Description UPMC Health Plan is hiring a full-time Complaints and Grievances Coordinator I to help support the Complaints and Grievances Department (Provider Appeals service line). This is a Monday through Friday daylight position. The team is based out of downtown Pittsburgh's US Steel Tower...
Hi, we're Oscar. We’re hiring a Complaints Grievances and Appeals (CGA) Liaison to join our Clinical team in our Tempe office. Oscar is a technology-driven, consumer-focused health insurance startup founded in 2012 and headquartered in New York City. Our goal is to make health insurance simple, t...
You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...
This role is temporarily remote. Training is conducted virtually from your home. This role is an onsite role and you will transition once training is completed to work in the office in the future. If you are located at Chico, CA, you will have the flexibility to telecommute* (work from home) as you ...
This role is temporarily remote. Training is conducted virtually from your home. This role is an onsite role and you will transition once training is completed to work in the office in the future. If you are located at Chico, CA, you will have the flexibility to telecommute* (work from home) as you ...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...
Hi, we're Oscar. We’re hiring a Complaints Grievances and Appeals (CGA) Liaison to join our Clinical team in our Tempe office. Oscar is a technology-driven, consumer-focused health insurance startup founded in 2012 and headquartered in New York City. Our goal is to make health insurance simpl...
Equity Staffing is looking for a Customer Service Representative in Louisiana for a Temporary Position. This position is with a Fortune 100 organization. Our client serves more than 85 million people and has a reputation for bold ideas. If you enjoy working with energetic people in a collaborative e...
Overview The Coding Quality Auditor will be responsible for performing Diagnostic Related Group (DRG) validation and ensuring the coding quality of charts reviewed by the Physician Teams, a two-person team consisting of an MD Reviewer and a Coding Quality Expert (CQE). Coding Quality Auditor will do...
SUMMARY STATEMENT The Provider Audit and Reimbursement Senior Auditor utilizes advanced knowledge of Medicare laws, regulations, instructions from the Centers for Medicare and Medicaid Services (CMS), and provider policies to perform desk reviews and audits of the annual Medicare cost reports, inte...
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...
You’ll enjoy the flexibility to telecommute* from anywhere within the Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join u...
DescriptionResponsibilitiesThis position can be in office or work at home in EST or CST and will provide coverage for eastern time zone hours. Weekend work required. Schedules will be from Thursday - Monday. 5% Shift differential for working Saturday and SundayThe Grievances & Appeals Representative...
Hi, we're Oscar. We’re hiring an Arbitration and Mediation Specialist to join our Complaints Grievances & Appeals. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind o...
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...