The Customer Solution Center Appeals and Grievances Nurse Specialist LVN II is primarily responsible for the overall... coordination of the Appeals & Grievance program for L.A. Care Health Plan members under the direct supervision and management...
L.A. Care Health PlanThe 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...
L.A. Care Health PlanSolution Center Appeal and Grievance Compliance Advisor. Job Description The Customer Solution Center Audit Readiness... of audit and consulting projects via written reports and oral presentations to Customer Solution Center management...
CCG Business Solutions, LLCCustomer Solution Center Appeal and Grievance Compliance Advisor Position will be hybrid - during audits.... Person must be living in state while working remote. Job Summary The Customer Solution Center Audit Readiness Specialist...
Health Career AssociatesCustomer Solution Center Appeals and Grievances Training Specialist Position will be Hybrid - will be conducting... when working from home. Job Summary The Customer Solutions Center Appeals and Grievances (A&G) Training Specialist II...
Health Career AssociatesThe Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist II is responsible for assisting the... and appeals cases for all line of business (LOB) to identify areas of improvement to assist the department in increasing positive...
L.A. Care Health PlanThe 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...
L.A. Care Health PlanThe Customer Solution Center Quality Auditor (QA) II is responsible for monitoring and actively influencing the Customer... will assist in the development of tools and procedures established to audit each vertical under the Customer Solution Center. In...
L.A. Care Health PlanTaxpayer Service Call Center! The Typical Day of a Tax Examiner I: Our customer focused representatives become highly..., integrity, and respect. The vision of the department is to empower businesses and individuals through quality customer service...
State of Coloradoon health outcomes first. Our pharmacists and clinicians are at the center of everything we do―and our population health... solution delivers tailored strategies for our clients. Leveraging our newly launched, AI-powered pharmacy care platform, ™...
EmpiRx HealthAdjustment, Products, Customer Solution Center (CSC), reporting and Analytics, Appeals and Grievances and the provider network...
L.A. Care Health Plancapabilities for the solution of operational and management problems. Identifying, coordinating, and providing statewide..., employers, elected representatives, and resolve difficult issues involving the claims, tax and appeals process. Handle special...
State of Floridacapabilities for the solution of operational and management problems. Identifying, coordinating, and providing statewide..., employers, elected representatives, and resolve difficult issues involving the claims, tax and appeals process. Handle special...
State of Floridacenter, campus and routing environments. What sets us apart is our relentless pursuit of innovation. We leverage the latest.... As their champion you will align Arista’s technical resources to achieve your customer’s business outcome. You will partner...
Arista Networkssupporting internal/external customer access needs and compliantly engage within assigned geography to support access... resources to support the entire patient access journey through payer prior authorization, appeals/denials procedures and forms...
Intercept Pharmaceuticalsappeals, collecting all pertinent documentation; filing per each individual payer’s guidelines. Customer Service: Supports... a professional manner. Demonstrates a positive attitude. Provides excellent customer service, facilitates quality care delivery...
Ohio Memorial Hospitalcenter, campus and routing environments. What sets us apart is our relentless pursuit of innovation. We leverage the latest.... As their champion you will align Arista’s technical resources to achieve your customer’s business outcome. You will partner...
Arista Networks