Hybrid Regulatory Complaints & Appeals Coordinator
Blue Shield of California
Blue Shield of California is seeking a Regulatory Complaint Coordinator, Intermediate, within the Appeals and Grievance Department to respond to inquiries from state regulatory agencies. The role reports to the Regulatory Complaint Supervisor and emphasizes timely, compliant handling of escalations and data-driven decision making. Ideal candidates bring 3+ years in health insurance operations, including appeals/grievances, with knowledge of healthcare plans and claims. #J-18808-Ljbffr Blue Shield of California
$37.5k - $53.5k
...development. Summary The Medical Claims Appeals Examiner reviews, researches, and... ...established guidelines, policies, and regulatory requirements. The ideal candidate brings... ...as positions become available. #LI-HYBRID #LI-MA1 The pay range for this position...RegulatoryFull timeRemote workWork from homeFlexible hours- ...on the Team Under the supervision of the Regulatory Program Manager of the Regulatory Review Unit, the Assistant Regulatory Affairs Coordinator (ARAC) supports the clinical research... ...involving misconduct; or have filed an appeal of a finding of misconduct with a previous...RegulatoryWork experience placementWork at officeLocal area
- ...Innovative in Marin County, CA is seeking an Appeals Attorney to analyze complex records,... ...writing and strong research across regulatory frameworks. You will work in a confidential... ...Area compensation expectations, on-site or hybrid scheduling, and collaboration with...Regulatory
- ...responsive, and detail-oriented Dispatch Coordinator to support the daily coordination of... ...follow-up requirements. Escalate service complaints or complex operational issues to... ...decisions involving transportation safety, regulatory compliance, contractual changes, major...RegulatoryComplaintsLocal areaImmediate start
$100.84k - $156.31k
...your contributions truly matter. Where a hybrid schedule offers the perfect balance of... ..., synthesizing feedback across surveys, complaints, frontline insights, social channels, and... ...financial services products, operations, and regulatory environment required. Disclaimer Equal...RegulatoryComplaintsFull timeWork at officeRemote work$30 - $32 per hour
Overview Immediate need for a talented Grievance and Appeals Coordinators . This is a 06+months contract opportunity with long-term potential and is located in Portland, CA(Hybrid) . Job ID: 25-81619 Base pay range: $30.00/hr - $32.00/hr Responsibilities Manage grievances...Contract workLocal areaImmediate start- SPD Coordinator: Elevate surgical excellence in a rewarding Sonoma County healthcare leadership... ...while supporting quality and regulatory standards. With a manageable hospital environment... ...SPD Coordinator opportunity offers an appealing balance of career growth and recreation...RegulatoryLocal area
$41.2 - $62.17 per hour
...Job Description: The Clinical Program Coordinator assesses, plans, implements and... ...oversee and ensure that the program meets the regulatory requirements. Performs chart reviews and... ...expectations. If applying for a remote or hybrid role, this includes remote work expectations...RegulatoryHourly payFull timeRemote workMonday to FridayShift workNight shiftWeekend work- ...for an experienced and motivated Intake Coordinator to join our dynamic team! The Intake Coordinator... ...up details on the peer to peer or appeal options. Regularly communicate the... ...change. Comply with and adheres to all regulatory compliance areas, policies and procedures...RegulatoryFull timeWork at officeRemote workWork from home
- The FMS Lead Coordinator oversees the Financial Management Service operations supporting participants... ...alignment with approved budgets and regulatory requirements. Monitor participant... ...Participant-Centered Service. Work Environment: Hybrid or remote based on organizational needs....RegulatoryFull timeRemote work
$68.32k - $103.9k
Position Information The Y4 Clerkship Coordinator provides administrative and programmatic support... ...may be eligible to transition to a hybrid schedule of 3 days onsite / 2 days... ...Basic knowledge of relevant policies and regulatory requirements. Basic knowledge of health...RegulatoryFor contractorsInternshipWork at officeLocal areaRemote workWorldwideWork visa$55k - $65k
...energy, results-driven and innovative HR Coordinator. The role is a perfect launch pad for... ...by staying informed on industry trends, regulatory changes, and best practices, helping the... ...United States Must be 18 years or older Hybrid : This position currently has a hybrid schedule...RegulatoryWork experience placementWork at officeLocal area- ...Licensing Coordinator The Licensing Coordinator plays an essential role in supporting statewide... ..., and submitted within required regulatory timelines. This position works closely with... ..., and maintain productivity in a hybrid work environment Effective collaborator...RegulatoryWork at officeMonday to FridayShift work
$25 - $27 per hour
