CGA Team Lead Remote Health Appeals & Compliance
Oscar Health
Oscar Health is seeking a CGA Team Lead to supervise daily CGA production operations and guide the team to meet performance standards. This role supports compliance with state and federal regulations while driving process improvements and neighborly member service. The position is remote and open to residents of Arizona, Florida, Georgia or Texas, with occasional travel for team meetings and company events. Base pay is disclosed with benefits and annual bonuses. #J-18808-Ljbffr
Vacancy posted 15 hours ago
Similar jobs that could be interesting for youBased on the CGA Team Lead Remote Health Appeals & Compliance in Phoenix, AZ vacancy
- ...Oscar Health is seeking a CGA Team Lead to supervise daily CGA production operations and guide staff to meet... ...targets. You will ensure regulatory compliance and collaborate across the... ...projects outside daily operations. Remote work is available for eligible states...Remote work
$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 and departmental... ...partnerships, and lead improvement initiatives. This remote role is open to candidates in Arizona, Florida, Georgia,...Remote work- ...Oscar Health is hiring a CGA Team Lead to oversee the Complaint, Grievances and Appeals team. The role focuses on supervising daily CGA operations... ..., and ensuring regulatory compliance while driving process... ...Manager, CGA & MPCT, with a remote work setup available for Texas...Remote work
- Oscar Health seeks a CGA Team Lead to supervise day-to-day production operations within the Complaint, Grievances and Appeals team. You will guide staff, ensure cases meet regulatory requirements... ...SLAs and TATs while working remotely from home offices in the U.S. #J-1...Remote jobWork 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 expectations... ...projects to improve processes and member experience while working remotely from eligible states. #J-18808-LjbffrRemote work
$55.89k - $73.36k
...'re Oscar. We're hiring a CGA Team Lead to join our Complaint, Grievances and Appeals team. Oscar is the first health insurance company built around... ...Work Location: This is a remote position, open to... ...needs of the team to ensure compliance with Federal and State regulations...Remote workFull timeImmediate startWork from homeHome office- ...Oscar Health is hiring an Associate Director, Appeals & Grievances to oversee non-clinical CGA operations and the Elite... ...Member Champion Team. The role... ...on regulatory compliance, process optimization... ...Compliance. You will lead a high-performing team across remote locations,...Remote work
- ...Acting as the liaison for statewide appeals, the full-time RN Licensed Clinical Appeals Coordinator will ensure compliance with State and NCQA requirements while reviewing clinical... ...for member and provider appeals in a fully remote environment. Key responsibilities Review...Remote workFull time
- ...Mass General Brigham Health Plan Holding Company, Inc. is seeking a skilled project or program manager to support MassHealth appeals and claims resolution, and to coordinate regulatory reporting. This remote role collaborates across departments to ensure timely submission...Remote work
- ...seeking an HSS Clinical Coordinator RN to conduct clinical reviews and evaluations related to Medicaid appeals, ensuring compliance and accuracy in assessments. This remote role is ideal for experienced RNs seeking meaningful patient-care impact. You will review medical...Remote workFull time
- ...To support hospital client partners, the full-time remote RN DRG Appeals Specialist will perform reviews of inpatient DRG payer denials, including... ...denial letters, formulating appeal responses, and ensuring compliance with coding guidelines. Key responsibilities: Conduct...Remote workFull time
- ...To support statewide appeals and ensure compliance with State and NCQA requirements, the full-time Wisconsin Licensed Clinical Appeals Coordinator... ...letters, and coordinate Fair Hearings while working remotely. Key responsibilities Review clinical information for appeals...Remote workFull time
- ...GlobalHealth is a Medicare Advantage HMO health insurer seeking a Nurse leader to manage Appeals & Grievances with clinical leadership and regulatory compliance. The role emphasizes timely... ...reporting capabilities. The position is remote in the US with minimal travel;...Remote work
- ...Cambia Health Solutions is seeking an Appeals Clinician I to evaluate and resolve member/provider appeals using... ...expertise. This role supports compliance with medical policy, reimbursement... ...unrestricted RN license in OR/WA/ID/UT. Remote work is available with location-...Remote work
- ...to resolve member and provider appeals, the full-time Registered Nurse Appeals Clinician will work remotely from Oregon, Washington, Idaho, or Utah, ensuring compliance with medical policies and conducting... ...Idaho, or Utah Experience in health insurance, coding/claims review...Remote workFull time
