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Senior Grievance Resolution Specialist – Remote (Provider)

CalOptima, Orange, CA, United States


A mission-driven health organization is seeking a Grievance Resolution Specialist Sr to oversee complaint resolutions for members and providers. This role emphasizes collaboration with stakeholders and compliance with healthcare regulations, while also offering the flexibility of full telework within California. Ideal candidates will have experience with Medicare and Medi-Cal appeals, strong communication skills, and a commitment to maintaining high-quality service in a community-focused environment. Competitive compensation packages accompany the role. #J-18808-Ljbffr