Lead, Medicare Appeals & Grievances (PST Hours)
Molina Healthcare, Inc.
Molina Healthcare, Inc. is seeking a Senior Claims Supervisor to lead a team responsible for member and provider appeals, grievances, and related resolutions. You will ensure compliance with CMS and Molina guidelines while driving process improvements across the department. Responsibilities include supervising appeals workflows, auditing processes, and coordinating with member services and corporate counterparts. Strong leadership, communication, and regulatory knowledge are essential. #J-18808-Ljbffr Molina Healthcare, Inc.
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Lead, Medicare Appeals & Grievances (PST Hours) in Long Beach, CA vacancy
$73.01k - $111.97k
Must work PST Hours JOB DESCRIPTION Job Summary Leads and supervises team responsible for claims activities... ...established by the Centers for Medicare and Medicaid Services (CMS). Essential... ...of member and provider appeals and grievances, and ensures resolutions are compliant...SuggestedRemote jobWork experience placementWork at office$23.83 - $34.71 per hour
CPAC Lead Stage Technician - PAT II - Hourly/Intermittent POOL (COTA) Apply now Job no: 554198 Work type: Staff Location: Long Beach Categories: Unit 9 - CSUEU - Technical Support Services, Temporary, Part Time, Theatre Arts Job Summary Under the general supervision of...SuggestedHourly payPermanent employmentTemporary workPart time$30 - $32 per hour
...sanitation, safety, and delivering high-quality food for events, working with the Kitchen Manager and sous chefs. The position offers an hourly rate of $30.00-$32.00, with benefits including medical, dental, vision, life and disability insurance, paid vacation, and a 401(k)....SuggestedHourly pay- ...a California-based nonprofit health organization, seeks a temporary Medicare Advantage UM Physician to provide physician-level determinations for prior authorization, concurrent reviews, and appeals. The role requires California residency familiarity with Medicare Advantage...SuggestedRemote jobTemporary work
- ...A Healthier Future Starts With You! As a Culinary Lead (what we call a Kitchen Lead at Sweetgreen), you are the food quality expert... ...quality standards Must be available to work a minimum of 30 hours per week Must be 18 years of age or older Must be authorized...SuggestedFull timePart timeCasual workLocal areaShift workEarly shift
sweetgreen
Long Beach, CA4 days ago - ...Lead Transportation Security Officer Opportunities in Wilmington Lead Transportation Security Officers—or LTSOs—help keep airport screening... ...: Fulltime Airport security operates beyond standard business hours. Depending on the vacancy, the schedule may include early...Full timeFlexible hoursShift workNight shiftWeekend workDay shiftAfternoon shiftEarly shift
Airport Security Careers
Wilmington, CA4 days ago $18 - $27 per hour
...Produce Lead (Full-Time)- 598 Lakewood Produce Lead (Full-Time)- 598 Lakewood Pay Range: $18.00 - 27.00 We are searching for an... ...high standards of freshness/quality and cleanliness, during all hours of operation including weekends. They will work closely with the...Full time$23 - $31 per hour
...Position Summary As a Produce Department Lead, you will drive sales in your area and supervise your team of hourly associates to deliver to our members more of what they love, for less. You will model expertise in Produce and work collaboratively with other team leaders...Hourly payMinimum wageJob sharingFull timeTemporary workPart timeImmediate start$20 per hour
...What We're Looking For Amazing Shift Leaders who set the tone, lead by example and make every guest feel like they belong. In this... ..._________________________________ What You Get Competitive hourly pay plus tips — up to $4/hr extra just in tips On Demand Pay...Hourly payFull timeLocal areaShift workDay shiftAfternoon shiftUrbane Cafe Operations LLC
Long Beach, CAmore than 2 months ago- ...Lead Medical AssistantWilmington, CA 90744OverviewSalary Range $24.00 - $28.00 Hourly Level Experienced Position Type Full Time Job Shift DayDescriptionStatement of PurposePerforms clinic office duties under the direction of the Clinic Manager or Director of Family Health...Hourly payFull timeWork at officeShift workAfternoon shift
Behavioral Health Services, Inc
Wilmington, CA10 hours ago - Burlington Stores in Compton, CA is seeking a Shortage Control Lead to mitigate theft and fraud while maintaining a safe, customer-friendly environment. You will train associates, partner with leadership, and drive shortage education across the store. The role emphasizes...Full timeFlexible hours
$70.3k - $85k
Verda Healthcare, Inc. is a Medicare Advantage Prescriptions Drug Plan (MAPD) organization... ...full of joy. We are looking for a HEDIS Lead to join our growing company with many internal... ...Full-time onsite (100% in-office) Hours of operations: 9am - 6pm Standard business...Full timeWork at officeRelocationMonday to FridayWeekend work$35 - $45 per hour
...Performing Arts Center. This temporary, production-based role offers $35-$45/hour depending on experience, with on-site work and a tight technical schedule. The successful candidate will lead lighting installation, read plots, troubleshoot, and coordinate with the Lighting...Temporary work- ...Description: Under the direct supervision of the Asset Protection Lead, Asset Protection Supervisor, & the Sr. Compliance, Risk &... ...supervision; flexible and adaptable in handling security matters 24 hours, 7 days a week. Ability to work with all levels and management....Contract workFor contractorsFlexible hours
$80.3k - $130k
