Sacramento, California, United States · On-site
$27/hr–$31/hr
We’re delighted you’re considering joining us! At Hill Physicians Medical Group, we’re shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticip…
Skills: Case Intake, Response Tracking, Quality Auditing, Prior Authorization, Appeals & Grievances Operations
Sacramento, California, United States · On-site
$21/hr–$25/hr
Grow your teaching career with Bright Horizons, where you can make a meaningful impact on children’s lives every day. Learn from early education experts while having the opportunity to pursue a CDA or college degree at n…
Skills: Curriculum Delivery, Child Supervision, Parent Communication, Developmentally Appropriate Practice, Classroom Management
Sacramento, California, United States · On-site
$16/hr–$21/hr
When you join Verizon You want more out of a career. A place to share your ideas freely — even if they’re daring or different. Where the true you can learn, grow, and thrive. At Verizon, we power and empower how people l…
Skills: Retail Sales, Customer Service, Communication Skills, Needs Discovery, Product Positioning
Sacramento, California, United States · On-site
$20/hr–$22/hr
The pay for this position starts at $20.50 - $22.00/hour +Tips +Bonus Be a Leader. Be a Difference Maker. At our restaurant, Shift Leaders aren’t just supervisors—they’re hands-on leaders who set the tone for every shift…
Skills: Leadership, Team Management, Customer Service, Cash Handling, POS Systems
Sacramento, California, United States · Remote OK
Hayward Holdings Inc. (NYSE "HAYW") is the largest manufacturer of residential swimming pool equipment in the world, with a significant presence in the commercial pool market that is continuously growing. Hayward designs…
Skills: Account Management, Technical Sales, Solution Selling, CRM, Contract Negotiation
Sacramento, California, United States · On-site
Overview JOIN A WINNING TEAM! FOOD RUNNER This isn’t just your next job – it’s your opportunity to be part of an amazing team that delivers on our promise to meet and exceed our guest’s experience…
Skills: Guest Service, Teamwork, Fast-paced Environment, Restaurant Operations, Communication
Sacramento, California, United States · On-site
$16/hr–$21/hr
Our Purpose is to change the way the world eats and to deliver on that purpose Our Goal is to be a great place to work where you can learn, grow, and develop both personally and professionally. Restaurant Dishwasher Urba…
Skills: Dishwashing, Sanitation, Kitchen Organization, Cookware Cleaning, Utensil Cleaning
Sacramento, California, United States · On-site
$16/hr–$21/hr
Our Purpose is to change the way the world eats and to deliver on that purpose Our Goal is to be a great place to work where you can learn, grow, and develop both personally and professionally. Restaurant Prep / Pastry C…
Skills: Food Preparation, Pastry Cooking, Recipe Adherence, Kitchen Safety, Time Management
Sacramento, California, United States · On-site
$16/hr–$21/hr
Our Purpose is to change the way the world eats and to deliver on that purpose Our Goal is to be a great place to work where you can learn, grow, and develop both personally and professionally. Restaurant Line Cook Urban…
Skills: Food Preparation, Grilling, Carving, Bowl Preparation, Soup Preparation
Sacramento, California, United States · On-site
$16/hr–$21/hr
Our Purpose is to change the way the world eats and to deliver on that purpose Our Goal is to be a great place to work where you can learn, grow, and develop both personally and professionally. Restaurant Line Cook Urban…
Skills: Food Preparation, Cold Station Management, Recipe Adherence, Food Quality Control, Sandwich Preparation
Sacramento, California, United States · On-site
Medical Diagnostic Laboratories(MDL), a member of Genesis Global Group, is a CLIA certified clinical laboratory with multiple state licensing, specializing in state of the art, automated DNA based molecular analysis of a…
Skills: Sales Presentations, Territory Management, Client Relationship Management, Pipeline Development, Multi-tasking
Sacramento, California, United States · On-site
$20/hr–$24/hr
From Aisle to Algorithm and for All Life’s Moments, at David’s Bridal, we empower our customers and our employees to stay true to their dreams and find the one, whether that means the event or the wedding dre…
Skills: Sewing, Garment Fitting, Customer Service, Steaming, Pressing
Sacramento, California, United States · On-site
Medical Diagnostic Laboratories(MDL), a member of Genesis Global Group, is a CLIA certified clinical laboratory with multiple state licensing, specializing in state of the art, automated DNA based molecular analysis of a…
Skills: Sales Presentations, Territory Management, Client Relationship Management, Pipeline Development, Multi-tasking
Sacramento, California, United States · On-site
Medical Diagnostic Laboratories(MDL), a member of Genesis Global Group, is a CLIA certified clinical laboratory with multiple state licensing, specializing in state of the art, automated DNA based molecular analysis of a…
Skills: Sales Presentations, Territory Management, Client Relationship Management, Pipeline Development, Multi-tasking
Sacramento, California, United States · On-site
$80k–$85k/yr
Job DetailsLevel: ExperiencedJob Location: 7625 LONE TREE ROAD - SACRAMENTO, CA 95837Position Type: Full TimeSalary Range: $80,000.00 - $85,000.00 Salary/yearJob Shift: DayJob Category: TransportationWhy Join Our Team? A…
