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Keywords: Appeals and Grievances Quality Auditor, Location: USA

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Appeals and Grievances Quality Auditor

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...

Company: Point32Health
Location: USA
Posted Date: 09 Mar 2025

Specialty Health Plans Auditor III

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...

Posted Date: 07 Mar 2025

Attorney Fellowship - Denver City Attorney's Office

, City Auditor, City Clerk and Recorder, and all City agencies. Its responsibilities include handling city lawsuits... neighborhood quality of life, and responsibly managing taxpayer funds. As advocates for effective governance, transparency...

Posted Date: 12 Mar 2025
Salary: $30 per hour

Delegation Management Specialist II

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...

Posted Date: 27 Feb 2025