- Robert Half Accountemps (Long Beach, CA)
- Description We are seeking an experienced Medical Grievances and Appeals Specialist to join our dynamic team. The successful candidate will be responsible for ... and regulations. + Provide educational assistance to members regarding the grievance and appeals process. + Ensure record keeping system is maintained and… more
- Elevance Health (Costa Mesa, CA)
- …necessity determinations for services requested. + Makes medical necessity determinations for grievance and appeals appropriate for their specialty. + Ensures ... medical specialty required. **Preferred skills, capabilities, and experiences:** + Oncology specialist preferred + Internal medicine specialist preferred **For… more