• Senior Appeals & Grievances

    UCLA Health (Los Angeles, CA)
    Description As the Senior Appeals and Grievances Analyst , you will be responsible for: + Assisting with all operational aspects of appeals and ... federal regulations. + Assisting the unit Supervisor in overseeing the appeals and grievances process, ensuring that members and providers receive fair and… more
    UCLA Health (11/15/24)
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  • Appeals and Grievances

    UCLA Health (Los Angeles, CA)
    Description As the Appeals and Grievances (A&G) Analyst , you will be responsible for assisting with all operational aspects of appeals and grievances ... due to the time constraints imposed by CMS on Medicare appeals and grievances . + Collaborates closely with beneficiaries, healthcare providers, and insurance… more
    UCLA Health (11/15/24)
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  • Appeals and Grievances

    UCLA Health (Los Angeles, CA)
    Description As the Appeals and Grievances (A&G) Analyst , you will be responsible for assisting with all operational aspects of appeals and grievances ... due to the time constraints imposed by CMS on Medicare appeals and grievances . + Collaborates closely with beneficiaries, healthcare providers, and insurance… more
    UCLA Health (11/15/24)
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  • Business Analyst III

    LA Care Health Plan (Los Angeles, CA)
    …Physical Requirements Light Additional Information Department Specifics: Customer Solution Center Appeals and Grievances : This position requires work after ... Business Analyst III Job Category: Claims Department: Claims Data...required to achieve that purpose. Job Summary The Business Analyst III facilitates business process improvement via the methodical… more
    LA Care Health Plan (12/10/24)
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  • Regulatory Compliance Audit Specialist

    LA Care Health Plan (Los Angeles, CA)
    Regulatory Compliance Audit Specialist Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: ... call documentation and categorization, service authorization request and coverage determination , Appeals and Grievances across all lines of business). This… more
    LA Care Health Plan (11/05/24)
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