summary The Supervisor of the Customer Solution Call Center is...and QMEIS systems are functioning properly for the Call Center . Ensure department compliance with regards to… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Service Representative II Job Category: Customer Service Department: Customer Solution Call Center Location: Los ... net required to achieve that purpose. Job Summary The Customer Solution Center (CSC) Representative...via the member data base systems. (QMEIS). Ensures department compliance with Health Insurance Portability and Accountability Act (HIPAA)… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Member...process may include referrals to plan partners to ensure compliance with regulatory and L. A. Care guidelines. Ensure ... and to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Member Navigator II is responsible for resolving… more
- 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, CA, US, ... to achieve that purpose. Job Summary The Lead of Customer Solution Center Appeals and...solutions to handle irate members, and provide optimal customer service for internal and external customers. Must be… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Customer Solution Center Appeals...years in a healthcare setting in Grievances and Appeals, Compliance , Claims or Call Center . At least ... required to achieve that purpose. Job Summary The Supervisor, Customer Solution Center Appeals and...independently. Ability to solve complex issues and identify creative solutions . Computer ease and literacy with Microsoft Office (Word,… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Even MORE Service Liaison I Job Category: Customer Service Department: Even MORE Outreach & Service Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Customer Solution Center Even MORE...focusing on opportunities for service/process improvement. This is in compliance with regulatory requirements for auditing purposes. (10%) Liaison… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Enrollment Analyst II Job Category: Customer Service Department: Enrollment Services Location: Los Angeles, CA, US, 90017 ... and to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Enrollment Analyst II is responsible for maintaining… more
- 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 Angeles, ... net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and...judgment. This position will provide resolution of complaints in compliance with Centers for Medicare and Medicaid Services (CMS),… more
- 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 Angeles, ... net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and...eg fraud and abuse cases shall be forwarded to Compliance Department. Duties Continued Outreach to providers, vendors, hospitals,… more
- Fresenius Medical Center (Los Angeles, CA)
- …Bonus! + This role is for a ASC Facility Administrator in our Los Angeles surgery center . + Monday through Friday. No weekends. The center is closed for 6 major ... while maintaining cost-effective facility operations in accordance with all legal, compliance and regulatory requirements and programs. As the clinical leader, has… more
- JCPenney (Santa Clarita, CA)
- … Experience Supervisor I - Valencia Town Center Location:Santa Clarita, CA, United States (https://jobs.jcp.com/jobs/location/191040/santa-clarita-ca-united-states) ... champion a One Team approach. Takes Accountability: Takes responsibility for excellent customer experiences and reliably delivers solutions that meet customer… more
- Fresenius Medical Center (Santa Ana, CA)
- **PURPOSE AND SCOPE:** Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including ... nurse in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies.… more
- SHI (Los Angeles, CA)
- …workshop delivery, project roadmap delivery and strategize in the design of solutions mapped to the customer 's business objectives. Working closely with ... solutions . **Responsibilities** **Responsibilities:** + Strive to understand our customer 's security program needs and discover opportunities to develop and… more
- HSBC (Beverly Hills, CA)
- …The Wealth Center Operations Manager oversees the operational, service and compliance related activities within the Wealth Center . This individual is ... customer service. To support these activities, the Wealth Center Operations Manager works closely with the Wealth ...you will: + Manage daily operations of the Wealth Center to ensure operational soundness and compliance … more
- Biomat USA, Inc. (Reseda, CA)
- … center , supervising operations and quality control, and ensuring compliance with all applicable policies and regulations. **Primary Responsibilities for Role:** ... transfusion medicine and develop, produce and market innovative medicines, solutions and services in more than 110 countries and...met. + Builds rapport with donors to ensure overall customer satisfaction with the center to support… more
- Fresenius Medical Center (Santa Fe Springs, CA)
- …nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal ... business policies, procedures and systems incorporated into training, including compliance with ethical business practices + Maintain environmental integrity and… more
- ManpowerGroup (Los Angeles, CA)
- …- Call Center Support, you will be part of the Customer Transaction Processing department supporting wire transfer, ACH and SWIFT payment processing. The ... skills, attention to detail, and a solid understanding of banking and compliance regulations. **Job Title:** Director - Call Center Support **Location:**… more