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2 results for Ycw jobs
- Mountlake Terrace, WA
- remote
- Temporary / Contract
- 25.17 - 26.34 USD / Hourly
- <p>We are looking for a detail-oriented <strong><u>Appeals Specialist</u></strong> to support a health insurance organization on a Contract basis. This role focuses on investigating complaints, grievances, and appeal-related concerns submitted by members, providers, legal representatives, and regulatory bodies while ensuring timely and accurate resolution. The position is fully remote, offering an opportunity to contribute in a fast-paced, high-volume environment where accuracy and clear communication are essential. <strong><u>Must be willing to work Pacific Time Zone hours.</u></strong></p><p><br></p><p>Responsibilities:</p><p>• Investigate appeal cases, complaints, and grievance matters by gathering information from claims records, eligibility details, benefit plans, contracts, and prior case activity.</p><p>• Respond to concerns raised by members, providers, attorneys, and government agencies with clear, well-supported resolutions based on policy, contract terms, and applicable regulations.</p><p>• Maintain complete and accurate case documentation, ensuring all actions, findings, and outcomes are recorded properly for tracking and reporting purposes.</p><p>• Review system data and supporting files to identify inconsistencies, update records when corrections are needed, and help preserve data accuracy.</p><p>• Evaluate dispute issues within assigned authority levels and make determinations on contractual matters in accordance with established guidelines.</p><p>• Interpret member and provider contract language to assess appeal circumstances and apply benefit provisions appropriately to each case.</p><p>• Monitor recurring issue patterns, summarize findings, and communicate trends or potential defects to leadership for further review.</p><p>• Partner with customer service and internal support teams to address referred cases and resolve complex service concerns efficiently.</p><p>• Consistently meet productivity and quality expectations while managing a steady workload in a high-production environment.</p>
- 2026-11-06T00:00:00Z
- Portland, OR
- onsite
- Permanent / Full Time
- 0 - 0 USD / Yearly
- <p>Charlie Gilmur is searching for an accomplished Chief Operating Officer to guide business operations for a respected law firm in Portland, Oregon. This executive will work closely with firm leadership to strengthen performance, support sustainable growth, and build an environment where teams can do their best work. The role calls for a strategic operator who can align people, processes, and resources to maintain high service standards across the organization.</p><p><br></p><p>Responsibilities:</p><p>• Work with the Managing Partner and senior leaders to shape operational strategy, set priorities, and advance long-term business goals.</p><p>• Direct the firm’s daily administrative and operational functions to ensure efficiency, consistency, and strong internal support.</p><p>• Provide leadership across core business areas such as finance, human resources, technology, marketing, facilities, and office support services.</p><p>• Guide talent-related programs including hiring, compensation planning, benefits administration, employee relations, and staff development.</p><p>• Improve resource allocation and workflow coordination to better support attorneys, practice groups, and client service delivery.</p><p>• Oversee operational risk areas by managing technology performance, cybersecurity measures, facility needs, and external vendor partnerships.</p><p>• Partner with marketing and business development leaders to support visibility, client outreach, and growth initiatives.</p><p>• Foster clear communication, cross-department collaboration, and a workplace culture centered on engagement, accountability, and high performance.</p><p><br></p><p>Please reach out to Charlie Gilmur with Robert Half to review this position. Job Order: 03600-0013529264</p>
- 2026-10-21T00:00:00Z