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SCAN
SCAN
1001 – 5000 Zaposleni
Sponzor vizuma H1BB2CZdravstveno varstvoZdravstveno zavarovanje
SCAN je zdravstvena organizacija, katere poslanstvo je pomagati starejšim živeti bolj zdravo in neodvisno. Ustanovljena je bila leta 1977 ter združuje zdravstveno zavarovanje z na dokazih temelječimi storitvami, osredotočenimi na paciente, vključno z osnovno zdravstveno oskrbo na domu in na daljavo, podporo skrbnikom, programi za odrasle, ki so vezani na dom, ter specializirano oskrbo ranljivih skupin. SCAN sodeluje tudi z organizacijami, ki razvijajo nove modele oskrbe in vire za staranje doma, ter vanje vlaga.
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Delovna mesta v podjetju

Grievances and Appeals Coordinator – Medicare Part C and D | SCAN

Coordinate Medicare Part C and D grievance resolution and support members and service teams at SCAN, a nonprofit health organization serving older adults.

USZdružene države AmerikeCAKalifornija
20 $ – 29 $ / ura
HibridnoPolni delovni časSrednja ravenSeniorZahtevani Jezik: angleščinaSplošno

Opis

  • Lead Member Services Representatives who assist members and related individuals and groups.
  • Handle Medicare Part C and D grievances through resolution.
  • Respond to member inquiries and connect members with appropriate service providers.
  • Apply procedures to verify member identity, enrollment status, and eligibility for services.
  • Keep membership databases and records accurate and up to date.
  • Recommend service or program changes based on member feedback and coverage gaps.
  • Support member retention or renewal efforts as needed.
  • Advance SCAN’s vision and goals.
  • Carry out other assigned duties.

Zahteve

  • 0–3 years of related experience handling grievances and appeals for a health plan, healthcare provider, or managed care organization.
  • Current or previous experience resolving Medicare Part C and D grievances is highly desirable.
  • High school diploma or equivalent experience required.
  • Comprehensive knowledge of grievance and appeals matters.
  • Customer service skills.
  • Ability to work with minimal supervision.
  • Ability to manage complex issues and refer only the most complex cases to higher-level staff.
  • Ability to lead, coach, or mentor a subordinate group; may serve as a lead or first-level supervisor.
  • Basic technical skills relevant to the role.
  • Advanced Microsoft Office skills, including Word, Excel, PowerPoint, Outlook, and Teams.
  • Experience with IKA, MHK, or QNXT preferred.
  • Basic problem-solving skills.
  • Strong communication and interpersonal skills.
  • Background check required.

Ugodnosti

  • Annual employee bonus program.
  • Wellness program.
  • Generous paid time off.
  • Eleven paid holidays each year.
  • One floating holiday.
  • One birthday holiday.
  • 401(k) retirement savings plan with employer match and contribution.
  • Employee recognition program.
  • Tuition reimbursement.
  • Inclusive benefits.
  • Equal employment opportunity and affirmative action workplace.

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Latham & Watkins

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USZdružene države AmerikeCAKalifornijaILIllinoisMNMinnesotaTXTeksas
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DobrodelnostNeprofitne organizacijeZdravstveno varstvo
USZdružene države AmerikeCAKalifornija
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