Senior RN, Medicare Appeals & Grievances (Hybrid)
Blue Shield of CA
Blue Shield of CA in San Diego is seeking a Medicare Appeals RN Senior to perform accurate and timely clinical reviews of member appeals and grievances. The role demands a strong understanding of Medicare guidelines and requires a current CA RN License. Candidates should have at least 5 years of experience in nursing or related fields. This position allows for hybrid virtual work, with office attendance expected based on business needs. #J-18808-Ljbffr Blue Shield of CA
- Your Role The Medicare Appeals and Grievances team is responsible for clinically reviewing member appeals... ...The Medicare Appeals and Grievances RN Senior will report to Utilization... ...clinical issues strongly preferred Hybrid Virtual Work This role allows employees...SeniorFull timeWork at officeLocal area
$90.86k - $136.29k
...Job Title Medicare Appeals And Grievances Rn Senior Job Description Your Role The Medicare Appeals And Grievances team is responsible for clinically... ...grievances for clinical issues strongly preferred Hybrid Virtual Work This role allows employees to work...SeniorFull timePart timeWork at officeLocal areaWork from homeHome office2 days per week- Your Role The Member Appeals and Grievances team is responsible for clinically... ...The Appeals and Grievances RN Senior will report to the Appeals... ...Knowledge of Commercial, ASO, Medicare Advantage and benefit... ...shared drives, TEAMS, PDF etc. Hybrid Virtual Work This role...SeniorFull timeWork at office
- ...Medicare Appeals And Grievances Rn Lead The Medicare Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances... ...state/federal regulations related to health care. Hybrid Virtual Work This role allows employees to work...SuggestedFull timeContract workPart timeWork at officeLocal areaWork from homeHome office2 days per week
- ...Your Role The Medicare Appeals and Grievances team is responsible for clinically reviewing member appeals... .... The Medicare Appeals and Grievances RN Lead will report to the Appeals and... ...regulations related to health care. Hybrid Virtual Work This role allows...SuggestedFull timeWork at officeLocal area
$90.86k - $136.29k
...Job Title Senior Care Manager Job Description The Care... ...Disease Management (DM) and Appeals and Grievance department (AGD). Conducts... ...: ~ Current CA RN License required ~ Bachelor... ...communications skills Hybrid Virtual Work This role allows...SeniorFull timeContract workWork at office$114k - $213.4k
Northrop Grumman Corp. (JP) is looking for a Principal or Senior Principal Airworthiness Engineer in San Diego, offering a hybrid work option. The role involves supporting airworthiness certification for various air vehicle platforms and managing certification objectives...Senior$142.2k - $213.4k
...or systems engineering, leading airworthiness plans, and a strong understanding of airworthiness standards. This position offers a hybrid telework option, and a competitive salary range of $142,200.00 - $213,400.00, with additional benefits. #J-18808-Ljbffr Northrop Grumman...SeniorRemote work$94.2k - $176.3k
A leading aerospace company is seeking a Principal or Senior Principal Proposal Analyst to provide essential support in bid evaluations... ...the F/A-18 Program. This role, located in San Diego, CA, offers a hybrid work arrangement and requires experience in quantitative roles...Senior$131k - $163.6k
A leading clinical research organization is seeking a Senior Clinical Operations professional to lead Phase 2-4 clinical trials in a hybrid working model. The ideal candidate will have a Bachelor's degree in life sciences and over 5 years of experience in clinical trial...Senior$142.2k - $213.4k
Northrop Grumman Corp. (AU) is seeking a Sr. Principal Airworthiness Engineer based in San Diego, CA, with a hybrid telework option. This role involves supporting certification efforts on various air vehicle platforms and ensuring customer airworthiness certification objectives...SeniorRemote work- ...across specific lines of business such as Medicare, Medical, or Commercial plans. You will... ...preferred. Requires a current California RN License Requires at least 5 years of... ...strong critical thinking skills Hybrid Virtual Work This role allows employees...SeniorFull timeWork at office
$90.86k - $136.29k
...across specific lines of business such as Medicare, Medical, or Commercial plans. You will... ...preferred. Requires a current California RN License Requires at least 5 years of... ...Requires strong critical thinking skills Hybrid Virtual Work This role allows...SeniorFull timeContract workWork at officeRemote work- Sargent Lundy in San Diego seeks a skilled engineer specializing in transmission line design. This hybrid role emphasizes collaboration with teams and clients, focusing on the design of transmission lines ranging from 69kV to 500kV. Ideal candidates will have robust engineering...Senior
