Remote CGA Team Lead — Complaints & Appeals
Oscar Health
Oscar Health is hiring a CGA Team Lead to supervise the Complaint, Grievances and Appeals production operations, guiding staff to meet performance targets and regulatory requirements. The role involves oversight of the team, collaboration with multiple units, and driving process improvements.
The position reports to the Associate Manager, CGA & MPCT, and is remote with potential travel for meetings. Applicants should have 3+ years in related roles and familiarity with state/federal regulations
#J-18808-Ljbffr$55.89k - $73.36k
...Oscar Health is seeking a CGA Team Lead to supervise day-to-day CGA production operations, guiding staff to meet regulatory requirements... ...functional partnerships, and lead improvement initiatives. This remote role is open to candidates in Arizona, Florida, Georgia, or...Remote work- ...DESCRIPTION Job Summary Provides lead level support for claims... ...resolving member and provider complaints, and communicating resolution to... ...Essential Job Duties • Serves as team lead for submission, intervention and resolution of appeals, grievances, and/or complaints...Remote workComplaintsContract workWork at officeShift work
$55.89k - $73.36k
...Job Description Hi, we're Oscar. We're hiring a CGA Team Lead to join our Complaint, Grievances and Appeals team. Oscar is the first health insurance company... ...Manager, CGA & MPCT. Work Location: This is a remote position, open to candidates who reside in:...Remote workComplaintsFull timeImmediate startWork from homeHome office- Oscar Health is hiring a CGA Team Lead to supervise the daily CGA production operations. You will guide the CGA staff to meet performance... ...projects to improve processes and member experience while working remotely from eligible states. #J-18808-Ljbffr Oscar HealthRemote job
$23.22 - $34.84 per hour
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Position Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining... ...-participating providers. This is either a remote or on-site position located at either the 100...Remote workComplaintsContract workTemporary workWork experience placementLocal area- ...and either settlement or the decision to file suit. You will lead a team of case managers, keep treatment and records moving, oversee... ...satisfaction during the pre-litigation phase, which is where most complaints originate Step into difficult client conversations when a...Remote workComplaintsFull timeTemporary work
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...Getlabs is the leading platform for at-home diagnostics. Healthcare... ...availability. Our team has raised $50M from strategic... ...Operations Management. THIS IS A REMOTE POSITION! This position... ..., specimen loss, and patient complaints. Represent the region...Remote workComplaintsFull timeReliefFlexible hoursShift work- ...Shift Lead You support the Restaurant General Manager (RGM) by running great work shifts... ...Key responsibilities include making sure Team Members complete all assigned duties and... ...include: Solving customer complaints quickly and with a smile. Providing feedback...Remote workComplaintsShift work
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...Ascend? You'll be joining a team delivering innovative,... ...Overview: The BHMP Team Lead provides direct patient care while... ...timely resolution of patient complaints. Coordinate with Clinical Operations... ...: This is a fully remote position but may require in-person...Remote workComplaintsFull timeWork at officeWork from homeFlexible hours$50k - $55k
...Specialist (Livestock/Dairy focused) to join our team. MCS is a USDA-accredited organic... ...employment. Location: This position is remote, requiring travel within MCS’ service... ...and agency affiliates. Investigates complaints to protect the integrity of the organic label...Remote workComplaintsFull timeSeasonal workWork at officeLocal areaLong distanceMonday to FridayWeekend workAfternoon shift3 days per week$20 per hour
Respond promptly to customer complaints and questions across multiple channels. Manage and resolve... .... Collaborate closely with internal teams to ensure customer needs are met and feedback... ...tasks, and work independently in a fully remote setting. Excellent written and verbal...Remote jobComplaints$174.07k - $374.92k
...care resources. **This is a remote based (work at home) based... ...role are related to Medicare Appeals: * Direct daily work on part... ...initiatives to improve appeals team efficiency and clinical... ...Medical Management - Medicare Complaints, Grievance & Appeals experience...Remote workComplaintsHourly payFull timeTemporary workLocal areaWork from homeWeekend work$27 - $30 per hour
...Immediate need for a talented Appeals & Grievances Case Manager (... ...potential and is located in US (Remote) . Please review the job... ...coordinate, and resolve member complaints, grievances, and appeals in... ...documentation Our client is a leading Healthcare Industry and we...Remote workComplaintsContract workLocal areaImmediate start$27 - $30 per hour
