- Providence (Anaheim, CA)
- **Description** The Senior Manager Appeals and Grievances has direct responsibility for the design, implementation and ongoing operations of the Health ... and ensures the efficient operational management of health plan appeals and grievances with emphasis on patient...and caregiver dignity, outcome performance and continual improvement. The senior manager is a leader of PSJH… more
- LA Care Health Plan (Los Angeles, CA)
- …care setting. Experience in health care auditing and monitoring (preferably in Appeals , Grievances , Quality Improvement, Utilization Management (UM) and so ... for the Regulatory Compliance unit, the Advisor also advises and supports the Manager , Director, and Chief Compliance Officer on other duties as assigned to support… more