Where

Grievance Resolution Specialist

CalOptima
Orange Full-day Full-time

Description:

Grievance Resolution Specialist CalOptima CalOptima Health is seeking a highly motivated an experienced Grievance Resolution Specialist to join our team. The Grievance Resolution Specialist will be responsible for coordinating the grievance and appeal resolution process. The incumbent will respond to verbal and written grievances and appeals from members and providers relating to member eligibility and benefits, contract administration, claims processing, utilization management decisions and pha
Mar 25, 2025;   from: dice.com

Similar jobs

Description: Member Liaison Specialist (Customer Service) - Bilingual CalOptima CalOptima Health is seeking a highly motivated an experienced Member Liaison Specialist (Customer Service) - Bilingual to join our team. The Member Liaison Specialist ( ...
14 days ago
Description: Community Relations Specialist, Sr. (Bilingual in Arabic, Farsi, Chinese, or Korean) CalOptima CalOptima Health is seeking a highly motivated an experienced Community Relations Specialist Sr to join our team. The Community Relations ...
25 days ago
Description: Executive IT Support Specialist (ITS Administrator Sr) CalOptima CalOptima Health is seeking a highly motivated an experienced Executive IT Support Specialist (ITS Administrator Sr) to join our team. The ITS Administrator Sr (Executive ...
16 days ago
  • CalOptima
  • Orange
Description: Program Specialist CalOptima CalOptima Health is seeking a highly motivated an experienced Program Specialist to join our team. Under general supervision, the Program Specialist (Medi-Cal and & CalAIM) will be responsible for supporting ...
24 days ago