Grievance & Appeals Case Lead - Healthcare Investigator

Partnership HealthPlan of California seeks an experienced Grievances & Appeals Analyst to review, investigate, and resolve member cases of varying complexity. You will lead investigations, gather evidence, and communicate outcomes to members and stakeholders. The role emphasizes adherence to DHCS guidelines and NCQA standards, with a focus on transforming dissatisfaction into satisfaction while maintaining high service quality and compliance. #J-18808-Ljbffr Partnership HealthPlan of California