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SCAN
SCAN
1 001 – 5 000 Xodimlar
H1B vizasi homiysiB2CSog‘liqni saqlashTibbiy sug‘urta
SCAN keksa insonlarga sog‘lomroq va mustaqilroq hayot kechirishga yordam berishga bag‘ishlangan, aniq missiyaga ega sog‘liqni saqlash tashkilotidir. 1977-yilda tashkil etilgan ushbu tashkilot tibbiy sug‘urtani uyda va virtual formatda ko‘rsatiladigan birlamchi tibbiy yordam, parvarish qiluvchilarni qo‘llab-quvvatlash, uyidan chiqa olmaydigan kattalar uchun dasturlar hamda himoyaga muhtoj guruhlarga mo‘ljallangan ixtisoslashtirilgan yordam kabi dalillarga asoslangan, bemor manfaatlarini ko‘zlaydigan xizmatlar bilan birlashtiradi. SCAN, shuningdek, keksalarning uyda yashashiga ko‘maklashadigan yangi parvarish modellari va resurslarini ishlab chiqayotgan tashkilotlar bilan hamkorlik qiladi hamda ularga sarmoya kiritadi.
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Kompaniyadagi ish o‘rinlari

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.

USAmerika Qo‘shma ShtatlariCAKaliforniya
20 $ – 29 $ / soat
GibridTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaUmumiy

Tavsif

  • 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.

Talablar

  • 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.

Imtiyozlar

  • 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.

O‘xshash ish o‘rinlari

Fish & Richardson P.C.

Engagement Terms Specialist — Fish & Richardson

Fish & Richardson P.C.
1 001 – 5 000 Xodimlar
BiotexnologiyaFarmatsevtika mahsulotlariHuquq
USAmerika Qo‘shma ShtatlariCAKaliforniyaILIllinoysMNMinnesotaTXTexas
51 000 $ – 64 000 $ / yil
GibridTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaUmumiy

Coordinate client intake and engagement documents at Fish & Richardson, an intellectual property law firm. Support attorneys, client requests, and risk management operations in a hybrid role.

Ochish
S

Housing Navigator and Outreach Coordinator

SACRED PATH INDIGENOUS WELLNESS CENTER
NotijoratSog‘liqni saqlashXayriya
USAmerika Qo‘shma ShtatlariCAKaliforniya
30 $ / soat
GibridTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaTashqi aloqalar koordinatoriUmumiy

Support American Indian and Alaska Native clients in Los Angeles and Orange County as they seek stable housing. Coordinate outreach, housing referrals, provider relationships, and client records for an Indigenous wellness center.

Ochish