Senior RN - Appeals & Grievances Leader (Hybrid Remote)
L.A. Care Health Plan
- Remote job
L.A. Care Health Plan in Los Angeles, CA is seeking a Lead Appeals and Grievances RN to help develop and lead a cohesive A&G clinical unit. The role focuses on quality review of complex cases, ensuring regulatory compliance, and improving customer service for L.A. Care members. The position requires strong leadership, years of clinical appeals/grievances experience, and extensive knowledge of healthcare regulations. A hybrid remote schedule is supported along with after-hours responsibilities. #J-18808-Ljbffr L.A. Care Health Plan
- ...L.A. Care Health Plan is seeking an Appeals and Grievances Specialist II in Los Angeles, CA. The role involves investigating member and provider... ...communication skills. This full-time position offers a hybrid work schedule and a comprehensive benefits package including...Remote workSeniorFull time
- ...Plan in Los Angeles seeks a Lead Customer Solution Center Appeals and Grievances RN to lead a clinical unit responsible for managing appeals and... ...paid time off, tuition reimbursement, and medical plans. A hybrid work model is in place. #J-18808-Ljbffr L.A. Care Health PlanSuggested
$102.18k
Lead Customer Solution Center Appeals and Grievances RN Job Category: Clinical Location: Los Angeles, CA, US, 90017 Position Type: Full Time... ...requires work after hours, on weekends, holidays, a hybrid remote schedule, and occasional flexibility in hours/shift in critical...Remote workFull timeShift workWeekend work$75.3k - $135.4k
...compliance with healthcare regulations. Requires a Bachelor's degree and 4+ years of experience in a related field, along with an active RN license in California. This position offers a salary range between $75,300 and $135,400 annually, and a comprehensive benefits...Remote workSenior- ...and managing team performance. The ideal candidate will hold a Bachelor's degree in Nursing, possess 4+ years of related experience, and have an active RN license. Benefits include competitive pay, health insurance, 401K, and flexible work schedules. #J-18808-Ljbffr...Remote workSeniorFlexible hours
$90k - $110k
...A prominent E&P oil and gas investment group located in Oklahoma City is seeking a Senior JIB Accountant. This hybrid remote position involves managing the Joint Interest Billing process, requiring strong analytical skills and JIB accounting experience, preferably within...Remote workSenior- ...particularly with Federal contracts, and be adept at guiding teams to create compelling proposals. This role allows for either remote work or hybrid arrangements, enhancing flexibility while ensuring commitment to high-quality proposal submissions. Strong writing and...Remote jobSenior
$240k - $280k
Real Chemistry is seeking an SVP, Brand Strategy to shape and execute brand strategies that drive growth. This hybrid role involves leading positioning and messaging while collaborating with various teams. You will leverage your 10+ years of experience to guide brand initiatives...Remote jobSenior- 6AM City, LLC in Washington, DC, is seeking a Senior Digital Marketing Manager to develop and implement marketing campaigns for ACS... ...and optimize digital marketing strategies across channels. This hybrid remote role requires 8+ years in digital marketing, with strong...Remote jobSenior
- A 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 Dental Hygienist license. Responsibilities include developing cases, researching...Remote work
$145k - $166k
...across the US. You will support hiring for strategic positions, ensuring the company has the right talent to achieve its goals. This remote-hybrid role requires collaboration with hiring teams to enhance the candidate experience. A Bachelor’s degree and 5+ years of...Remote workSenior- LegalZoom is seeking a Senior Market Research Manager to join the Product Marketing team. You will... ...to influence decisions across the organization. Hybrid work model with offices in Mountain View and other locations; remote options available. #J-18808-Ljbffr LegalZoomRemote jobSenior
$144k - $186k
Clearsulting LLC is looking for a Senior Consulting Manager, focusing on Source to Pay processes within procurement and supply chain... ...strong client relationships while working in a flexible hybrid or remote environment. This position offers a competitive compensation...Remote jobSeniorFlexible hours- ...turnover. The ideal candidate has a strong background in Supply Chain with proven leadership skills, capable of mentoring teams and driving performance. The position offers a hybrid working model, combining in-person and remote work. #J-18808-Ljbffr ViziRecruiter,LLC.Remote workSenior
- A leading environmental consultancy is seeking a Senior Air Quality Manager to lead strategic growth and oversee technical delivery... .... This role offers a flexible work environment with hybrid or remote options and a comprehensive benefits package. #J-18808-Ljbffr...Remote jobSeniorFlexible hours