...older adults. Our work spans Medicare Advantage, fully integrated... ...work Pacific Time Zone business hours* The Job Contributes to the... ...accurate documentation, and leads special projects with an ability... ...minimize conflict and avoid grievances from members and providers....For contractorsLocal areaRemote workRelocation- ...Dishwasher Lead Legends|ASM Global, the leader in privately managed public assembly facilities, has an excellent opportunity for... ...Demands Ability to stand and walk for extended periods (810+ hours during events) Ability to lift and carry up to 50 lbs regularly...Local areaFlexible hoursNight shift
- ...Cook Lead Legends|ASM Global, the leader in privately managed public assembly facilities, has an excellent opportunity for a Cook... ...available for Amphitheater Events Must be able to work extended hours due to business requirements including late nights, weekends and...For contractorsLocal areaNight shift
$38.83 - $55.13 per hour
...expanding long-term space economy. Vast is looking for a Shift Lead, Space Simulation Technician , on our first and second shifts, reporting... ...located in our Long Beach location. Shift: First shift hours: 6am - 2:30pm Second shift hours: 2pm - 10:30pm...Full timeTemporary workShift workWeekend workDay shiftAfternoon shift$40 - $46 per hour
...Long Beach area. The role offers pay between $40.00 and $46.00 per hour, depending on certification and experience, with benefits... ...health insurance, 401k, paid time off, and a company iPad. You will lead a crew, ensure code compliance, and coordinate with project managers...Hourly payFull time$22 - $26 per hour
...daily substitute program, where you can choose which centers / hours work best for you! ???? About Zen Educate Zen Educate partners... ...within our Long Beach community. Key Responsibilities: -Lead daily classroom routines and activities for children ages 2–5...Hourly payWeekly payLocal areaImmediate startRelocation packageMonday to FridayZen Educate
Long Beach, CA16 days ago$17.8 per hour
...their children is a primary role of our team members. You will be leading classes, parties, camps, and events. Additional duties include... ...customer service. Position Requirements Ability to work 25+ hours per week, including most but not all weekends Monday...Hourly paySummer workWeekend workMy Gym
Signal Hill, CA2 days ago$5,540 - $6,009 per month
Assistant Director, MSI & Lead for MSC/PSC California State University, Long Beach in Long Beach, CA Type: Full-Time Category: Diversity... ..., assessment, and annual reports. Time Base 1.0 time-base, 40 hours per week. Duration of Appointment This is a temporary position...Permanent employmentFull timeTemporary workH1bWork at officeFlexible hoursWeekend work- SCAN is seeking a Medicare Advantage Utilization Management (UM) Physician to provide physician-level medical necessity determinations for prior authorization, concurrent, and appeals programs. Local to California, with the role supporting timely, evidence-based decisions...Remote jobLocal area
- ...JOB SUMMARY The Lead Registered Dentist Assistant is a working clinical lead responsible for supporting daily dental back-office... ...a Board-approved course in the Dental Practice Act, an eight (8) hour Board-approved course in infection control and proof of basic life...Hourly payWork at officeLocal areaImmediate startMonday to FridayShift work
Harbor Community Clinic
San Pedro, CA5 days ago - A public university in California is seeking a Lead Stage Technician responsible for managing theatrical equipment and stage use during... ...well as relevant professional experience. This is a temporary, hourly position that allows for flexible working conditions and...Hourly payTemporary workFlexible hours
$23.83 - $34.71 per hour
A California arts facility is looking for a Lead Stage Technician to manage stage equipment and operations during events. This hourly/intermittent position involves constructing sets, operating lighting and sound systems, and participating in pre-production meetings. Candidates...Hourly pay- SCAN Group in Long Beach, CA seeks a Medicare Advantage Utilization Management Physician to provide physician-level determinations for prior authorization, concurrent reviews, and appeals. The ideal candidate will have CA residency, Medicare UM experience, and a current...Remote job
$23.83 - $34.71 per hour
A California university is seeking a Lead Stage Technician for part-time work to manage stage equipment and oversee event setups at the... ...management. The position offers a salary range of $23.83 to $34.71 per hour, and requires 24 semester units of relevant coursework and two...Hourly payPart time$17.5 - $18.5 per hour
...to ask for an accommodation or an alternative application process. Lead Event Assistant University Student Union, Long Beach, CA, US 2 days ago Requisition ID: 2028 Salary Range: $17.50 To $18.50 Hourly GENERAL STATEMENT Under the direction of the Beach Pride Events professional...Hourly paySummer holidayWork at officeMonday to FridayShift workAfternoon shift$23.83 - $34.71 per hour
A leading Californian educational institution seeks a CPAC Lead Stage Technician for a part-time, hourly position in Long Beach. Responsibilities include operating stage equipment, constructing stage sets, and collaborating with clients during events. Ideal candidates...Hourly payPermanent employmentTemporary workPart time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Lead, Medicare Appeals & Grievances (PST Hours). Be the first to apply!
Related searches
- medicare analyst Long Beach, CA
- medicare Long Beach, CA
- medicare manager Long Beach, CA
- nurse practitioner - medicare assessments Long Beach, CA
- medicare medical director Long Beach, CA
- medicare billing specialist Long Beach, CA
- medicare compliance specialist Long Beach, CA
- medicare medicaid Long Beach, CA
- medicare sales agent Long Beach, CA
- medicare sales agent remote Long Beach, CA