Appeals jobs

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Utilization Review Specialist, Drug Medi-Cal Program
Veterans Village of San Diego - San Diego, CA
Collaborates with the Medical Director and all members of the multidisciplinary team to facilitate utilization management activities for designated area...
Desired Experience: Driver's License, Behavioral Health
Easily apply
Medical Billing/Collection Specialist
EA Health Corporation - San Diego, CA 92128
$16 - $18 an hour
Medical biller/collectors are responsible for resolving unpaid claims identified on aged A/R and various other reports, and also for reviewing and responding...
Desired Experience: Microsoft Office, Enrolled Agent
Easily apply
IT Operations Engineer
Plaza Home Mortgage, Inc. - San Diego, CA
Assists with the design, implementation, and improvement of cost-effective methods of testing and troubleshooting hardware, software and systems for all...
Desired Experience: Microsoft Office
Easily apply

Credentialing Program Assistant

Veterans Affairs, Veterans Health Administration - 4,033 reviews - San Diego, CA
$41,259 - $53,632 a year
Reviews quality assessment findings, risk management evaluations and malpractice claim actions to ensure appropriate coordination with the credentialing and...

Grievance & Appeals Analyst

Aetna - 3,261 reviews - San Diego, CA
Serve as a technical resource to colleagues on claim research, SPD/COC interpretation, letter content, state or federal regulatory language, triaging of...
Desired Experience: Microsoft Office, Excel, Microsoft Word, Benefits Administration

Appeals Coordinator I

ALVARADO HOSPITAL MEDICAL CENTER - 1,192 reviews - San Diego, CA 92120
Appeals Coordinator will help prepare medical records for Government/Commercial payer audits, timely filing of appeal correspondence, track and follow up of...

Appeals and Grievance Coordinator

MedImpact Healthcare Systems, Inc - 118 reviews - San Diego, CA
The Appeals and Grievances Coordinator provides technical and administrative support to the Health Services department by working directly with the Prior...
Desired Experience: Microsoft Office, Certified Pharmacy Technician
Easily apply

Pharmacist; Appeals Support

MedImpact Healthcare Systems - 118 reviews - San Diego, CA
The Appeals Support Pharmacist works closely with the Department Manager and the Medical Director to coordinate all Appeals and Grievances and identifies...
Desired Experience: Registered Pharmacist, Microsoft Office

Development Director

Mission Edge San Diego - San Diego, CA 92110
$65,000 - $75,000 a year
Develop and execute a fundraising plan with annual goals and establish a development master calendar or matrix that outlines all fundraising activities...
Desired Experience: Microsoft Powerpoint, Reliable Transportation, Microsoft Office, Proofreading
Easily apply

Development Associate

Cygnet Theatre - San Diego, CA 92110
Responsible for the management and integrity of Cygnet Theatre’s donor database in Theatre Manager including overseeing and conducting data acquisition and...
Desired Experience: Proofreading, Management Experience, Microsoft Office
Easily apply

MEMBER SERVICE REPRESENTATIVE

Scripps Health Corp - San Diego, CA
Provides callers with plan specific information such as medical benefits and eligibility, coverage descriptions, copays, utilization management guidelines...
Desired Experience: Salesforce CRM, Call Center, Customer Service

Operations Associate

MEDIA ARTS Center San Diego - San Diego, CA
$17 - $18 an hour
Acts as project manager for special projects, at the request of the Executive Director, which may include: planning and coordinating multiple presentations...
Desired Experience: Administrative Experience
Easily apply

Marketing Manager

The New Children's Museum - San Diego, CA 92101
$45,760 a year
Under the direction of the VP Marketing & Communications, the Marketing Manager will support the communications efforts of the Museum including but not...
Desired Experience: Adobe CS, MailChimp, Google AdWords, Adobe InDesign, Social Media Management, Marketing, Constant Contact, Proofreading, WordPress
Easily apply
Paralegal Generalist
Real Estate and Operations firm - San Diego, CA
Understand entity relationships for company’s portfolio, including understanding of formation documents, towards drafting certificates and resolutions...
Desired Experience: Paralegal Experience, Microsoft Word, Paralegal Certificate, Real Estate Law
Easily apply
Quality Assurance Analyst
Plaza Home Mortgage, Inc. - San Diego, CA
Plaza’s employees are also protected against retaliation if they engage in a protected activity, whistleblowing, or the exercise of any appeal or grievance...
Desired Experience: SDLC, JIRA
Easily apply