- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist I (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances ... to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Specialist I primary function… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances ... to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will… more
- LA Care Health Plan (Los Angeles, CA)
- Lead Customer Solution Center Appeals and Grievances RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... support the safety net required to achieve that purpose. Job Summary The Lead Customer Solution Center Appeals and Grievances RN is responsible for… more
- CVS Health (Columbus, OH)
- …are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital ... matter and independently coaches others on matters regarding complaints and appeals , ensuring compliance with federal and/or state regulations. Ensures compliance… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Quality Auditor II Job Category: Customer Service Department: Even MORE Quality Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Customer Solution Center Quality Auditor...Outreach, Ansafone, Web Inquiries, MRU (Member Relations Unit), and Appeals and Grievance, performance against key performance indicators and… more
- University of Pennsylvania (Philadelphia, PA)
- …and much more. Posted Job Title One Stop Counselor - Student Services Center , Division of Finance Job Profile Title Coordinator B Job Description Summary Reporting ... to the Assistant Director of the Student Services One Stop Center , and under general supervision, the One Stop Counselor is responsible for providing a comprehensive… more
- US Tech Solutions (RI)
- …inquiries to the pharmacist team as appropriate. **Experience:** + 0-3 years in a customer service or call center environment managing 75 calls/day. + Six months ... and/or resolve coverage requests. + Escalate issues to Coverage Determinations and Appeals Learning Advocates and management team as needed. + Must maintain… more
- ManpowerGroup (Alexandria, MN)
- …a leading organization in healthcare services, is seeking a **Transportation Contact Center Specialist** to join their team. As a Transportation Contact Center ... communication skills, problem-solving abilities, and a commitment to providing outstanding customer service, which will align successfully in the organization. **Job… more
- CTG (Boca Raton, FL)
- …in a team environment, and remain results-driven. **Experience:** + 1 year of customer service experience required. + Previous call center experience preferred. ... **Call Center Representative (Bilingual)** **Location:** Boca Raton, FL **Wage:**...other Saturday 8:30a - 5:00p **Duties:** + Provide exceptional customer service, including verbal, nonverbal, and written communication, in… more
- Johns Hopkins University (Baltimore, MD)
- Founded in 1979, the Johns Hopkins Center for Talented Youth (CTY) is a center for innovation dedicated to advancing the field of gifted education through ... for all financial aid and student account functions at the Johns Hopkins Center for Talented Youth (CTY). Reporting to the Director of Enrollment Services, this… more
- Zions Bancorporation (Henderson, NV)
- …is an investment in our customers and our business. **Your Purpose** + Help every customer feel valued by your words and actions + Inspire our customers to tell ... someone about their positive experience + Deliver meaningful solutions for our customers through inbound phone interactions + Seek to add value to each customers'… more
- Cleveland Clinic (Beachwood, OH)
- …thorough benefits investigation and processes any necessary prior authorizations and/or appeals for pharmacy claims. + Explain benefit coverage and financial ... physician of results as needed. + Communicate with patients professionally and customer -friendly to schedule the delivery of new and refilled medications and… more
- US Tech Solutions (RI)
- …etc. 5% **Experience:** Preferred 0-3 years work experience required in a customer service position with high volume call center experience; preferably ... with other internal groups regarding determination status and results (seniors, pharmacists, appeals , etc.). 10% + Identify and elevate clinical inquiries to the… more
- US Tech Solutions (May, OK)
- …email boxes, CAS maintenance, etc. **Experience:** + 0-2 years of experience in customer service or call center environment managing high volume calls. + ... internal groups regarding determination status and results (seniors, pharmacists, appeals , etc). + Identify and elevate clinical inquiries to...+ High School diploma or GED **About US Tech Solutions :** US Tech Solutions is a global… more
- Hawaiian Electric (Honolulu, HI)
- …outside counsel. ESSENTIAL FUNCTIONS: + Provides legal services, advice and practical solutions in relation to a wide range of public utility regulatory, litigation, ... and property damage claims, from case inception to judgment and appeals ; advising officers, managers and employees regarding proposed legislation, newly enacted… more
- Clark County, NV (Las Vegas, NV)
- …for planning, directing, and reviewing the work of staff that have customer and/or system support responsibilities required to maintain and enhance a large, ... processes, creating functional documentation, capturing detailed requirements for blueprinting, solution design, driving continuous improvement initiatives, and directing staff… more
- State of Colorado (Denver, CO)
- …IHA 06615 12/04/2025 Department Colorado Department of Human Services Division Admin Solutions Opening Date 12/04/2025 Closing Date 12/8/2025 11:59 PM Mountain FLSA ... laws; progressive discipline; records management; recruitment; responding to grievances, appeals , charges of discrimination; reorganization issues; retention; selection and… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …Employment Flexible/Hybrid Job Number 26-01455 Agency 427 Department of Inspections, Appeals & Licensing Opening Date 12/03/2025 Closing Date 12/14/2025 11:59 PM ... + Benefits + Questions Job Description The Iowa Department of Inspections, Appeals , and Licensing (DIAL) is seeking a highly motivated, skilled, solution… more
- Iowa Department of Administrative Services (State Of Iowa, IA)
- …IA Job Type Full-time Job Number 26-01414 Agency 427 Department of Inspections, Appeals & Licensing Opening Date 11/25/2025 Closing Date 12/7/2025 11:59 PM Central ... + Benefits + Questions Job Description The Iowa Department of Inspections, Appeals , and Licensing (DIAL) is seeking a highly motivated, skilled, solution… more
- Clark County, NV (Las Vegas, NV)
- …We're seeking a candidate with strong communication skills and an adaptive, solution -focused approach to problem-solving. As part of our collaborative team, you'll ... with county departments by aligning and implementing impactful technology solutions that support our organizational goals. This examination will establish… more