Lead RN, Appeals & Grievances - Hybrid Leader
L.A. Care Health Plan
L.A. Care Health Plan in Los Angeles seeks a Lead Customer Solution Center Appeals and Grievances RN to lead a clinical unit responsible for managing appeals and grievances. This role entails reviewing complex clinical cases, ensuring compliance with healthcare regulations, and mentoring staff. Candidates should possess at least 8 years of experience in clinical appeals and grievances, along with a valid California RN license. Benefits include paid time off, tuition reimbursement, and medical plans. A hybrid work model is in place. #J-18808-Ljbffr L.A. Care Health Plan
$102.18k
Lead Customer Solution Center Appeals and Grievances RN Job Category: Clinical Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID... ...requires work after hours, on weekends, holidays, a hybrid remote schedule, and occasional flexibility in...SuggestedFull timeRemote workShift workWeekend work$102.18k
Job Information RN Job Shift: Full Time Pay Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Location: Los Angeles, 90017 Job Description The Lead Appeals and Grievances RN is responsible for assisting with the development of a successful and cohesive...SuggestedFull timeShift work- Blue Shield of CA in Los Angeles is seeking an Appeals and Grievances RN Senior responsible for clinically reviewing member appeals and grievances... ...using established guidelines and ensure compliance. This hybrid role allows virtual work full-time with on-site requirements...SuggestedFull time
- L.A. Care Health Plan is hiring an Appeals and Grievances Nurse Specialist RN II in Los Angeles. This role involves assisting members with healthcare access... ...Must be an active California RN. The position offers a hybrid work schedule and a variety of benefits including paid...SuggestedRemote job
- A community health provider in Los Angeles is seeking an Appeals and Grievances Quality Assurance Specialist II. This role focuses on quality reviews... ...Degree, with a Bachelor's preferred. The position offers a hybrid work environment and various benefits including PTO and...Suggested
$67.19k
...Appeals And Grievances Quality Assurance And Auditing Specialist Ii Job Category: Customer Service... ...responsible for monitoring A&G Specialists and Lead Intake, performance against key... ...after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility...Full timeRemote workShift workWeekend work- Your Role The Member Appeals and Grievances team is responsible for clinically... ...The Appeals and Grievances RN Senior will report to the Appeals... ...is about developing great leaders at all levels and creating... ...shared drives, TEAMS, PDF etc. Hybrid Virtual Work This role...Full timeWork at office
$80.64k - $92.75k
A leading caregiving services company seeks an AP Supervisor to oversee accounts payable operations and lead remote teams. The role requires... ...invoice processing while supporting month-end activities. This hybrid position involves coming into the El Segundo office three times...Work at officeRemote work- A behavioral health organization in Los Angeles is seeking a Lead Therapist to provide clinical oversight and direct support to a specialized... ...a master's degree and appropriate California licensure. This hybrid position balances fieldwork and administrative responsibilities...
$88.85k
...Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position... ...requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift...Full timeRemote workShift workWeekend work$120k - $150k
...Our professional services client is searching for a Finance Lead to join their team full-time. Your primary responsibility is to provide... ...may be eligible for a flexible working schedule, allowing for a hybrid and in-office presence. Exact compensation may vary based on...Full timeWork at officeFlexible hours- A leading insurance services provider is seeking a Workers' Compensation Claims Supervisor to lead a team in Glendale, CA. This hybrid role involves guiding claims adjusters and assistants, ensuring compliance with regulations, and fostering a collaborative environment...
- ...Asset Management) in Los Angeles, California. This role involves leading and reviewing complex partnership tax engagements and providing... ..., and 6-10 years of relevant experience. The position is hybrid, requiring in-office work three days a week, and offers a collaborative...Work at office3 days per week
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...inventories, managing provider recruitment and negotiations, and leading operational improvements. Qualified candidates will have a... ...experience, and strong project management skills. The position offers a hybrid work structure and an annual salary of $99,000 - $126,000. #J-1...Contract work- Fresh Consulting is hiring a Senior Firmware Developer to lead a team of firmware developers in a hybrid work environment. The role requires extensive experience in firmware development, particularly with ARM Cortex‑M processors, and expertise in Agile methodologies. Responsibilities...
