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
Vacancy posted 18 hours ago
Similar jobs that could be interesting for youBased on the Senior Appeals & Grievances Specialist (Hybrid Remote) in Los Angeles, CA vacancy
- ...Shield of CA is seeking a Medicare Appeals RN Senior in Los Angeles, CA. This role... ...involves reviewing member appeals and grievances, ensuring compliance with... ...experience. The position allows for hybrid virtual work, balancing remote responsibilities with in-office requirements...Remote workSeniorWork at office
- L.A. Care Health Plan is hiring an Appeals and Grievances Nurse Specialist RN II in Los Angeles. This role involves assisting members with healthcare... ...Must be an active California RN. The position offers a hybrid work schedule and a variety of benefits including paid...Remote job
- ...Grievance And Appeals Specialist (Hybrid) VillageCare is looking for a self-motivated individual for a Full Time role as the Grievance & Appeals Specialist. This position ensures that grievances and appeals are resolved accurately and appropriately while advocating...SuggestedFull timeWork experience placementWork from home
VIllageCare of New York
New York, NY3 days ago - ...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 workFull timeContract workWork experience placementWork at officeLocal area1 day per week
Blue Cross Blue Shield of Arizona
Phoenix, AZ2 days ago $60.78k
Appeals and Grievances Specialist II Job Category: Customer Service Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition... ...position requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in...Remote workFull timeLocal areaShift workWeekend work$65k - $88.6k
...Senior Grievances & Appeals Analyst/Professional The Senior Grievances & Appeals Analyst/Professional... ...Work at Home To ensure Home or Hybrid Home/Office employees' ability to work... ...information. Travel: While this is a remote position, occasional travel to Humana'...Remote workSeniorBi-weekly payTemporary workWork at officeWork from homeHome officeHumana
United States5 days ago$14.9 - $29.06 per hour
...(CMS). Responsibilities Enters denials and requests for appeals into information system and prepares documentation for further... ...language for letters and prepares responses to member appeals and grievances. Elevates appropriate appeals to the next level for review....Remote workHourly payWork experience placementWork at officeWeekend workMolina Healthcare
Dallas, TX2 days ago- ...of CA in San Diego is seeking a Medicare Appeals RN Senior to perform accurate and timely clinical reviews of member appeals and grievances. The role demands a strong understanding... ...related fields. This position allows for hybrid virtual work, with office attendance expected...SeniorWork at office
- Blue Shield of CA in Los Angeles is seeking an Appeals and Grievances RN Senior responsible for clinically reviewing member appeals and grievances... ...using established guidelines and ensure compliance. This hybrid role allows virtual work full-time with on-site requirements...SeniorFull time
$21.78 - $31.52 per hour
...Founded in 1977 as the Senior Care Action Network, SCAN began... ...serve. The Job The Grievances and Appeals Senior Coordinator will provide... ...Sr Work Mode: Mostly Remote An annual employee bonus... ...required. #LI-MS1 #LI-Hybrid Equal Opportunity Employer...Remote workSeniorHourly payFor contractorsWork at officeScangroup
Long Beach, CA1 day 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
Vermont3 days ago $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. Highly... ...experience, education and/or skill level. Seniority level Entry level Employment type Full-time...Remote workHourly payFull timeContract workWork experience placementWork at officeMolina Healthcare
Phoenix, AZ1 day ago- ...Good Samaritan Society is seeking a Lead UM Specialist to manage appeals, provide oversight, and ensure quality assurance across processes. This remote position requires a nursing degree and a minimum of three years of experience. The ideal candidate will exhibit strong...Remote workSenior
Good Samaritan Society
Sioux Falls, SD19 hours ago - ...insurance verification, financial counseling, and cashiering. After an initial onsite training period, there's an opportunity for a hybrid or remote work schedule. Applicants are expected to have at least one year of relevant experience and strong communication skills. This...Remote workSenior
Indiana University Health
Indianapolis, IN19 hours ago - ...variety of roles. Responsibilities include pulling tax cards, preparing title certificates, and effective communication with supervisors. This position offers a hybrid work schedule, requiring in-office work Monday to Thursday and remote work on Fridays. #J-18808-Ljbffr...Remote workSeniorWork at officeImmediate start
Gray Hawk Land Solutions
