The Grievance & Appeals Nurse works directly with IPAs, Hospitals, and internal departments to ensure grievance and appeal cases are processed according to policy, DMHC/DHCS/CMS regulations, and NCQA standards.
Compensation
USD $63,897.60 - USD $83,075.20 /Yr.
Responsibilities
Implement management of grievance and appeals cases ensuring compliance with state and federal guidelines
Ensure all team grievance and appeals cases are processed thoroughly and timely
Ensure all member grievance issues are investigated and care is coordinated appropriately
Work closely with Member Services, Provider Services, Compliance, Medical Services, and regulatory agencies
Review case coding for accuracy and assist in the resolution of member medical issues
Requirements
High school diploma or GED
Associate’s degree preferred
Nice to have: Experience in managed care setting
Nice to have: Experience in health care delivery setting
Supports research administration data and systems across the University, ensuring secure, accurate data collection and reporting for internal and external compliance.
Compensation
The base salary will be HEW Level 8 in the range $117,579 - $132,273 per annum, plus 17% superannuation. The total package will be in the range $137,567 - $154,759 per annum.
Responsibilities
Implement routine and complex reports and reporting tools for grants management, research development, ethics management
Support users and systems to enhance existing systems, interfaces, and user support processes
Prepare and benchmark internal reporting and government evaluations
Collaborate with Digital Solutions, Library, Planning & Analytics, and system vendors
Advise on technical compliance issues and ensure systems meet national and global standards
Requirements
Postgraduate qualification
Nice to have: high-level knowledge of API programming
The Guest Specialist receives visitors, answers phones, ascertains needs and performs related clerical duties according to the project assigned.
Compensation
Pay Range: $17-18/HR DOE!
Responsibilities
Greets visitors & determines needs, creating a positive first impression.
Manages all incoming phone calls during assigned hours and ensures after-hour phone calls are routed to on-site supervisor.
Works with Life Enrichment Supervisor and Marketing Manager to maximize effective, streamlined admissions process, transportation scheduling and directions to community activities.
Updates daily census according to residents’ status.
Provides advance notification to department heads regarding appropriate preparation and follow-up for new admissions and re-admits; communicates questions or concerns to appropriate department manager or Administrator.
Collaborate with onboard and research engineers to scale simulation and achieve critical Waymo milestones.
Locations (2)
Mountain View, California, United States
San Francisco, California, United States
Compensation
$251,000—$310,000 USD
Responsibilities
Collaborate with onboard and research engineers to scale simulation and achieve critical Waymo milestones.
Monitor and improve the reproducibility, reliability, and usability of the Waymo simulator.
Design long-term architectures to accommodate a growing number of internal customers and product requirements.
Bridge vehicle subsystems and simulation infrastructure to enhance overall robotic realism.
Partner closely with collaborators from Simulator, Eval, Hardware, and Onboard orgs, integrating the building blocks they provide and turning them into reliable, reproducible simulation solutions.
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