Jobs near Los Angeles: 14,908
RS
Relevance Score ranked on: APPEALS
Appeals and Grievances Analyst
Los Angeles
As the Appeals and Grievances (A&G) Analyst, you will be responsible for assisting with all operational aspects of appeals and grievances, in accordance with state and federal regulations. You will: Manage various weekly/monthly deadlines effectively due to the time constraints imposed by CMS on Medi...
Search Terms: Appeals, Analyst, Operations, Administrative, Healthcare
89.6
0mi
Updated: November 14
Senior Appeals & Grievances Analyst
Los Angeles
As the Senior Appeals and Grievances Analyst, you will be responsible for: Assisting with all operational aspects of appeals and grievances, in accordance with state and federal regulations. Assisting the unit Supervisor in overseeing the appeals and grievances process, ensuring that members and prov...
Search Terms: Appeals, Analyst, Senior, Technology, Healthcare
89.6
0mi
Updated: November 14
Appeals and Grievances Analyst
Los Angeles
As the Appeals and Grievances (A&G) Analyst, you will be responsible for assisting with all operational aspects of appeals and grievances, in accordance with state and federal regulations. You will:Manage various weekly/monthly deadlines effectively due to the time constraints imposed by CMS on Medic...
Search Terms: Appeals, Analyst, Operations, Administrative, Healthcare
89.6
0mi
Updated: November 14
Senior Appeals & Grievances Analyst
Los Angeles
As the Senior Appeals and Grievances Analyst, you will be responsible for:Assisting with all operational aspects of appeals and grievances, in accordance with state and federal regulations. Assisting the unit Supervisor in overseeing the appeals and grievances process, ensuring that members and provi...
Search Terms: Appeals, Analyst, Senior, Technology, Healthcare
89.6
0mi
Updated: November 14
Senior Appeals & Grievances Analyst
Los Angeles
As the Senior Appeals and Grievances Analyst, you will be responsible for:Assisting with all operational aspects of appeals and grievances, in accordance with state and federal regulations. Assisting the unit Supervisor in overseeing the appeals and grievances process, ensuring that members and provi...
Search Terms: Appeals, Analyst, Senior, Technology, Healthcare
89.6
0mi
Updated: November 14
Appeals & Grievances Nurse
Los Angeles
As the Appeals & Grievances Nurse, you will play a key role in managing and resolving New Century Health Plan member appeals and grievances. You will: Ensuring timely, accurate, and thorough review of member and provider complaints, working closely with clinical and administrative teams. Assessing ca...
Search Terms: Appeals, Nurse, Healthcare
86.2
0mi
Updated: October 31
Appeals & Grievances Specialist
Los Angeles
As the Appeal & Grievance Specialist, you will be responsible for:Managing the intake and resolution of member and provider appeals and grievances in compliance with CMS (Centers for Medicare & Medicaid Services) regulations for Medicare Advantage plans. Ensuring that all cases are processed within m...
Search Terms: Appeals, Specialist, Healthcare, Medical Director
85.4
0mi
Updated: October 31
Customer Solution Center Appeals and Grievances Nurse Specialist LVN II
Los Angeles
The Customer Solution Center Appeals and Grievances Nurse Specialist LVN II is primarily responsible for the overall coordination of the Appeals & Grievance (A&G) program for L. A. Care Health Plan members under the direct supervision and management of the A&G Nurse Specialist, RN and/or Medical Dire...
Search Terms: Solution, Appeals, LVN, Specialist, Nurse
83.8
5.7mi
Updated: November 04
Customer Solution Center Appeals and Grievances Nurse Specialist RN II
Los Angeles
The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II provides direct assistance to member's with health care access or benefit coordination issues, ensuring that clinical grievances, complaints and complex issues are investigated and resolved to the memb...
Search Terms: Solution, RN, Appeals, Specialist, Nurse
83.3
5.7mi
Updated: November 19
Audit and Appeals Specialist
Los Angeles
Contribute to the success of a world-class healthcare organization by ensuring compliance in regulatory audits and appeals. Leverage your expertise to support UCLA Health’s commitment to accuracy and quality in claim processing. As an Audit and Appeals Specialist, you will: Facilitate responses to re...
Search Terms: Appeals Specialist, Audit, Appeals, Specialist, Healthcare
81.9
0mi
Updated: November 06
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