and communities. Job Summary Under the direction of the A&G Manager, the Appeals & Grievances QA Auditor audits the quality... findings and identifies areas of opportunity for the A&G (Appeals and Grievances) department. Understands department, segment...
and or (CMS) claim audits Organization Determination, Appeals & Grievances (ODAG) of delegates and subsequently monitors delegates.... Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income...
appeals and grievances functions of the department. Qualifications: Minimum Qualifications: - 5+ years administrative... quality managed care administrative and clinical services to medical groups hospitals health plans and employers...
, termination, pay rate changes, disciplinary actions, and certification of payroll adjustment to the Auditor's Office; Oversees... with the City's labor relations unit on matters such as collective bargaining, grievances, arbitrations and mediations...