New Braunfels, TX1 day ago - ...Edisonrefertalent is seeking a Sourcing Senior Specialist to join their team in Pomona, California. In this vital... ...management, and ideally possess a relevant Bachelor's degree. This hybrid position allows for a combination of in-office and remote work. #J-18808-Ljbffr...Remote workSeniorContract workWork at office
Edisonrefertalent
Pomona, CA19 hours ago - ...research, preparing title documents, and ensuring alignment with client requirements. The position is hybrid, requiring in-office work from Monday to Thursday and remote on Fridays. Strong communication skills and proficiency in relevant software are essential. #J-18808-...Remote workSeniorWork at officeImmediate start
Gray Hawk Land Solutions
San Antonio, TX18 hours ago - ...California Edison is hiring a Utility Permitting Senior Specialist in Compton, California. This role involves acquiring... ...governmental agencies. The position operates on a hybrid work model, requiring both office and remote work components, with some fieldwork involved....Remote workSeniorWork at office
- Ledgent-Finance- in San Francisco is seeking a Senior AP Specialist for a temp-to-hire position. The role offers a hybrid opportunity with 2 days onsite and 3 days remote work. Candidates should have over 5 years of experience in full-cycle high-volume accounts payable...Remote workSeniorTemporary work
- ...Assent Advisory Group is seeking a Senior Accountant to support clients in Norfolk, VA, with a hybrid work model of two days on-site and three days remote. Candidates must possess a minimum of seven years of accounting experience, a CPA license, and proficiency in applying...Remote workSenior
Assent Advisory Group
Norfolk, VA2 days ago - ...Tennessee is seeking a Historic Preservation Senior Technical Specialist to support the Cultural Resources Unit.... ...expertise for TDOT projects. The position offers a hybrid work model with three days in the office and two days remote following onboarding. Ideal candidates will...Remote workSeniorWork at office
$35 - $38 per hour
Ledgent, a stable health care firm in San Francisco, is looking for a SENIOR AP SPECIALIST for a temp-to-hire role. This hybrid position allows for 2 days of onsite work and 3 days remote. Qualified candidates should have 5+ years of full-cycle high-volume AP Processing...Remote workSeniorHourly payTemporary work- APWireless Infrastructure Partners, LLC is seeking a full-time Senior Accounts Payable Specialist to join their team in San Diego. This position is hybrid or fully remote for California candidates. The role involves tracking cash flow, reviewing invoices, processing expense...Remote jobSeniorFull time
- ...leading engineering firm in Cleveland is seeking a Senior Proposal Specialist to join its team of marketing professionals.... ...Suite. The firm promotes a supportive culture and offers a hybrid work schedule that balances office and remote work. #J-18808-Ljbffr Wade TrimRemote workSeniorWork at office
- Genesis10 is seeking a Fircosoft Application Specialist (Vice President) based in Charlotte, NC. The role supports Fircosoft sanctions screening... ..., and at least a Bachelor's Degree in a related field. This hybrid position requires availability for in-office work a few days...Remote jobSeniorWork at office
- ...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
- ...to world-class health care in America’s heartland. Facility: Remote SD (Central Time) Location: Remote, SD Address: Shift:... ...Fully Remote position Job Summary Facilitates the denial and appeal process through exercising clinical expertise and clinical by...Remote workSeniorFull timePart timeImmediate startWork from homeShift workDay shift
Sanford Health
Sioux Falls, SD5 days ago $21.78 - $31.52 per hour
Founded in 1977 as the Senior Care Action Network, SCAN began with... ...we serve. The Job The Grievances and Appeals Senior Coordinator will provide... ...Coordinator Sr Work Mode: Mostly Remote An annual employee bonus... ...is required. #LI-MS1 #LI-Hybrid Equal Opportunity Employer/Protected...Remote workSeniorHourly payFull timeFor contractorsWork at office- ...Senior Underwriting Specialist, Fidelity & Crime For more than 170 years, The Hanover has been committed to delivering on our promises... ...position offers flexible work arrangements, including hybrid or fully remote options within Georgia, with travel required throughout...Remote workSeniorLocal areaWork from homeFlexible hours
Hanover Insurance Group
United States3 days ago - ...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
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Appeals & Grievances Specialist (Hybrid Remote). Be the first to apply!
Related searches
- senior program specialist Los Angeles, CA
- order processing specialist Los Angeles, CA
- correspondence specialist Los Angeles, CA
- instructional systems specialist Los Angeles, CA
- student specialist Los Angeles, CA
- associate specialist Los Angeles, CA
- youth engagement specialist Los Angeles, CA
- leave specialist Los Angeles, CA
- promotions specialist Los Angeles, CA
- enterprise solutions specialist Los Angeles, CA