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Randstad is seeking professional healthcare candidates who have a minimum of 4 years of experience processing grievances and appeals.  This role is essential to supporting our team’s high standards ensuring quality measures meet or exceed 97%. The coordinator will collaborate with the team on cases, contributing to continuous improvement initiatives and enhancing customer experiences. Experience in a similar role, preferably within appeals and grievances, healthcare administration, or customer service in a regulated environment.  Knowledge of Healthcare Regulations – Understanding of health plan compliance, regulatory requirements, or experience with Medicare/Medicaid guidelines.  salary: $22.99 - $23 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High SchoolResponsibilitiesGather, analyze and report verbal and written member and provider complaints, grievances and appeals • Prepare response letters for member and provider complaints, grievances and appeals • Maintain files on individual appeals and grievances • May coordinate the Grievance and Appeals Committee • Support the pay-for-performance programs, including data entry, tracking, organizing, and researching information • Assist with HEDIS production functions including data entry, calls to provider’s offices, and claims research. • Manage large volumes of documents including copying, faxing and scanning incoming mailSkillsGrievance Appeals Coordinator QualificationsYears of experience: 2 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).This posting is open for thirty (30) days. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

Join our team as a Guest Services Representative, where you will be the face of our venue by greeting every guest with a friendly smile and a warm welcome. You will play a vital role in our daily operations by managing ticket collections at the box office, assisting with retail merchandise, and maintaining proactive communication with managers and peers. To ensure we provide top-tier service during our busiest times, candidates must be available to work weekends within our operational window of 8:00 AM to 9:00 PM. This is a fantastic opportunity for an energetic team player to thrive in a fast-paced environment while helping us create memorable experiences for every visitor.salary: $21 - $22 per hourshift: Firstwork hours: 8 AM - 4 PMeducation: High SchoolResponsibilities Maintain effective communication with appropriate managers, customers’ and peers Handle box office when necessary to collect tickets Assist the retail area with merchandise when needed Meet and greet customers in a friendly manner The essential functions of this role include:working weekendsSkillsCustomer ServiceQualificationsYears of experience: 1 yearExperience level: Entry LevelRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).This posting is open for thirty (30) days. Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

Our client, a leader in the healthcare industry, is currently hiring a Grievance and Appeals Coordinator in Woodland Hills, CA or Sacramento, CA! The coordinator will work to process and resolve member's appeals and grievances ensuring the case is handled with accuracy and timeliness! Location: Woodland Hills, CA or Sacramento, CA Hours: 8:00 a.m. to 5:00 p.m. with possible overtime Rate: $23.00 per hour Please apply online for consideration!salary: $21 - $23 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High SchoolResponsibilities Process and resolve member appeals and grievances with accuracy and timeliness, ensuring quality standards meet or exceed 97%. Collaborate with team members and members to provide clear communication and essential case support. Identify opportunities for process improvement, contributing to enhanced operational efficiency and customer satisfaction. Screen incoming complaints, conduct root cause analysis, create plan of action, coordinate and communicate resolution. Communicate with members, providers and regulators regarding decisions and actions. Maintain attention to detail and problem-solving skills in a fast-paced, team-oriented environment. The essential functions of this role include:working weekendsSkillsClaimsHealthcareCustomer ServiceMedicare/MedicaidWritten CommunicationVerbal CommunicationQualificationsYears of experience: 2 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).This posting is open for thirty (30) days. Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.