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Joseph Hospital of Orange, providing compassionate care to patients and their families is a sacred responsibility....
Under minimal supervision, provides and is responsible for, in accordance with established policies and procedures, the research and documentation of written...
Joseph Hospital of Orange, providing compassionate care to patients and their families is a sacred responsibility....
Services plan members by addressing inquiries through different channels (e.g., live web-based applications, telephone and email), resolving issues, and...
Appeals and Grievances Representative – Provider. Appeals and Grievances Accountable for formal grievance resolution....
Under minimal supervision, provides and is responsible for, in accordance with established policies and procedures, the research and documentation of written...
Reporting to the Manager of Social Services, the role of the Health Advocate, health homes is critical to the success of Blue Shield of California and the...
$18.02 - $21.93 an hour
The work calendars for anticipated openings can range from 10 to 12 months per year, working up to 40 hours per week;...
Responsible for new member acquisition throughout the direct sales process. Contacts customers through established marketing, referral and cold lead sources....
Supervises the daily operations of the Provider Dispute Resolution (PDR) Department and ensures cases and payments are completed timely....
Under the general supervision of the Sr. Manager/Director of Contracting, this position will ensure the acquisition, servicing and performance of Ancillary and...
Under minimal supervision of the PDR Manager, the primary function of this position is to be responsible for the categorization and coding of Quality of Care vs...
Operations and Management - Manages the daily, short-term, and/or long-term activities of the customer service and operations teams to ensure alignment with...