...timely service, superb curb appeal, and personal attention to our... ...including vendor partners, regulatory, and social services... ..., responding sensitively to complaints about maintenance services,... ...+ Maintenance Management Coordinate, schedule, and respond to resident...RegulatoryComplaintsFor contractorsWork at officeImmediate startFlexible hoursWeekend work- ...respond to state and federal compliance complaints and administrative due process hearings... ...attorney will handle due process hearingsand appeals. Responsibilities Represent clients in... ...emerging special education issues and regulatory changes Participate in resolution...RegulatoryComplaints
- ...and supporting denials and appeals. Experience in large or multi... ...Schedule: 9/80 work schedule - hybrid Location: 7898 Mission Grove... ...coding guidelines and regulatory requirements. Evaluate DRG... ...division, unit or company; coordinating and conducting studies of administrative...RegulatoryDaily paidFull timeTemporary workWork at officeLocal areaRemote workFree visaMonday to Friday
- ...for safety, customer service, operational performance, and regulatory compliance. Essential Duties and Responsibilities:... ...policies. Investigate accidents, incidents, and customer complaints. Coordinate fleet maintenance and vehicle availability. Review payroll...RegulatoryComplaints
- ...want people to join our team in the role of Tissue Recovery Coordinator with previous experience in tissue banking or the medical field... ...restoration as appropriate. Maintains compliance with regulatory accreditation agencies and internal quality processes. Travel...RegulatoryTemporary workLocal area
- ...compliance framework for Protection and Control schemes, coordinating with SMEs to ensure adherence to regulatory standards and reliability requirements. The role... ...audits, reporting, and performance metrics, with a hybrid work arrangement from remote office and assigned...RegulatoryWork at officeRemote work
$50 - $55 per hour
...a continuum of service while promoting positive outcomes and optimal reimbursement through coordination of patient care, daily clinical reviews, quality documentation, appeals, and reporting. This position will be for our IOP Outpatient department QUALIFICATIONS Education...Work at officeLocal area- ...Primarily Remote, North Carolina) Professional Development Training Specialist, (9012) Leadership and Professional Skills Trainer (Hybrid - La Crosse, WI) Employee Growth & Development Specialist Learning & Talent Development Specialist Commercial Insurance Learning Specialist...Remote work
- ...governance, prepare legal documents, and ensure regulatory compliance for a global firm, based in Redwood City or San Francisco with a hybrid schedule. The role involves filing and documentation, maintaining records, coordinating with external counsel, conducting legal...Regulatory
- Hot Topic is seeking a Licensing Coordinator to support the Licensing team. The role involves managing the licensed product process from... ...communicate clearly with licensors and stakeholders in a fast-paced, hybrid work environment at our City of Industry, CA HQ. #J-18808-...Contract work
- Assembly is seeking a Coordinator, Client Experience (Assistant Media Planner) to develop, execute, and monitor media plans for assigned... ...responsibilities spanning billing, asset trafficking, and cross-team coordination within a hybrid in-office/remote #J-18808-Ljbffr UNAVAILABLEWork at officeRemote work
- NBCUniversal is seeking a Coordinator for Category Management in Fashion & Living/FBC to support licensee coordination, category projects... ...with licensees and internal partners. The role offers a hybrid schedule with four in-office days per week, and includes benefits...Work at office
$225k
...defend employers in workers’ compensation matters. The role offers hybrid or fully remote work across eight CA offices, with a base... ...for partnership. Expect a dynamic workload with complex cases, regulatory compliance, and meaningful impact on clients’ outcomes. #J-188...RegulatoryRemote jobWork at office- ...engaged and connected workforce. Position Summary The Utility Coordinator plays a key role in supporting transportation, infrastructure... ...documentation to ensure project schedules, budgets, and regulatory requirements are met. The ideal candidate is highly organized...RegulatoryFor contractorsWork at officeLocal areaRemote workRelocation
$18 - $21 per hour
...for the Auberge Collection. Job Description The Part-Time Spa Coordinator schedules appointments, greets guests, escorts them to... ...with consideration towards guests and co-workers Handle guest complaints or issues promptly to ensure guest satisfaction. Communicate...ComplaintsPart timeLocal areaFlexible hoursShift work- University of California - Davis is seeking a Regulatory and Records Assistant to support... ..., maintaining essential documents, and coordinating retention and retrieval of clinical research... ...investigators and research staff in a hybrid work #J-18808-Ljbffr University of...RegulatoryWork at office
- ...Technology teams. You will help develop strategies, implement controls, and drive regulatory alignment in a collaborative, hybrid environment. The role emphasizes cross-functional coordination, policy adherence, and metrics reporting, with opportunities to influence...Regulatory
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