- A leading fashion company is seeking a Sr. Logistics Specialist, Last Mile, to enhance the delivery experience by optimizing processes... ...based in El Segundo, offers a competitive salary package and a hybrid work schedule as part of a culture that prioritizes flexibility...
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OpenAI is seeking a Senior Global Extended Workforce Compliance Lead who will be responsible for designing and implementing compliance... ...cross-functional collaboration skills. The role operates on a hybrid model with relocation assistance offered. Competitive compensation...Relocation package$90k - $115k
A leading market research firm is seeking a Strategic Research Lead based in Los Angeles to serve as a primary contact for clients. The... ...project management skills. The position offers a flexible hybrid work arrangement with a salary between $90,000 and $115,000, plus...Flexible hours- Cordoba Corporation is seeking a Program Manager to lead utility coordination for major projects in California. The ideal candidate will... ...teams, and a strong knowledge of ASCE 38-22. This hybrid role involves both office and fieldwork, ensuring timely conflict...Work at office
- A leading event production agency based in Los Angeles seeks an Event Division Leader to oversee planning and execution of entertainment events. The ideal candidate has extensive... ...include a comprehensive healthcare plan and a hybrid work model. #J-18808-Ljbffr 33 USA Inc.
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UCLA Health is seeking a Financial Clearance Manager to lead the Financial Clearance Unit in enhancing operational efficiency and patient... ...training. Located in Los Angeles, the position offers flexible hybrid working conditions with a competitive salary range of $95,400 to...Flexible hours- A leading in-home care provider is seeking a Supervisor, Client Services to oversee the Authorizations team ensuring compliance and efficiency... ...operations and experience leading teams. The position offers a hybrid work model with in-office presence required once a month. #J-18...Work at office
$100k - $110k
A leading consumer brands company in Los Angeles seeks a Procurement Program Manager to oversee steering committee meetings and drive... ...and excellent communication abilities. This position offers a hybrid work environment and ranges between $100,000 - $110,000 annually...- ...Manager of Experience Engineering in Los Angeles. This role involves leading a team in developing high-quality user interfaces and React-... ...comprehensive insurance, 401(k) with matching, unlimited paid time off, and a hybrid work schedule. #J-18808-Ljbffr UNAVAILABLE
$130k - $145k
GSW, powered by Syneos Health in Santa Monica, is seeking a Group Copy Supervisor to lead the creation of innovative advertising content. This hybrid role requires 5-7 years of experience in pharmaceutical advertising and exceptional communication skills. You will work...Remote job- ...join its Federal Marketing team. The Proposal Specialist III will lead proposal efforts for Federal clients across various sectors and collaborate with teams to ensure high-quality submissions. This hybrid position allows flexibility, including remote work and office...Work at officeRemote work
- DealMaker, a leading fintech company based in Los Angeles, is seeking an Implementation Manager. In this hybrid role, you'll manage the onboarding process for issuers, ensuring efficient launches while maintaining timelines. You'll orchestrate project execution across...
- A leading marketing agency is seeking a results-oriented Business Development Manager to drive growth in North America. This position... ...understanding of the entertainment landscape. The role offers a hybrid work model and comprehensive benefits including health care and...
$125k - $145k
A leading consumer brands company in Los Angeles is seeking an experienced IT PMO Project Manager to oversee enterprise-wide application... ...s degree. Competitive salary ranging from $125,000 to $145,000 with a hybrid work schedule. #J-18808-Ljbffr The Wonderful Company LLC$129k - $193k
...Commercial Analytics will serve as the enterprise lead for commercial performance analytics,... ..., and resource allocation. This leader will build the Commercial Analytics function... ...of Liquid I.V. for continuous hydration. Hybrid role (El Segundo, CA). Candidates must be...Temporary workLocal area
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