Grievance & Appeals Coordinator I
$19.43 - $32.98 per hourCentene Corporation
- # Grievance & Appeals Coordinator IApply: Remote-CA: Full time: Posted Today: End Date: September 20, 2026 (2 days left to apply): 1659812**Position Purpose:** Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members.**Key Details:** Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Candidates must reside near Woodland Hills, CA.* Gather, analyze and report verbal and written member and provider complaints, grievances and appeals* Prepare response letters for member and provider complaints, grievances and appeals* Maintain files on individual appeals and grievances* May coordinate the Grievance and Appeals Committee* Support the pay-for-performance programs, including data entry, tracking, organizing, and researching information* Assist with HEDIS production functions including data entry, calls to provider’s offices, and claims research* Manage large volumes of documents including copying, faxing and scanning incoming mail* Performs other duties as assigned* Complies with all policies and standards**Education/Experience:** High school diploma or equivalent. Associate’s degree preferred. 2+ years grievance or appeals, claims, related managed care experience, or relevant experience.Pay Range: $19.43 - $32.98 per hour **At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day.** You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
- J-18808-Ljbffr Centene Corporation
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Grievance & Appeals Coordinator I in Woodland, CA vacancy
- ...systems with 21 locations across America. Our Woodland, CA branch has an opening on our Transportation Team for a Transportation Coordinator. A Transportation Coordinator oversees and facilitates the supply chain operations of the branch. You will coordinate...SuggestedImmediate startFlexible hoursNight shift
Metal Sales Manufacturing
Woodland, CA2 days ago - ...professionals on our team that will embrace this important work!! We want people to join our team in the role of Tissue Recovery Coordinator with previous experience in tissue banking or the medical field. This position oversees the activities of the Tissue Team, ensuring...SuggestedTemporary workLocal area
DCI Donor Services
Woodland, CA1 day ago $23 - $27 per hour
...Job Description Job Description Front Office Coordinator Sean Rhee DDS - Sacramento and Woodland Proudly supported by Mosaic Dental Collective Sean Rhee DDS, part of the Mosaic Dental Collective, is looking for a friendly, organized, and people-focused...SuggestedFull timeMonday to FridayMosaic Dental Collective, LLC
Woodland, CA19 days ago- Job Description and Duties All applicants will be considered, however SROA/Surplus candidates will be given priority. Are you interested in making life better for Californians? Are you looking for a career and not just a job? Do you want to create a meaningful ...SuggestedFull timeWork at officeRemote work
CA Department of Tax and Fee Administration
Yolo, CA13 days ago $30 - $35 per hour
...keeping it aligned with promos, product drops, and sales priorities so the rest of the company can see what's going out and when Coordinate with Sales and Customer Support so what customers read matches what they hear on the phone Product launches Partner with product...SuggestedHourly payRemote workMonday to FridayFlexible hoursNight shiftWeekend workNashville Public Radio
Woodland, CA3 days ago$23 - $26 per hour
Join our Team as a Hygiene Coordinator! Location: James W. Childress D.D.S. Inc., Davis, CA Position: Full-Time Hygiene Coordinator About Us: James W. Childress D.D.S. Inc. is a well-established dental practice dedicated to delivering exceptional, personalized care. We...Full timeWork at office$28.5 per hour
...the honor of service, where no request is unreasonable and going the extra mile isn’t the exception, it’s the expectation. Pantry Coordinator Reporting directly to the Suites Manager, the Pantry Coordinator position is responsible for overseeing set‑up of Suites and...Part timeFlexible hoursNight shift- ...environments that reflectexceptional craftsmanship, precision engineering, and uncompromising safety. Role Description The Completions Coordinator serves as the dedicated logistical and administrative support resource for theassigned aircraft completion team, reporting...Work at office
$30.34 - $37.09 per hour
...Perinatal Clinic Coordinator, Per Diem Department: CPSP Reports To Title: Perinatal Clinic Manager Location: Davis, CA Schedule: Per Diem; no set hours or schedule; clinic hours 8am-5pm with some evenings Pay Range: $30.34 to $37.09 hourly Job Summary...Hourly payDaily paidAfternoon shift- ...Connection Detailing: Design and detail structural wood connections, including simpson hardware and wood-to-wood joinery. Coordination & Clash Detection: Coordinate structural wood components with foundations, MEP systems, and structural steel elements to prevent...Work from homeFlexible hours
$89k - $134k
...Summary LOCATION: WOODLAND AND STOCKTON, CA This position is responsible for performing on-site maintenance planning and coordinating activities including basic planning, scheduling, directing, coordinating, and reporting. This position supports both the...Shift workDTE Energy
Woodland, CA1 day ago$120k - $150k
This range is provided by JBA International. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $120,000.00/yr - $150,000.00/yr Direct message the job poster from JBA International Overview The ideal candidate...Full time$75k - $85k
...presence and content calendar Build and report on digital campaign performance and ROI, connecting spend to leads and closed business Coordinate with Sun Titan Brand & Partnerships team on co-branded and partner digital campaigns Manage day-to-day digital marketing spend...Remote workMonday to FridayNight shiftWeekend work$69k
Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely, serving clients by providing guidance and protection solutions...Remote workWork from homeFlexible hoursHMG Careers
Woodland, CA14 hours ago- ...direct activities, perform repetitive tasks, work alone and with others, work under stress, meet strict quality control standards, coordinate with coworkers and customers, analyze and compile data, and make sound ethical judgments in a timely manner. Enthusiastic...Shift work
Domino's Franchise
Woodland, CA3 days ago $16.9 - $17.5 per hour
Woodland, California Moonlighter R255749 United States This position is not eligible for employer sponsorship. Applicants must be legally authorized to work and must not require employer sponsorship. Compensation Range: $16.90 to $17.50 Hourly Location...Hourly payStart working todayLocal areaU-Haul
Woodland, CA4 days ago- ...professionals on our team that will embrace this important work!! We want people to join our team in the role of Organ Recovery Coordinator with previous experience in respiratory therapy or similar allied health field. This position will facilitate all aspects of making...Hourly payTemporary workLocal areaRelocation packageShift workNight shiftWeekend workDay shift
DCI Donor Services
Esparto, CA3 days ago $16.9 - $18 per hour
...Inventory Coordinator The Inventory Coordinator is responsible for the overall integrity and maintenance of a store's inventory. The duties of the job require an average of 20‐30 hours per work week (will vary by store location) dedicated to sustaining the store's inventory...Ace Hardware
Woodland, CA4 days ago- ...Job Description Job Description Job Description The Referral Coordinator provides administrative and service coordination support to Care Coordinators. This role assists in connecting neighbors to services by coordinating referrals, scheduling appointments,...Work at office
$56k - $99.4k
...of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer. A Culture of Opportunity and Belonging At UC Davis, we’re committed to solving...Contract workTemporary workZero hours contractWork at officeLocal areaRemote workMonday to FridayShift workNight shiftWeekend workAfternoon shift$37.44k - $52k
...assistance and support to Metal Sales internal and external customers resulting in complete customer satisfaction and increased sales by coordinating all requests for information, promotional material, or products with a focus on accuracy and timeliness. Responsible for all...Hourly payFull timeWork at officeShift workDay shift- ...and building relationships with patients and their families similar to counseling or patient relations. This position, Family Care Coordinator, will work with organ donor families, hospital personnel, physicians, and other team members from SDS to work through the...Hourly payTemporary workLocal areaShift work
DCI Donor Services
Yolo, CA3 days ago $70.5k - $80k
Pacific Coast Producers | Full-Time | On-Site | Exempt Salary Range: $70,500 - $80,000 /year (based on experience) Pacific Coast Producers (PCP), a growing agricultural cooperative with food production facilities across the West Coast, is seeking a talented and...Full timeContract workWork at officeShift workDay shiftAfternoon shiftPacific Coast Producers
Woodland, CA1 day ago$8,885.88 - $10,826.59 per month
...perform the essential functions. While performing the duties of this job, the employee is frequently required to use dexterity and coordination utilizing hands to finger, handle or feel objects, use a computer keyboard, view a computer monitor, handle files, single pieces...Bi-weekly payFull timeWork at officeImmediate startMonday to FridayFlexible hoursCalifornia Correctional Health Care Services
Woodland, CA20 hours ago- Event Specialist (Product Demonstration) CROSSMARK is a leading sales and marketing services company founded in 1908, and for over 100 years we have been working with retailers and manufacturers to increase product sales by employing more than 30,000 associates throughout...Weekly pay
CROSSMARK
Woodland, CA4 days ago $10.96k
Warehouse WorkerParticipates in the organization, inventory, and distribution of supplies, materials and equipment from a central warehouse to remote sites.Requirements / QualificationsCompleted EdJoin Application Current Letters of Reference Resume Valid Driver's license...Remote workWoodland Joint USD
Woodland, CA1 day ago- Yolo Superior Court seeks a Court Reporter to provide the verbatim official record of testimony and court activity. You will use a stenograph machine or voice writing to capture proceedings and provide readbacks upon request, ensuring accuracy and timeliness. The role ...
Yolo Superior Court
Woodland, CA2 days ago $22 - $25 per hour
...provide compassionate, high-impact care. At Pair Team, we leverage AI and automation to reduce administrative burden, streamline coordination, and ensure patients receive timely, personalized support. Our work is powered by a deeply collaborative team of nurses, social...Full timeWork experience placementLocal areaRemote workWork from homeFlexible hoursPairteam
Woodland, CA1 day ago- ...perform the essential functions. While performing the duties of this job, the employee is frequently required to use dexterity and coordination utilizing hands to finger, handle or feel objects, use a computer keyboard, view a computer monitor, handle files, single pieces...Work at officeImmediate startMonday to Friday
Superior Court of California, County of Yolo
Woodland, CA3 days ago $24.99 - $26.3 per hour
...services to eligible clients, meeting participants at least weekly. The Resident Care Manager is the primary point of contact to coordinate services and care for assigned clients. Each Resident Care Manager handles a caseload of individuals in need of a wide variety of...Hourly payTemporary workLocal areaVOALA
Woodland, CA2 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Grievance & Appeals Coordinator I. Be the first to apply!