- ...Inc. has an immediate opening for an Appeals & Grievances Case Manager (Oregon). This... ...contract located in Oregon with remote options. The role focuses on investigating... ...complaints, grievances, and appeals in compliance with health plan and regulatory standards. The ideal...Remote workContract workImmediate start
- ...Managing appeal inventory for a team of Clinical Specialists, the full-time Clinical Appeals Manager will work remotely, focusing on compliance, triaging expedited appeals, and coordinating with various departments while ensuring high-quality output and adherence to regulatory...Remote workFull timeWork experience placementWeekend work
$70.12k - $126.19k
...liaison for all statewide appeals, fair hearings, review... ...Details: This is a remote position. Hours are Monday... ...and experience as a lead strongly preferred.... ...you can see, backed by a team committed to improving... ...including: competitive pay, health insurance, 401K and...Remote workHourly payFull timePart timeWork at officeMonday to FridayFlexible hours- ...Cross Blue Shield of New Jersey is seeking an Appeals Analyst to manage end-to-end complaint and... ...investigations, and ensure regulatory and policy compliance. You will prepare comprehensive case files, coordinate with internal teams and external reviewers, and support Medicaid...Remote job
- ...Clinical Appeals Nurse (RN) Status: Exempt Location: Remote Department: Clinical Appeals Reports To: Director of Clinical... ...outcomes, and ensuring compliance with payer policies and clinical... ...denial recovery, and operations teams to strengthen appeal strategy Identify...Remote work
- UnitedHealth Group in the United States is seeking an Appeals Medical Director in Radiology for a remote role. You will oversee clinical review and... ...plans, contributing to quality care and regulatory compliance.The role requires MD or DO, board certification, 5+...Remote job
$120k - $160k
...applications to advance health, safety and... ...Find what drives you on a team with a more than 75-year... ...The US Export Controls Lead will be responsible for... ...Pall Corporation’s Export Compliance program globally. This... ...teamand will be fully remote.In this role, you will...Remote workPermanent employmentFull timeWork at officeWork from homeWork visaFlexible hours- ...LifeStance Health is hiring a Billing Supervisor to lead the RCM staff and oversee performance metrics in a fully remote role across states where LifeStance operates. You will train... ...respond to requests while ensuring HIPAA compliance and efficient revenue cycle...Remote work
- A health organization is seeking a Senior Credentialing Specialist to oversee provider credentialing and ensure compliance with health plan requirements. This role involves supervising credentialing... ...issues. The position is primarily remote, requiring candidates to reside in...Remote work
- ...Memorial Hermann Health System is seeking a Medical Physicist to implement and maintain... ...imaging technologies, ensuring regulatory compliance and ongoing quality assurance across a... ...large health system. The role involves leading CT/MRI protocol development,...Remote workWork from home
- ...make a positive impact on the health of millions of people. Our supply... ....Position SummaryYou will lead a team responsible for the site Product Lifecycle Compliance function, including the Regulatory... ...regularly, with flexibility for remote work as agreed with your manager...Remote workFull timeLocal area
- ...Cardinal Health is seeking a Principal Regulatory Affairs Specialist to lead regulatory strategies for international product registrations... ..., and coordinate with global teams to meet FDA and EU... ...device regulations, and drives compliance across product lifecycles while...Remote work
- ...Twin Health in the United States seeks a Health Plan Account Executive to drive strategic... ..., expand key relationships, and lead consultative sales from discovery to contract... ..., Implementation, Clinical, and Compliance. This remote role offers strong compensation,...Remote workContract work
$156.8k - $261.3k
...Here, we focus on the health, happiness, and well-being... ...want to hear from you.Lead Counsel, Securities &... ...Mayland Drive - hybrid. Remote also availableCompetitive... ..., and public company compliance. The successful candidate... ...and Communications teams on external communications...Remote workFull timeWork from home- ...SCAN, a nonprofit health organization serving seniors, is seeking a Provider Relations Lead to strengthen relationships with MSOs, IPAs, and hospitals... ...initiatives, ensure regulatory compliance, and coordinate cross-functional teams to improve care delivery and cost management...Remote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to CGA Team Lead Remote Health Appeals & Compliance. Be the first to apply!
Related searches
- executive team lead asset protection Phoenix, AZ
- key team leader Phoenix, AZ
- quality control team lead Phoenix, AZ
- group operations director Phoenix, AZ
- IT team lead Phoenix, AZ
- team leader day shift Phoenix, AZ
- site leader Phoenix, AZ
- leader Phoenix, AZ
- focus group leader Phoenix, AZ
- merchandise team leader Phoenix, AZ


