Senior Provider Dispute Resolution Specialist
Ventura County Medi-Cal Managed Care Commission
Gold Coast Health Plan seeks a Provider Dispute Resolution specialist to analyze and resolve highly complex disputes, focusing on reimbursement methodologies and regulatory compliance. You will serve as a technical resource, guide analysts, monitor regulatory changes, and collaborate with Claims, Finance, and Compliance to improve payment accuracy. Experience in Medi-Cal/Medicare and strong MS Office skills are preferred, with a commitment to service excellence and process improvement. #J-18808-Ljbffr Ventura County Medi-Cal Managed Care Commission
Vacancy posted 4 days ago
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