Senior Appeals & Grievances Specialist (Hybrid Remote)
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 complaints, ensuring compliance with various health regulations, and preparing reports. Requirements include at least 2 years in Managed Care, knowledge of medical terminology, and excellent communication skills. This full-time position offers a hybrid work schedule and a comprehensive benefits package including medical, dental, vision, and PTO. #J-18808-Ljbffr
$60.78k
...Appeals and Grievances Specialist II Job Category: Customer Service Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID... ...position requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in...Remote workFull timeLocal areaShift workWeekend work- ...health decisions. At AZ Blue, we have a hybrid workforce strategy, called Workability,... ...are classified as hybrid, onsite or remote. While the majority of our employees are... ...responding to requests for member and provider appeals, grievances, reconsiderations and corrected claims...Remote jobContract workWork experience placement1 day per week
$30.49 - $40.2 per hour
...space or enter keys to toggle section visibility Onsite or Remote Flexible Hybrid Work Schedule Monday - Friday, 7:00am - 3:30pm PST... ...requires expertise in billing guidelines, customer service, and appeals processes, as well as strong interpersonal and technical skills...Remote workSeniorHourly payWork at officeMonday to FridayFlexible hours- ...To support a growing remote team, the full-time Appeals and Grievance Specialist will manage and resolve complaints, grievances, and appeals from members and providers while ensuring compliance with applicable requirements. Key responsibilities Manage and resolve complaints...Remote workFull time
$21.16 - $38.37 per hour
...Join to apply for the Medicare Appeals & Grievances Specialist (PST Hours) role at Molina Healthcare . This position is remote and will be working Pacific Standard hours.... ...experience, education and/or skill level. Seniority level Entry level Employment type...Remote workHourly payFull timeContract workWork experience placementWork at office- Moda Health is seeking a motivated professional to investigate and respond to medical, pharmacy and dental grievances, complaints, and appeals. This is a full-time work-from-home position within Government Programs. Responsibilities include thorough case review, timely...Remote jobFull timeWork from home
- Centene is seeking a Grievance and Appeals Coordinator I to join our Medical Management/Health Services team. This remote role requires residing in Arizona and involves analyzing and resolving verbal and written claims, appeals from providers, and pursuing resolution of...Remote job
- 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
- ...seeking a strategic, sales-minded, and dynamic Underwriting Specialist Specialty - Merit Specialty (Wholesale) to join our... ...workplace and provide flexible work arrangements. This hire may be hybrid or 100% remote, anywhere in the US (excluding California & New York).The...Remote workSeniorFull timeFlexible hours
- ...Hanover’s Specialty General Liability team is seeking a Senior Underwriting Specialist with high hazard product liability experience to join... ..., we support flexible arrangements. This role may be hybrid or fully remote, with occasional travel to key specialty locations. While...Remote workSeniorFull timeFlexible hours
$115.69k - $128.54k
...supports work-life balance by offering hybrid schedules for certain roles. Eligibility... ...guidelines apply to roles approved for remote work and are subject to change, based... ...policy change.Eversource is looking for a Senior Specialist, Project Engagement in Hartford, CT. As...Remote workSeniorFull timeFor contractorsH1bWork at officeLocal area- PowerToFly seeks a Senior Request for Proposal Specialist based in Seattle. This role involves managing RFPs and working... ...superior communication skills. This is a hybrid role, requiring some in-office presence alongside remote work opportunities. #J-18808-Ljbffr PowerToFlyRemote workSeniorWork at office
- ...presenting data. The role requires 5+ years in data analytics and report development, with strong data visualization knowledge and ETL experience. This hybrid role allows Fri remote work and is open to qualified US candidates outside Kansas City. #J-18808-Ljbffr UMB BankRemote jobSenior
- RTX is seeking a skilled Time & Labor Management specialist to join the Global Time & Labor Management team. The role focuses... ...in a fast-paced, team-oriented environment with opportunities for growth. Hybrid role with on-site and remote collaboration. #J-18808-Ljbffr RTXRemote workSenior
- PNC is seeking an International Trade Services Senior at its East Brunswick, NJ location. The role focuses on international... ...and sanctions compliance. The incumbent will work hybrid, with weeks in-office and remote, supporting complex transactions and regulatory...Remote workSeniorWork at office
- The Hanover Insurance Group is seeking a Senior Underwriting Specialist with high hazard product liability experience to join its Specialty General Liability team in a role that supports hybrid or remote work in the United States. This position focuses on underwriting...Remote jobSenior