Skills: Team Leadership, Routing and Dispatch, Performance Management, Fleet Accident Investigation, Regulatory Compliance
Sacramento, California, United States · On-site
$18/hr
Michael Kors is always interested in hearing from talented, globally-minded individuals with a passion for fashion. If you enjoy working in a creative, fast-paced environment, then we would love to hear from you! — Micha…
Skills: Inventory Management, Customer Service, Point-of-Sale (POS), Shipping and Receiving, Merchandising
Sacramento, California, United States · On-site
$26/hr–$38/hr
Posting Date 06/30/2026 251 Lathrop WaySuite A, Sacramento, California, 95815-4223, United States of America DaVita is seeking an experienced Licensed Vocational Nurse who is looking to give life in an outpatient dialysi…
Skills: Nursing Care, Dialysis Treatment, Patient Relationship Management, Clinical Goal Setting, Quality Improvement
Sacramento, California, United States · On-site
Are you looking for an opportunity to advance your career while working with an extraordinary team? At Merakey, we put heart and soul into everything we do. We are seeking a Licensed Therapist to join our team at our pro…
Skills: Clinical Therapeutic Interventions, Care Coordination, Treatment Planning, Family Education, Individual Support Therapy
Sacramento, California, United States · On-site
Job Description Join your locally owned Great Clips® salon team and enjoy the freedom to do what you love in a supportive, welcoming environment. Whether you’re an experienced stylist, a recent graduate, or someone looki…
Skills: Haircutting, Customer service, Communication, Teamwork, Time management
Sacramento, California, United States · Remote OK
Job Description: As a Remote Travel Reservations Specialist, you will be an essential part of our team, guiding clients through every stage of their journey, from the moment they plan their trip to their safe return home…
Skills: Communication Skills, Customer Service, Attention To Detail, Organizational Skills, Tech-savvy
Sacramento, California, United States • On-site
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The Network Quality Coordinator manages the intake, preparation, and tracking of member appeals and grievances. Additionally, the role supports non-clinical quality audit efforts and administrative tasks within the HRM department.
Candidates must have 3-5 years of managed care experience and a high school diploma or GED. Proficiency in routine computer applications is required, with knowledge of Epic/Tapestry and Salesforce being a plus.
At Hill Physicians Medical Group, we’re shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.
Hill Physicians has much to offer prospective employees. We’re regularly recognized as one of the “Best Places to Work in the Bay Area” and have been recognized as one of the “Healthiest Places to Work in the Bay Area.” When you join our team, you’re making a great choice for your professional career and your personal satisfaction.
At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are.
We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right!
Network Quality Coordinator supports the appeals and grievance process by case intake, prep, response outreach and response tracking. Also supports HRM quality audit efforts. May assist with other Network Quality non-clinical administrative tasks and initiatives.
Monitoring of all incoming faxes via electronic fax system (Biscom/Faxcom)
Performs administrative process for all member appeals in Epic authorization system (Tapestry) in accordance with health plan designated time frames (intake, outreach, response tracking)
Performs administrative processes for all member complaints in electronic customer relationship management system (Salesforce) in accordance with health plan designated time frames (case intake, prep, practice outreach, practice response tracking)
Monitoring of all Appeals and Grievance email communications
Monitoring of all Appeals and Grievance phone calls and voicemails
Coordination of all report requests
Monitoring of customer relationship management (CRM) Appeals and Grievances queue via Epic authorization system (Tapestry)
Assists in the development of quality audit tools for non-clinical roles and performs non-clinical audits
May perform additional administrative functions to support Network Quality areas including but not limited to training support and development for non-clinical roles within HRM, compliance corrective action plans, Peer Review Subcommittee.
Establish and maintain effective lines of interdepartmental communication
Exercise professionalism when communicating with senior leadership, outside business partners such as health plans, regulatory bodies, and provider offices.
Minimum years of experience required: 3-5 years in related managed care experience required
Knowledge of Prior Authorization processes and regulatory requirements
Preferred knowledge of Appeals & Grievances operations
Minimum level of education required: High School diploma or GED
Licenses and certifications required: none
Ability to work independently as well as in a team environment
Computer experience; proficiency in routine applications such as Word and Excel
Epic/Tapestry and Salesforce knowledge a plus
Excellent organizational and communication skills
Ability to coordinate effectively with team and meet project timeframes
Salary: $27 - $31 Hourly
Location: Sacramento (Hybrid)
Offices: 2409 CAMINO RAMON, San Ramon, California 94583, us
View all jobs at PriMed Management Consulting Services, Inc.
