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Imperial Health Plan of California, Inc.

Imperial Health Plan of California, Inc. in United States

12 jobs at Imperial Health Plan of California, Inc. in United States

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  • Imperial Health Plan of California, Inc.

    Appeals and Grievances Manager

    6 days ago

    Imperial Health Plan of California, Inc. Los Angeles, United States

    JOB SUMMARY: Oversees the department work activities assuring compliance with all regulatory guidelines and policy protocols. Serves as the team leader for the team who receives, investigates, and responds to all member grievances & appeals. Responsible for the overall compliance ...

  • Imperial Health Plan of California, Inc.

    Appeals and Grievance Coordinator

    6 days ago

    Imperial Health Plan of California, Inc. Pasadena, United States

    JOB TITLE: Appeals and Grievance Coordinator FLSA STATUS: Non-Exempt · DEPARTMENT: Appeals and Grievances · REPORTS TO: Supervisor, Appeals & Grievances · JOB SUMMARY: Responsible for reviewing and resolving member complaints and appeals and communicating resolution to members ...

  • Imperial Health Plan of California, Inc.

    Utilization Management Compliance Specialist

    22 hours ago

    Imperial Health Plan of California, Inc. Pasadena, United States

    JOB SUMMARY: · Support the Utilization Management (UM )Program and required regulatory deliverables for Imperial Health Plan of California, Inc. / Imperial Health Holdings Medical Group. May support the NCQA Accreditation Program and oversight processes, accreditation best pract ...

  • Imperial Health Plan of California, Inc.

    Appeals and Grievance Coordinator

    2 days ago

    Imperial Health Plan of California, Inc. Los Angeles, United States

    JOB TITLE: Appeals and Grievance Coordinator FLSA STATUS: Non-Exempt · DEPARTMENT: Appeals and Grievances · REPORTS TO: Supervisor, Appeals & Grievances · JOB SUMMARY: Responsible for reviewing and resolving member complaints and appeals and communicating resolution to members ...

  • Imperial Health Plan of California, Inc.

    Appeals and Grievance Coordinator

    4 days ago

    Imperial Health Plan of California, Inc. Pasadena, United States

    JOB TITLE: · Appeals and Grievance Coordinator · FLSA STATUS: · Non-Exempt · DEPARTMENT: · Appeals and Grievances · REPORTS TO: · Supervisor, Appeals & Grievances · JOB SUMMARY: · Responsible for reviewing and resolving member complaints and appeals and communicating resolu ...

  • Imperial Health Plan of California, Inc.

    Claims Examiner III

    4 days ago

    Imperial Health Plan of California, Inc. Los Angeles, United States

    JOB SUMMARY: Is responsible for adjudicating complex claims which include high dollar claims. Responsible for accurate manual/auto pricing of claims. Identify provider billing issues that impact claims processing. Works closely with the Supervisor to identify any reporting or tra ...

  • Imperial Health Plan Of California Inc.

    Appeals and Grievance Coordinator

    3 days ago

    Imperial Health Plan Of California Inc. Pasadena, United States

    JOB TITLE: Appeals and Grievance Coordinator FLSA STATUS: Non-Exempt · DEPARTMENT: Appeals and Grievances · REPORTS TO: Supervisor, Appeals & Grievances · JOB SUMMARY: Responsible for reviewing and resolving member complaints and appeals and communicating resolution to members ...

  • Imperial Health Plan of California, Inc.

    Claims Examiner III

    6 days ago

    Imperial Health Plan of California, Inc. Pasadena, United States

    JOB SUMMARY: Is responsible for adjudicating complex claims which include high dollar claims. Responsible for accurate manual/auto pricing of claims. Identify provider billing issues that impact claims processing. Works closely with the Supervisor to identify any reporting or tra ...

  • Imperial Health Plan of California, Inc.

    Medical Director, Medical Management

    6 days ago

    Imperial Health Plan of California, Inc. Pasadena, United States

    Imperial Health Plan of California, Inc. · posted yesterday · More... · front runner · Managing Director - IT Audit · Lincoln Search Consultants · Pasadena, CA 91199 · posted yesterday · More... · front runner · Director Chemical Biology and Peptide Macrocycles · Eli Lill ...

  • Imperial Health Plan of California, Inc.

    Utilization Management Compliance Specialist

    1 day ago

    Imperial Health Plan of California, Inc. Los Angeles, United States

    JOB SUMMARY: Support the Utilization Management (UM )Program and required regulatory deliverables for Imperial Health Plan of California, Inc. / Imperial Health Holdings Medical Group. May support the NCQA Accreditation Program and oversight processes, accreditation best practice ...

  • Imperial Health Plan Of California Inc.

    Utilization Management Compliance Specialist

    5 days ago

    Imperial Health Plan Of California Inc. Pasadena, United States

    JOB SUMMARY: Support the Utilization Management (UM )Program and required regulatory deliverables for Imperial Health Plan of California, Inc. / Imperial Health Holdings Medical Group. May support the NCQA Accreditation Program and oversight processes, accreditation best practice ...

  • Imperial Health Plan of California, Inc.

    Claims Examiner II

    6 days ago

    Imperial Health Plan of California, Inc. Pasadena, United States

    ESSENTIAL JOB FUNCTIONS: · Adjudicates complex professional and institutional claims. · Responsible for meeting performance measurement standards for productivity and accuracy. · Adjudication of claims adjustment. · Follow all appropriate Federal and State regulatory requirements ...