Supervisor, Customer Solution Center Appeals and Grievances
L.A. Care Health PlanLos Angeles, California, United States
Posted January 23, 2026
77265 - 123625 USD
Full Time
About the Company
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.
Job Description
The Supervisor, Customer Solution Center Appeals and Grievances is responsible for direct supervision and support of the team responsible for the intake, research, resolution, tracking, trending and reporting within the Appeals and Grievances department.
Requirements
- Evaluate daily reports to ensure individual and team Key Performance Indicators (KPIs), SLAs, Performance Scorecards meet regulatory requirements.
- Provide direction to staff for complex/sensitive member and provider inquiries, concerns, complaints, appeals, and grievances.
- Build and maintain strong working relationships with internal departments involved in appeal and grievance resolution.
- Supervise staff, including, but not limited to: monitoring of day to day activities of staff, monitoring of staff performance, mentoring, training, and cross-training of staff, handling of questions or issues, etc. raised by staff, encourage staff to provide recommendations for relevant process and systems enhancements, among others.
Benefits
- Paid Time Off (PTO)
- Tuition Reimbursement
- Retirement Plans
- Medical, Dental and Vision
- Wellness Program
- Volunteer Time Off (VTO)