CGA Team Lead: Remote Complaints & Appeals
Oscar Health
Oscar Health is hiring a CGA Team Lead to oversee the Complaint, Grievances and Appeals team. The role focuses on supervising daily CGA operations, guiding staff, and ensuring regulatory compliance while driving process improvements and member experience. You will report to the Associate Manager, CGA & MPCT, with a remote work setup available for Texas residents. The position offers benefits, unlimited vacation, and annual performance bonuses. #J-18808-Ljbffr
- Oscar Health seeks a CGA Team Lead to supervise day-to-day production operations within the Complaint, Grievances and Appeals team. You will guide staff, ensure cases meet regulatory... ...in meeting SLAs and TATs while working remotely from home offices in the U.S. #J-18808...Remote jobComplaintsWork from homeHome office
$55.89k - $73.36k
...Hi, we're Oscar. We're hiring a CGA Team Lead to join our Complaint, Grievances and Appeals team. Oscar is the first health insurance company built around a full... ..., CGA & MPCT . Work Location: This is a remote position, open to candidates who reside in: Arizona...Remote workComplaintsFull timeImmediate startWork from homeHome office- ...Oscar Health is hiring a CGA Team Lead to supervise the daily CGA production operations. You will guide the CGA staff to meet performance... ...cross-functional projects to improve processes and member experience while working remotely from eligible states. #J-18808-LjbffrRemote work
- ...Oscar Health is seeking a CGA Team Lead to supervise daily CGA production operations and guide staff to meet performance targets. You will... ...CGA & MPCT, and may involve projects outside daily operations. Remote work is available for eligible states with occasional travel...Remote work
$55.89k - $73.36k
...Oscar Health is seeking a CGA Team Lead to supervise day-to-day CGA production operations, guiding staff to meet regulatory requirements... ...functional partnerships, and lead improvement initiatives. This remote role is open to candidates in Arizona, Florida, Georgia, or...Remote work- ...Oscar Health is seeking a CGA Team Lead to supervise daily CGA production operations and guide the team to meet performance standards. This... ...and neighborly member service. The position is remote and open to residents of Arizona, Florida, Georgia or Texas, with...Remote work
- ...DESCRIPTION Job Summary Provides lead level support for claims... ...resolving member and provider complaints, and communicating resolution to... ...Job Duties Serves as team lead for submission, intervention and resolution of appeals, grievances, and/or complaints...Remote workComplaintsContract workWork at office
- ...Our partner is looking for a Lead Specialist, Appeals & Grievances based in the... ...claims appeals, grievances, and complaints, ensuring that members and... ...effective distribution of team workloads. Working across... ...plans, paid time off, and remote or flexible work arrangements...Remote workComplaintsFull timeContract workWork at officeFlexible hours
- ...healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or... ...salary and an opportunity to work with a dynamic team. #J-18808-LjbffrRemote workComplaints
- ...Alignment Health is fully remote and seeks an Appeals & Grievance Coordinator to manage the day-to-day tracking of grievances, appeals, and complaints within the Member Services Department. You will act as the primary investigator and contact for member and provider grievances...Remote workComplaints
- ...clinical case development and resolution, the full-time NY Licensed Appeals Specialist will investigate and resolve member or provider complaints and appeals regarding clinical services while working remotely. Key responsibilities Develop and resolve clinical cases...Remote workComplaintsFull time
- ...serving communities across multiple states, seeks a remote Appeals & Grievances Specialist III to manage complex member complaints, grievances, and appeals with regulatory alignment. You will work with cross-functional teams to ensure timely, accurate resolutions and audit...Remote workComplaints
$123.37k - $161.93k
...Remote Hi, we're Oscar. We're hiring an Associate Director, Appeals & Grievances to join our team. Oscar is the first health insurance company... ...— Administrative Complaints, Grievances & Appeals (CGA) provides strategic... ...Administrative CGA will lead high-performing teams...Remote workComplaintsFull timeWork from homeRelocationHome office- ...Univera Healthcare is seeking an Advocacy Clinical Review Coordinator to investigate member and provider appeals, grievances, and complaints across all business lines. You will review medical necessity requests, determine appropriateness of care, and expedite cases within...Remote workComplaints
- ...Health in New York is seeking a Grievance/Appeals Representative I to review, analyze and... ...Department, involves investigating complaints, communicating dispositions to members and... ...timely resolutions while supporting a hybrid in-office/remote work model. #J-18808-Ljbffr...Remote workComplaintsWork at office
