10,000+ Jobs Found

"physician assistant member appeals grievances telecommute cupertino" in "None"

Grievance/Appeals Analyst Sr

Elevance Health Atlanta Georgia United States
(No Timezone Provided)

WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed online application for consideration of employment for any position. We will never ask you for a credit card, s...

Administrative Appeals Representative (Work From Home)

American Specialty Health Bartlesville Oklahoma United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health New Smyrna Beach Florida United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Saginaw Michigan United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Kansas City Missouri United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Fort Pierce Florida United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Belleville Michigan United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Aberdeen Maryland United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Los Alamos New Mexico United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Avon Park Florida United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Seneca South Carolina United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Denison Texas United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Fort Smith Arkansas United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Carlsbad New Mexico United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Fallon Nevada United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Camden South Carolina United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Albertville Alabama United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Hopkinsville Kentucky United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Winchester Kentucky United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Panama City Beach Florida United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Elko Nevada United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Galveston Texas United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Greeneville Tennessee United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Henderson Kentucky United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Spartanburg South Carolina United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Somerset Kentucky United States
(No Timezone Provided)

[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 Appeals Representative (Work From Home)

American Specialty Health Destin Florida United States
(No Timezone Provided)

[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...

Complaints and Grievances Coordinator I (Remote)

Home Nursing Agency Greensburg Pennsylvania United States
(No Timezone Provided)

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...

Complaints Grievances Appeals Liaison Medicare Advantage (Remote)

Oscar Health Tempe Arizona United States
(No Timezone Provided)

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...

Medical Director- South Central - Remote | WFH (Cupertino)

Get It Recruit - Healthcare Cupertino California United States
(No Timezone Provided)

Your role will be pivotal in ensuring regulatory compliance while leveraging diverse resources such as national clinical guidelines, CMS policies, and internal reference materials to make informed decisions. Responsibilities: Review moderately complex to complex clinical scenarios through computer-b...

Grievance & Appeals Nurse (CA) - Remote Available

Envolve Pharmacy Solutions None null United States
(No Timezone Provided)

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. ...

Appeals Representative - Cypress, CA or WFH

UnitedHealth Group Cypress California United States
(No Timezone Provided)

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 ...

Appeals Representative - Cypress, CA or WFH

UnitedHealth Group Chico California United States
(No Timezone Provided)

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 ...

OptumRx Specialty Consumer Affairs Advocate - Remote

UnitedHealth Group Shawnee Mission Kansas United States
(No Timezone Provided)

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care dat...

OptumRx Specialty Consumer Affairs Advocate - Remote

UnitedHealth Group Atlanta Georgia United States
(No Timezone Provided)

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care dat...

Appeals Representative Associate - Remote

UnitedHealth Group Hartford Connecticut United States
(No Timezone Provided)

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...

Appeals Representative Associate - Remote

UnitedHealth Group Atlanta Georgia United States
(No Timezone Provided)

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...

Appeals Representative Associate - Remote

UnitedHealth Group Tampa Florida United States
(No Timezone Provided)

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...

Appeals Representative Associate - Remote

UnitedHealth Group Dallas Texas United States
(No Timezone Provided)

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...

Appeals Representative Associate - Remote

UnitedHealth Group Phoenix Arizona United States
(No Timezone Provided)

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...

Appeals Representative Associate - Remote

UnitedHealth Group Minneapolis Minnesota United States
(No Timezone Provided)

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...

Clinical Grievances RN - Remote in MST, PST or AZ

UnitedHealth Group Phoenix Arizona United States
(No Timezone Provided)

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable a...

Customer Service Representative- Telecommute LA

Equity Staffing Group Englewood Colorado United States
(No Timezone Provided)

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...

Grievances and Appeals Representative 4 - Work at Home/Remote EST and CST

Humana Insurance Company Louisville Kentucky United States
(No Timezone Provided)

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...

Customer Service Professional (Remote)

Partners Healthcare System Somerville Massachusetts United States
(No Timezone Provided)

The Customer Service Professional (CSP) acts as the primary AllWays Health Partners point of contact for our members, providers and other key stakeholders focusing on exceptional customer satisfaction and first call resolution. The CSP's interact with customers to provide information and troubleshoo...

Complaints Grievances Appeals Liaison Medicare Advantage (Remote)

Oscar Technology Tempe Arizona United States
(No Timezone Provided)

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...

Chief Medical Officer - Work From Home (Cupertino)

CareerBuilder Cupertino California United States
(No Timezone Provided)

Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-w...

Claims Supervisor - Remote - 941604

UnitedHealth Group Tampa Florida United States
(No Timezone Provided)

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...

Workforce Solutions Representative TELECOMMUTER

HCSC Chicago Illinois United States
(No Timezone Provided)

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.Come join us and be part of a purpose driven company who is...

Chief Medical Officer - Work From Home (Cupertino)

Clevelcrossing Cupertino California United States
(No Timezone Provided)

Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-w...