$30 - $35 per hour
...Now Hiring: Grievance & Appeals Specialists Are you an experienced Grievance & Appeals professional with a background in Medicare or Medicaid Managed Care? We're partnering with a leading healthcare organization that's looking to add multiple specialists to their growing...Work at officeImmediate start- ...Flowers.com, Inc. in Jericho, NY is seeking a Senior Accounts Payable Specialist to join our A/P team at the corporate headquarters... ...are followed. The position offers a hybrid work model (4 days onsite / 1 day remote), with comprehensive benefits and opportunities...Remote workSenior
- University of Colorado Anschutz seeks a Senior Pre-Award Specialist to coordinate preaward grants and contracts for ACCORDS... ..., and reporting. The position is based in a hybrid work arrangement with campus days and remote work as needed, offering comprehensive benefits...Remote workSenior
- Amgen seeks a Senior Oncology Specialist to act as the primary liaison to medical professionals, delivering clinical knowledge of Amgen's products... ...Amgen’s values and patient-first mission. Flexible remote/hybrid work arrangements are offered where possible. #J-18808-Ljbffr...Remote jobSeniorFlexible hours
- Wellesley College is seeking a Senior Accounts Payable Specialist to support day-to-day AP operations and ensure compliance with... ...proficiency with ERP systems (Workday preferred). Hybrid schedule includes on-campus and remote work after orientation. #J-18808-Ljbffr...Remote workSenior
- ...Media Agency in Dallas is seeking a full-time Senior Public Relations Specialist. The ideal candidate will have 4-5 years of... .... The position offers competitive pay, benefits, and a hybrid work schedule allowing for both office and remote work. #J-18808-Ljbffr ChampionmgtRemote workSeniorFull timeWork at office
- firstPRO 360 is seeking a Sr AR Specialist for a contract through April 2027 in Atlanta, Georgia. The position involves... ...a law firm and familiarity with 3E software. This hybrid role offers 3 days on-site and 2 days remote, with the potential for flexibility down the line....Remote workSeniorContract work
- ...Corporation in Atlanta, Georgia, seeks a Sr. Operations Research Specialist - Optimization to drive productivity and efficiency with... ...approximately 10% travel and telecommuting in alignment with our hybrid work policy. You will design mathematical and machine learning...Remote jobSenior
- ...provider is seeking a Legal Administrative Assistant, Senior Support in Rosemead, California. The role... ...proficiency with legal tasks. This position offers a hybrid work model, allowing employees to balance on-site and remote work effectively, centered around California's...Remote jobSeniorWork at office
$130k - $160k
Senior Fullstack Engineer (Team Builder & Full-Stack Specialist)Stack: JavaScript (Node/Lambdas), MongoDB, Angular, AI-Integrated WorkflowIf... ..., and foster a sense of community.Hybrid: For those who prefer a balance between office and remote work, we offer a hybrid model. This...Remote workSeniorFor contractorsWork at officeLocal areaFlexible hours- ...Consultants in Boca Raton, FL, invites applications for a full-time Senior Accountant. The role oversees general accounting, prepares... ...compliance across domestic and international activities. Hybrid and remote options may be considered from other U.S. locations. The position...Remote jobSeniorFull time
- Master Planning Management is seeking a Senior Project Controls Specialist to manage budgets, cost controls, and forecasting for a Pomona-based portfolio... ...managers, cost engineers, and functional leads in a hybrid work model with two days on-site in Pomona, CA. The position...Remote jobSeniorWork at office
$29 - $52 per hour
...scale. Join us to start Caring. Connecting. Growing together. If you reside near Minnesota, you'll enjoy the flexibility of a hybrid-remote position as you take on some tough challenges. Primary Responsibilities: Process pharmaceutical rebates based on contract...Remote workSeniorHourly payMinimum wageFull timeContract workWork experience placementLocal area- Specialty GL - Senior Underwriting Specialist (Remote/Hybrid) Chicago, IL, USA • Denver, CO, USA • Dallas, TX, USA • Phoenix, AZ, USA • Washington, USA Job Description Posted Friday, July 31, 2026 at 4:00 AM For more than 170 years, The Hanover has been committed...Remote jobSeniorTemporary workWork from homeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Appeals & Grievances Specialist (Hybrid Remote). Be the first to apply!
- junk removal specialist Los Angeles, CA
- correspondence specialist Los Angeles, CA
- measurement specialist Los Angeles, CA
- disclosure specialist Los Angeles, CA
- partnership specialist Los Angeles, CA
- absence management specialist Los Angeles, CA
- continuous improvement specialist Los Angeles, CA
- loss prevention specialist Los Angeles, CA
- hospitality specialist Los Angeles, CA
- learning management system specialist Los Angeles, CA