- ...Consulting, Inc. has an immediate opening for an Appeals & Grievances Case Manager (Oregon). This... ...+ months contract located in Oregon with remote options. The role focuses on investigating, coordinating, and resolving member complaints, grievances, and appeals in compliance...Remote workComplaintsContract workImmediate start
$23.22 - $34.84 per hour
A leading health insurance provider is seeking a Grievance & Appeals Coordinator to work virtually full-time, with responsibilities including summarizing complaints, ensuring resolution of grievances, and documenting interactions. The ideal candidate should possess a high...Remote workComplaintsHourly payFull time- ...Working remotely in a full-time capacity, the Appeals Coordinator will manage the tracking and trending of grievances, appeals, and complaints within the Member Services Department, acting as the primary investigator and contact for member and provider issues. Key responsibilities...Remote workComplaintsFull timeWork at office
- ...needs JOB DESCRIPTION Job Summary Leads and manages team responsible for claims activities... ...reviewing and resolving member and provider complaints, and communicating resolution to... ...submission/resolution of member and provider appeals and grievances; ensures resolutions...Remote workComplaintsWork at office
- Horizon Blue Cross Blue Shield of New Jersey is seeking an Appeals Analyst to manage end-to-end complaint and appeal cases, conduct investigations, and ensure... ...comprehensive case files, coordinate with internal teams and external reviewers, and support Medicaid and Medicare...Remote jobComplaints
- ...activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized... ...Duties Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members,...Remote workComplaintsContract workWork at office
- ...currently looking for a Grievance & Appeals Coordinator, a W2 contract... ...clients in Detroit, MI! REMOTE!! Title: Grievance & Appeals... ...appeals, grievances, complaints, and inquiries received from... ...with management and part of a team to meet targets High regard...Remote workComplaintsContract work
$174.07k - $374.92k
...West Virginia). This is a remote based (work at home) based anywhere... ...role are related to Medicaid Appeals You will support the... ...fair hearings, and escalated complaints As a Medical Director you... ...Medicaid grievance and appeals team You will chair/co-chair...Remote workComplaintsHourly payFull timeTemporary workLocal areaWork from home$18 - $20 per hour
A-Line Remote Appeals Coordinator {177541} Location: Remote Pay: $18.00- $20.00 per hour (Scheduled... ...This role screens and triages incoming complaints for urgency, benefit coverage, and... ...Medical Directors, and other internal teams to ensure timely and compliant handling...Remote jobComplaintsHourly payFull timeTemporary work- ...Donor Eligibility (DE) Musculoskeletal (MS) Team Lead to oversee the timely review,... ...corrective actions, and documentation of complaint files and nonconformance reports, as needed... ...Working conditions Office oriented and remote work environments. Some evening and weekend...Remote workComplaintsWork at officeAfternoon shift
- ...is hiring an Associate Director, Appeals & Grievances to oversee non-clinical CGA operations and the Elite Member Champion Team. The role focuses on regulatory compliance... ...and Compliance. You will lead a high-performing team across remote locations, ensuring timely...Remote work
$61.08 - $89.7 per hour
...Attorney General - Criminal Appeals - Post Conviction FT / PT Status... ...$61.08 - $89.70 Hourly Wage Remote Work / In-Office – In-Office... ...responds to incoming questions or complaints; provides information,... ...Office Why You Should Join Our Team In Utah, we believe hard work...Remote workComplaintsHourly payFull timeWork at officeNight shift$48.37k - $72.56k
...ill and frail. It takes an entire team of passionate and caring people,... ...them. Together.This position is a remote position. Candidates must be... ...cases.Acknowledges receipt of all Complaint Tracking Module (CTM) grievances and appeals cases.Gathers pertinent information...Remote jobComplaints$81.1k - $116.48k
Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist - 100% Remote Join to apply for the Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist... ...& Grievances (A&G) unit manages member complaints, grievances, and appeals related to...Remote jobComplaintsFull timeMonday to FridayShift work$83.1k - $120.36k
...Position Summary:The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining... ...non-participating providers. This is either a remote or on-site position located at either the 100...Remote workComplaintsFull timeContract workTemporary workWork experience placementLocal area
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