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New SearchCandidates must reside in California or be in PST. JOB DESCRIPTION Job Summary Responsible for reviewing and resolving member and provider complaints and communicating resolution ...
JOB DESCRIPTION Job Summary Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) ...
JOB DESCRIPTION Job Summary Responsible for reviewing and resolving member & provider complaints and communicating resolution to members (or authorized) representatives in ...
JOB DESCRIPTION Job Summary Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) ...
JOB DESCRIPTION *****Preferred time zones are EST. We highly prefer candidates based in EST time zones. Working hours can be from 7 am to 4pm EST.***** Job Summary Collects, ...
JOB DESCRIPTION Job Summary Responsible for reviewing and resolving member and provider complaints/disputes and communicating resolution to members and provider (or authorized ...
JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated ...
***Remote and must live in the United States*** JOB DESCRIPTION Job Summary Responsible for leading, organizing and directing the activities of the Provider Appeals Unit that ...
JOB DESCRIPTION Job Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving ...
JOB DESCRIPTION Job Summary The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, ...
JOB DESCRIPTION Job Summary Works with physicians and multidisciplinary team members to develop a plan of care for each assigned patient from admission through discharge. ...
This role is a Triage call center role with shift being Monday-Friday 8:30-5pm pacific. A California active independent behavioral health licensure is required. (LCSW, LMFT, ...
JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ...
JOB SUMMARY The Medical Director, Appeals and Grievances provides leadership for Community Health Choice medical management programs. This includes reviewing appeals of adverse ...
Description Summary: Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors ...
Job Description Summary: Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors ...
Job Description Summary: Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors ...
Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than ...
Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than ...
Job Description Job Summary The Health Plan Chief Medical Officer provides leadership in the development and execution of the Plan’s disease management, case management, ...
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