Appeals & Grievances Coordinator I - San Diego, CA

This position is responsible for managing all aspects of appeals and grievances process. · Evaluate and process Appeals and Grievances per establish work instructions and approved departmental documents. · ...

A temporary Appeals Coordinator supports the Appeals and Grievances team with appeal processing activities including intake documentation data entry and routing of appeal requests in accordance with established accuracy timeliness productivity and regulatory standards. · The posi ...

A technical function expert with a high degree of knowledge and experience in the employee relations/HR function. Provides guidance to all levels within the Sharp enterprise. · The incumbent sees confidential documents which are used by Sharp Healthcare, · the Sharp enterprise an ...

This job is for an Employee Relations Partner who will provide guidance and advice to department administrators on complex and routine staff employment issues. · ...

The position is accountable for providing medical management and leadership to SCMG to ensure the delivery of high quality, · cus- tomern responsive and cost-effective medical care on behalf of SCMG, · and its members through a network of private practice physicians. ...

The position is accountable for providing medical management and leadership to SCMG to ensure the delivery of high quality, customer responsive and cost-effective medical care on behalf of SCMG, and its members through a network of private practice physicians. · Required Qualific ...

The Medical Director oversees medical care for Sharp Health Plan products and services and oversees the health care needs of the membership. · Works with the Chief Medical Officer to manage health plan medical costs and assure appropriate health care delivery for SHP's products a ...

The Medical Director oversees medical care for Sharp Health Plan (SHP) products and services and ensures appropriate health care delivery for SHP's products and services. · Plans, organizes, and directs the professional medical services program. · Implements health plan medical p ...

The Community Manager will represent Associa with the Association Board of Directors in an on-site capacity. · ...

We're looking for an outstanding individual who loves a challenge and gets satisfaction from helping others in need. · The patient rights advocate will investigate and resolve complaints, concerns, or grievances received from behavioral health clients about rights violations. · ...

The Business and Workforce Compliance Division ensures that SANDAG activities comply with all applicable federal,state,and local requirements related to Business and Workforce Compliance, · This position will collaborate with internal and external stakeholders to maximize opportu ...

If you are looking for a place to grow your career and make a difference – RICK is the place for you As a Field Survey Manager in San Diego, CA, you will have an opportunity to work with and lead a team on meaningful, landmark projects in the San Diego region. · ...

This is an entry level MSW role providing psychosocial services to patients treated by the facility including in-center and home dialysis patients. · ...

Provides personnel clerical services and technical support in various personnel areas including coordinating actions for processing by the Human Resource Services Center. · ...

The Medical Director oversees medical care for Sharp Health Plan products and services, working collaboratively with the Chief Medical Officer to manage health plan medical costs and ensure appropriate healthcare delivery. · Doctor of Medicine (MD) · Previous experience in clinic ...

We are looking for a Civil Project Engineer/Manager in San Diego to work with our multi-disciplinary team on meaningful projects.This role involves shaping our collaborative consulting environment where service excellence is core. · ...

Looking for a place to grow your career? As a Principal Project Engineer/Manager at RICK you will have an opportunity to work with a multi-disciplinary team on meaningful projects in the San Diego area.Candidates must demonstrate independent thought and decision-making abilities. ...

The Vendor Management Coordinator serves as a primary point of contact between external vendors and internal business stakeholders. This role supports the full vendor lifecycle including onboarding data maintenance contract administration and ongoing monitoring to ensure accuracy ...

The Contracts Analyst supports SCMG with analyzing contractual terms and ensuring accurate system setup. · Analyzing contract claims processing. · Maintaining system accuracy. · ...

We are seeking an Administrative Assistant to provide high-level administrative support to technical staff in our San Diego office. · Perform general administrative responsibilities in office and projects to support technical staff · Assist with coordination of employee functions ...