...Immediate need for a talented Appeals & Grievances Case Manager (... ...potential and is located in US(Remote) . Please review the job... ...coordinate and resolve member complaints grievances and appeals in compliance... ...Our client is a leading Healthcare Industry and we...Remote workComplaintsContract workLocal areaImmediate start- ...refund questions to brand customer service teams. Identify and join relevant... ...responses. Track product requests, recurring complaints, and sentiment for monthly account-team reporting... ...stipend. Health insurance coverage. Remote freelance work arrangement. #J-18808-Ljbffr...Remote workComplaintsFreelance
$500 per month
...utilizing diagnostic computers/software when applicable. Performs remote triage to with RCRC and customers to determine best solution to... ...with customers/drivers to properly determine nature of complaint once assigned a task. Instructs and advises other technicians...Remote workComplaintsHourly payWeekly payFull timeWork experience placementShift workWeekend work- ...Job Purpose The Team Lead, Accounts Receivable Services supports the management team with the coordination of activities and operations... ...filing deadlines for each designated payer Initiate appeals when necessary Identify and correct medical billing errors...Remote workFull timeWork at officeLocal area
- ...welcomed. As a member of our team, you’ll have the power to make... ...'ll do: The Billing Team Lead is responsible for overseeing... ...–5:00 PM EST. This is a fully remote position with occasional travel... ...Create templates to be used in the appeals process (i.e. letters to be...Remote workFull timeWork at officeMonday to Friday
$50k
Job Description The Team Supervisor - Site Management plays a pivotal... ..., Fleet Car GPS, Fleet Car Remote Parking Agreement, Fleet Car... ...Site Inspections to train and lead a high‑performing, motivated team... ...arise. Address Board Member complaints promptly and effectively,...Remote workComplaintsWork at officeLocal area- ...Northampton, Hertford, Warren, Washington counties, NC Work Mode: Remote 1-2 admin days a week, in-person visits 3-4 days a week in... ...care services Assist members with filing and resolving complaints and appeals Requirements: Licensed Clinical Social Worker/...Remote workComplaintsWork at officeShift work2 days per week3 days per week1 day per week
$31.18 - $38.97 per hour
...in days) to receive an alert: Lead Treasury Management Small... ...professional to supervise and support a team of Treasury Management... ...customer issues, concerns, and complaints Lead onboarding and training for... ..., ACH, wires, Positive Pay, Remote Deposit Capture, Bill Pay, and...Remote workComplaintsHourly payWork at officeLocal areaFlexible hours2 days per week3 days per week- ...Liaison, Pittsburgh-New York Location: Remote (Geography: Pittsburgh, New York)... ...the Head, Dupilumab Allergy Stakeholder Lead. Join the team transforming care for people with immune... ...engagements, and other venues as directed in a complaint manner Act as a liaison between KOLs...Remote workComplaintsWork experience placementWork at officeLocal areaHome office
$20.6 per hour
...We are looking for a REMOTE Customer Experience Coordinator for a... ...expeditiously and that all customer complaints are addressed quickly and... ...Analyzes and reports all escalations team performance metrics Determines... ...and exceeding service levels Leads by example in all quality and...Remote workComplaintsHourly payFreelanceAfternoon shift- ...Deputy Program Manager / PMO Lead to oversee daily Project Management... .... This position is remote, with preference given to candidates... ..., subcontractors, corporate teams, and Government stakeholders... ...is (a) in response to a formal complaint or charge, (b) in furtherance...Remote workComplaintsContract workFor contractorsFor subcontractorLocal area
- ...people who serve alongside us. Joining our team means joining a mission where you will... ...illegal activities. Resolve customer complaints in a fair and impartial manner, referring... ...Merchandise store displays and create visually appealing product presentations that drive sales...ComplaintsWork at officeLocal areaFlexible hours
$80k - $120k
...independent evaluations, filing due process complaints, and representing clients at impartial hearings and administrative appeals. The firm seeks individualized remedies such... ...~ Health insurance ~ Paid time off ~ Work Location: Hybrid remote in New York, NY 10038...Remote workComplaintsFull timeFlexible hours- ...Chandler, AZ, Raintree is a leading AI-powered EMR and... ...Specialist - Medical Claims Remote U.S. (designated states... ...-offs, adjustments, appeals per multi-state and... ...directing patient inquiries or complaints to the appropriate... ...work well within a team structure, possessing outstanding...Remote workComplaintsContract workWork experience placementWork at officeLocal areaWork from homeFlexible hours
- ...service and delivery, ensuring any concerns/complaints are dealt with and responded to promptly... ...identified and shared with the relevant teams ■ Engage with customer to promote... ...Leave Employer-Paid Short-Term Disability Remote Work Flexibility Momentive Software actively...Remote workComplaintsTemporary workWork at officeLocal areaFlexible hoursNight shift
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