Jobs near Beverly Hills: 14,079
RS
Relevance Score ranked on: APPEALS
Customer Solution Center Appeals and Grievances Specialist II
Los Angeles
The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints and appeals exercising strong independent judgment. This position will provide resolution of complaints in compliance with Centers for Medicare and Medicaid Ser...
Search Terms: Solution, Appeals, Specialist, Customer, Technology
85.1
7.4mi
Updated: September 25
Supervisor, Appeals and Grievances Clinical Operations RN
Los Angeles
The Supervisor of Appeals and Grievances Clinical Operations (A&G) RN is responsible for executing the day-to-day clinical operations of the A&G department, and monitoring the A&G RN staff responsibilities and activities. This includes, but is not limited to, ensuring proper staffing and coverage; mo...
Search Terms: Operations, Clinical, RN, Supervisor, Appeals
82.6
7.4mi
Updated: September 19
Grievance/Appeals Analyst I (California Only)
WOODLAND HILLS
?Reviews, analyzes and processes non-complex grievances and appeals in accordance with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable language. Utilizes guidelines and review tools to conduct ex...
Search Terms: Appeals, Analyst, Administrative, Healthcare, Medical
80.1
13mi
Updated: September 14
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
80
7.4mi
Updated: August 17
Customer Service Rep(08180) - 371 S. Doheny Dr.
Beverly Hills
You got game? You got spring in your step? You want the best job in the world! And schedules that work with you, not against you? That's right, we live to beat the rush and make it possible to make, bake or take pizzas during the hungry hours of the day and night, part or full time. You'll have plent...
Search Terms: Customer Service, Service, Team Member, Worker, Restaurant
0
0mi
Updated: September 29
Sales Professional, Home Collection
Beverly Hills
The Sales Professional must embody a passion for creating extraordinary client experiences within the Ralph Lauren brand. First and foremost, the Ralph Lauren Sales Professional must have the selling skills, confidence and drive to exceed sales goals. The Sales Professional must be skilled at develop...
Search Terms: Sales, Customer Experience, Professional, Home, Client Relations
0
0mi
Updated: September 29
Social Worker-MSW PDM
Beverly Hills
Why work here? Beyond outstanding employee benefits including health and dental insurance, vacation, and a 403(b) we take pride in hiring the best employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynami...
Search Terms: Social Worker, Worker, Clinical, Patient Care, Case Manager
0
0mi
Updated: September 28
Pharmacist Program Coordinator - Drug Use Policy - Hybrid
Beverly Hills
When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. This shared culture of passion and dedication pulses through Cedars-Sinai, and it’s just one of the many reasons we’ve achieved our six-consecutive Magnet designati...
Search Terms: Drug, Program Coordinator, Pharmacist, Policy, Coordinator
0
0mi
Updated: September 28
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