$75k - $92k
A leading law firm is seeking a Senior Credit Coordinator (Collections) to support their Credit Managers in efficient collection processes... ...and preparing documentation for collections. This hybrid position offers a competitive salary ranging from $75,000 to $92...Senior$97.2k - $157.6k
...Days, 8 hour shifts, Monday - Friday #138772 Senior ServiceNow Developer - Hybrid Extended Deadline: Fri 5/29/2026 Apply Now... ...determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous...SeniorHourly payLocal areaRemote workMonday to FridayDay shift$110k - $160k
...working with a well-established company? P&C insurer is seeking a Senior Actuarial Analyst who will provide expertise in the areas of... ...SQL and R. Exam Support provided. (#58477) Compensation: ~ Salary range of $110-160K Location : ~ San Diego, CA / Hybrid...SeniorFull time- ...and industry-leading benefits, along with opportunities for growth and advancement. Join a firm that promotes a flexible work schedule and a great company culture. If you thrive in a hybrid environment, this could be the perfect opportunity for you. #J-18808-Ljbffr JobotSeniorFlexible hours
- JSG (Johnson Service Group, Inc.) in San Diego is seeking a Senior Accountant with M&A and Consolidations experience. This hybrid position involves managing complex consolidations and financial reporting across multiple entities. The ideal candidate will have over 6 years...Senior
$120k - $137k
Hirebridge is seeking an experienced Senior Structural Engineer in San Diego to lead structural design from concept to construction. The... ...for mentoring junior staff. The position offers a flexible hybrid work schedule and competitive compensation, with salaries ranging...SeniorFlexible hours$200k
Fair Cadora, APC in San Diego is seeking a mid-to-senior level Associate Attorney to join their family law practice. This unique role offers a 4-day work week and the flexibility of onsite or hybrid work options, aiming to foster a supportive and collaborative environment...Senior- Ericsson is looking for a Senior Business Development Manager in San Diego, California. In this hybrid role, you will drive new business growth in Mobile Financial Services, creating opportunities and closing high-value deals. You should have 8-12 years of sales experience...Senior
$142.71k - $215.44k
...communication. Essential qualifications include a B.S. in Engineering and over 10 years of relevant experience. The position offers a hybrid work arrangement, competitive compensation of $142,710 to $215,440, and extensive employee wellness benefits. #J-18808-Ljbffr...Senior$97.2k - $182k
#138772 Senior ServiceNow Developer - Hybrid Extended Deadline: Thu 4/30/2026 UC San Diego values and welcomes people from all backgrounds. If you are... ...that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous...SeniorHourly payLocal areaRemote work$95k - $120k
...credit reports. Ideal candidates will have 6-8 years of experience and a Bachelor's degree in relevant fields. The position offers a hybrid schedule and a competitive salary ranging from $95,000 to $120,000, along with comprehensive benefits. #J-18808-Ljbffr Mulligan...Senior- Solid Rock Recruiting LLC is looking for an experienced Tax Senior to join a respected public accounting firm in San Diego. This role provides a hybrid work model with options for full remote work. Key responsibilities include preparing and reviewing tax returns and conducting...SeniorRemote job
- Drive Capital is looking for a Senior Electrical Engineer in San Diego to join the Hardware Engineering team. You will design and test... ...health insurance, unlimited PTO, and equity opportunities. This hybrid position offers a chance to lead innovative solutions in defense...Senior
$230k - $270k
Aionios LLC is seeking a Mid-Senior Level Employment Litigation Associate to join its team in San Diego, CA. This role involves defending... ...wage and hour class actions. A collaborative team culture and hybrid work flexibility contribute to this exciting opportunity with a...Senior$165k - $200k
A leading engineering consulting firm is seeking a senior aviation professional in San Diego, CA. You will manage local airport client... ...with aviation projects. This position offers a salary range of $165,000 - $200,000 and hybrid work options. #J-18808-Ljbffr RC AssociatesSeniorLocal area- A leading biotechnology company is seeking a Senior Manager, IT - SAP Finance to lead transformational finance projects in San Diego, CA... ...information to senior stakeholders. This position offers a competitive salary and hybrid working conditions. #J-18808-Ljbffr IlluminaSenior
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