Remote CGA Team Lead: Grievances & Appeals
Oscar Health
Oscar Health is seeking a CGA Team Lead to supervise daily CGA production operations and guide staff to meet performance targets. You will ensure regulatory compliance and collaborate across the organization to improve member experience. The role reports to the Associate Manager, CGA & MPCT, and may involve projects outside daily operations. Remote work is available for eligible states with occasional travel for meetings and events.
#J-18808-LjbffrVacancy posted 2 days ago
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Oscar Health
Austin, TX17 hours ago - ...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
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United States4 days ago - 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 jobWork from homeHome office
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Oscar Health
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Molina Healthcare
Phoenix, AZ3 days ago - ...steps. Our partner is looking for a Lead Specialist, Appeals & Grievances based in the United States. As a... ...supporting the effective distribution of team workloads. Working across claims... ...retirement plans, paid time off, and remote or flexible work arrangements are...Remote workFull timeContract workWork at officeFlexible hours
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$53 per hour
...Job Description Job Description REMOTE RN OPPORTUNITY – GRIEVANCE & APPEALS / UTILIZATION REVIEW $53/hour | 100% Remote | Long-Term Contract We're hiring experienced Registered Nurses to join a leading healthcare organization in a fully remote role! Position...Remote jobLong term contractWork from homeMonday to FridayShift workWeekday workPhaxis - Healthcare
Huntington, NY6 days ago- ...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
Oscar Health
United States3 days ago $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 built... ..., Grievances & Appeals (CGA) provides strategic leadership... ...— Administrative CGA will lead high-performing teams...Remote workFull timeWork from homeRelocationHome officeOscar Health
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Alignment Healthcare USA, LLC in
Orange, CA15 hours ago $30 - $35 per hour
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Portland, OR3 days ago- ...Point32Health is seeking an Appeals and Grievance Coordinator to support the A&G Analyst by handling mail, organizing cases, and ensuring timely processing in accordance with state and federal regulations. The role requires 1-2 years in health care customer service...Remote work
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Globalhealth Holdings
Oklahoma City, OK3 days ago - ...nonprofit health plan serving members across multiple states. The Appeals and Grievances Clinical Specialist III will review and resolve an array of... ...You will collaborate with medical directors and quality teams to address trends, ensure timely determinations, and...Remote work
Medica
United States5 days ago - ...UnitedHealth Group's UnitedHealthcare division is seeking a Clinical Appeals RN to work remotely from anywhere in the United States. You will analyze appeals and grievances, act as clinical interface liaison, and apply evidence-based criteria to determine coverage decisions...Remote workLocal areaMonday to Friday
UnitedHealth Group
United States4 days ago - ...seeking a contract-based professional to manage complex grievances and appeals for members and providers in a remote US-based role. The candidate will review medical... ..., strong communication, and the ability to work across time zones in a distributed team, #J-18808-LjbffrRemote workContract work
HealthEdge
United States2 days ago - ...Managing and coordinating grievance and appeals processes, the full-time Grievance & Appeals Coordinator will review incoming... ...regulatory guidelines, and collaborate with internal teams while working in a hybrid remote environment. Key responsibilities Manage and coordinate...Remote workFull timeWork at office
Virtual Vocations Inc
United States1 day ago - ...health plan serving communities across Minnesota and beyond. The Appeals & Grievances Intake Coordinator II performs intake, case entry, and... ...routine issues, document accurately, and ensure compliance. This remote role requires residing in Medica-eligible states and...Remote work
Medica
Minnetonka, MN2 days ago - ...Managing the day-to-day intake and resolution of grievances and appeals, the full-time CTM Coordinator, Appeals & Grievances will work remotely, including weekends, to ensure timely processing and documentation of cases in accordance with CMS guidelines. Key responsibilities...Remote workFull time
Virtual Vocations Inc
United States4 days ago - ...The Appeals and Grievances Medical Director at UnitedHealthcare oversees ongoing clinical review and adjudication of appeals and grievances for... ...accurate benefit interpretations. This role offers full remote work across the United States, with limited in-office requirements...Remote workWork at office
UnitedHealth Group
United States3 days ago - ...Coordinating the work of Member Services Representatives, the full-time remote Grievances and Appeals Coordinator will focus on intake for Part C and D Pre-Service Appeals, ensuring member inquiries are addressed and services are appropriately provided. Key responsibilities...Remote workFull timeWork at office
Virtual Vocations Inc
United States2 days ago - A leading healthcare consulting firm is seeking a Grievance & Appeals Coordinator I for a contract role. Responsibilities include managing member appeals, ensuring compliance with CMS guidelines, and maintaining a high productivity benchmark. Candidates need a high school...Remote workContract work
Pyramid Consulting
United States2 days ago
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