- 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 ... purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist... Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II provides direct… more
- CareOregon (Portland, OR)
- …Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Pharmacy Benefit Specialist II Exemption Status Non-Exempt Department Pharmacy Manager Title ... include customer service, claims processing, prior authorizations, formulary exceptions, appeals , grievances , and project participation. Essential Responsibilities… more
- LA Care Health Plan (Los Angeles, CA)
- …closely with translation vendors during the high-volume periods. The C&L Specialist II investigates and analyzes member grievances related to C&L Services to ... Cultural and Linguistic Services Specialist II Job Category: Clinical Department:...C&L grievance and complaint process by working closely with Appeals and Grievances (A&G) and language vendors… more
- LA Care Health Plan (Los Angeles, CA)
- …Audit Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: Full ... Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution,...and categorization, service authorization request and coverage determination , Appeals and Grievances across all lines of… more
- CareOregon (Portland, OR)
- Job Title Provider Relations Specialist II - Behavorial Health Exemption Status Exempt Department Provider Relations Manager Title Provider Relations Supervisor ... following areas: Provider relations, managed care operations (eg, claims, appeals , grievances , customer service), medical/behavioral health clinic operations,… more
- State of Colorado (Colorado Springs, CO)
- …and respond to offender and visitor requests for ADA accommodation, grievances and correspondence by independently researching and evaluating claims and requests ... decision of offender request; + Respond to offender ADA grievances by gathering, investigating and researching pertinent information, interviewing appropriate… more