Case Reviewer Salary at Logic House Ltd BETA

**Fraud Quality Review Analyst** **WHAT IS THE OPPORTUNITY?** The Fraud Quality Review Analyst is responsible in assisting in reviewing, assessing, and reporting on the effectiveness and quality of work performed by Fraud Specialists. Will conduct internal quality reviews including but not limited to call samplings, case reviews and any other quality review functions in the department to ensure that all Fraud specialists are providing high quality service to our clients while following processes and procedures. **What you will do** + Conduct quality reviews including call samplings and any other quality assurance functions in the department to ensure that all Specialists are providing high quality service to our clients by analyzing and providing feedback. + Assist management in reviewing, assessing, and reporting on the effectiveness and quality of work performed by Specialists. + Uses quality monitoring data management system to compile and track performance at team and individual le

About the job Overview: Our client, a provider of Health, Dental, Vision, Medicaid and Medicare Healthcare service plans in the state of California with 4.7 million members and $22.9 billion of annual revenues, seeks an accomplished HEDIS Medical Record Reviewer. *** Candidate must be authorized to work in USA without requiring sponsorship *** *** Candidate must be located in CA*** ****************************************************************** Job Title: HEDIS Medical Record Reviewer. Location: Remote (Long Beach, CA) Duration: 2+ months IMPORTANT: Not looking for Zero HEDIS abstraction experience. Work Schedule: start between 8:30am – 4:30am (must be approved by Manager). Will work 8 consecutive hours from start time (not including breaks). 40 hours per week work. Candidate MUST have high-speed wired internet connection. Wi-Fi / Wireless connections are not allowed. Candidate MUST have a reliable home-office environment. Description: This position will be in support of the HEDIS M

Checker El Super #56 Starting Rate $ per hour Do you? Provide excellent Customer Service? Love your Community? Love Food? Join our El Super Store Operations Team as a Checker! Store Location 1212 Magnolia Ave Corona, California, 92881 United States Who We Are With a rich history rooted in family and love for food, El Super has served as the supermarket of choice for our customers for more than 25 years by offering exceptional value and variety at the lowest possible prices. At El Super, we strive to meet the needs of our diverse communities through a vast assortment of grocery products from Latin America, authentic in-house service departments and quality perishable items. As part of the Chedraui USA group of companies, our mission is to provide customers with an exceptional shopping experience with the freshest selection available across all our retail banners, and our people are at the heart of what we do. Our team is continually looking for talented individuals to bring our mission

Category Grocery Description The checker is the most critical job in the store. The person is the final contact that the store has with the customer. This is the last impression that we have to tell our customers that we appreciate their business and encourage them to return to shop again. What the checker does and how well he or she does their job determines, to a very large extent, whether the customer will come back. We need to treat each individual like a guest in our homewith courtesy, friendliness, and the respect that they deserve. •Be knowledgeable in and able to recognize or differentiate between all of the various types of produce merchandise including differences between varieties of similar classes of produce (ie., apples and lettuces) and departmental product differences (ie., Service Deli vs. Deli Dairy an Grocery vs. International Grocery); •Assist courtesy clerks in bagging merchandise according to company policy; •Greet all customers and provide them with prompt courte

Category Grocery Description The checker is the most critical job in the store. The person is the final contact that the store has with the customer. This is the last impression we have to tell our customers that we appreciate their business and encourage them to return to shop again. What the checker does and how well he or she does their job determines, to a very large extent, whether the customer will come back. We need to treat each individual like a guest in our homewith courtesy, friendliness, and the respect that they deserve. •Be knowledgeable in and able to recognize or differentiate between all of the various types of produce merchandise including differences between varieties of similar classes of produce (ie., apples and lettuces) and departmental product differences (ie., Service Deli vs. Deli Dairy an Grocery vs. International Grocery); •Bagging merchandise according to company policy; •Greet all customers and provide them with prompt courteous assistance; •Comply with al

Job Description Job Description Jr. Contract Specialist/Reviewer Job Description: Serve as a point of contact with customers, answering questions relating to agreements + terms and conditions. Compose emails, notices, letters and other communications. Assist in problem solving situations, providing feedback, and working to resolve internal roadblocks affecting requirements and performance. Review and analyze purchase orders, customer solicitation, agreements, and RFQ’s. Accurate data entry on designated databases or programs, while also maintaining responsibility through all changes and updates necessary Skills required: Detail Oriented, Proficient Computer Skills, Organizational Skills, and the ability to multitask. $19-23 /hr DOE Please submit your resumes to - Melissa.ayala@changinglivesstaffing.com Or text/call directly at 909-452-6828 Apply in Person at 5490 Philadelphia St., Suite C Chino, CA 91710

Job Description Job Description Please only apply if you live within 30 miles (roughly) radius of Malibu CA. Please only apply if you are currently seeking part-time employment. This position may turn into a full time position at a later date. The UR staff is responsible for working directly with providers and facility staff to ensure coordinated, continuous coverage for current clients in treatment. UR specialists are tasked with advocating on the client’s behalf based upon medical necessity for appropriate care as needed. Actively manages cases for applicable clients admitted through all levels of care in the substance abuse and mental health setting. Works with the UR Director and facility contacts on case reviews for pre-service, concurrent, and retrospective authorizations and appeals, looking for medical necessity and appropriateness of service and care. Generates approval, modification and denial communications, to include member and provider notification of referral or non-auth

El Super #48 Wilmington- Checker El Super #48 Starting Rate $17.30 per hour Do you? Provide excellent Customer Service? Love your Community? Love Food? Join our El Super Store Operations Team as a El Super #48 Wilmington- Checker! Store Location 120 W. ANAHEIM ST. WILMINGTON, California, 90744 United States Who We Are With a rich history rooted in family and love for food, El Super has served as the supermarket of choice for our customers for more than 25 years by offering exceptional value and variety at the lowest possible prices. At El Super, we strive to meet the needs of our diverse communities through a vast assortment of grocery products from Latin America, authentic in-house service departments and quality perishable items. As part of the Chedraui USA group of companies, our mission is to provide customers with an exceptional shopping experience with the freshest selection available across all our retail banners, and our people are at the heart of what we do. Our team is contin