- The Roger Baldwin Foundation of the ACLU of Illinois seeks a Senior Supervising Attorney to build and lead litigation and, in... ...substantive program areas. The position is based in Chicago with a hybrid in‑office/remote schedule; staff will work in the Chicago office on...Remote workSeniorWork at office
$60.6k - $120k
IAT Insurance Group, Inc is seeking a Management Liability Senior Claims Specialist in Newark, NJ. The position involves hybrid work and offers a competitive salary range of $60,600 to $120,000. Responsibilities include managing diverse claims, performing coverage analysis...Remote jobSenior- ...an SVP, Brand Strategy to join its team in Lambertville, NJ or remotely. This leadership role focuses on developing brand strategies, collaborating... ...and at least 10 years in Brand Strategy. The position offers a hybrid work model and a comprehensive benefits package. #J-18808-...Remote jobSenior
- Ocean Spray is seeking a Sr. Manager for Environmental Health, Safety & Security based in Lakeville, MA. This hybrid role involves leading EHS initiatives, ensuring compliance with EHS regulations, and enhancing safety across the organization. The ideal candidate will...Remote jobSeniorFlexible hours
- A strategic marketing communications agency seeks a Senior Account Executive to lead client programs in financial services and insurance... ...skills. The company promotes a people-first culture with a hybrid working model, emphasizing professional growth and inclusion. Join...Remote jobSenior
- BCG Attorney Search in Costa Mesa, CA, seeks a Senior Auto Defense Litigation Attorney to manage... ...high-profile national clients. The role offers a hybrid working arrangement, allowing for flexibility and a balance of remote and onsite presence. The ideal candidate will...Remote workSenior
- A leading healthcare organization in Hackensack, New Jersey, is seeking a Senior Human Resources Generalist to join their team. This role offers a hybrid work model, balancing remote flexibility with in-office collaboration. The ideal candidate will have over 5 years of...Remote workSeniorWork at office
- Meltwater seeks a Senior Manager of Product Design to lead its design efforts for key applications. This role involves overseeing a distributed... ...deep understanding of design principles. This position offers a hybrid work environment while promoting a culture of innovation and...Remote jobSenior
- Jacobs, located in Greenville, SC, is seeking a Senior Cost Controls Professional to manage program cost... ..., with tools such as Excel and Primavera P6. Jacobs promotes a hybrid working model allowing flexibility between office and remote work. #J-18808-Ljbffr JacobsRemote workSeniorWork at office
- ...measurable outcomes. The role requires 8+ years in category management with software expertise, a Bachelor's degree, and strong negotiation, analytics, and stakeholder management skills. Hybrid/remote work options are available across locations. #J-18808-Ljbffr ConfidentialRemote jobSenior
$147.2k - $202.4k
...Cranberries is seeking a Sr. Manager, Environmental Health, Safety & Security to lead and ensure compliance across their operations. This hybrid role offers flexibility while overseeing EHS standards in 19 locations. Responsibilities include developing policies, leading...Remote jobSenior- ...hiring for a key role in their US Claims Compliance and Quality Assurance team focused on insurance claims regulation. This is a hybrid or remote position based in New York and includes responsibilities like managing compliance training and monitoring regulations. The...Remote jobSenior
$175k - $185k
Prudential Annuities Distributors (PAD) is looking for a Senior Underwriter to join its Agency Lending business. This... .... Located in San Francisco, this role offers a hybrid work model, combining on-site and remote work. Competitive salary range is $175,000 to $185,00...Remote workSenior$88k - $145k
QBE Americas, Inc. is seeking a Senior Claims Specialist to manage complex claims effectively. You will assess policy coverage, investigate... ...guidance to enhance team development. This role offers a hybrid work arrangement and a competitive compensation package, including...Remote jobSenior- ...Shield of North Carolina is looking for a Product Development Leader to oversee initiatives from conceptualization to market... ...years in product development. The role offers flexibility with a hybrid or remote work approach and a comprehensive benefits package. #J-18808...Remote workSeniorFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior RN - Appeals & Grievances Leader (Hybrid Remote). Be the first to apply!
- icu rn Lancaster, CA
- clinic registered nurse rn Lancaster, CA
- registered nurse office Lancaster, CA
- fema rn Lancaster, CA
- new grad rn work from home Lancaster, CA
- travel registered nurse l&d Lancaster, CA
- oncology rn Lancaster, CA
- clinic outpatient rn registered nurse Lancaster, CA
- rn insurance assessment Lancaster, CA
- rn weekend Lancaster, CA

