Job Description

A client of Innova Solutions is immediately hiring for a Case manager

Position type: Full-time, Contract

Duration: 9 Months

Location: Corona, CA 92881 (Hybrid)

As a Case manager, you will:

• Participate in managing the organization's complaint and grievance process.
• Accountable for investigating all issues, including collecting and documenting appropriate data.
• Identify and address specialty/flagged cases and follow appropriate processes for different types of cases.
• Communicate with a diverse set of internal and external clientele to achieve excellent results in complaint and grievance handling, compliance, documentation, and enhancement of the member experience.
• Partner with and outreach to internal staff, other MS Departments, managers, and physicians to resolve issues as quickly as possible.
• Research, resolve, and communicate complaints and grievances filed by members and communicate Health Plan's decisions appropriately back to members or their authorized representatives.
• Ensure that complaints and grievances are processed in accordance with regulations, compliance standards, and policies and procedures.
• Ensure the integrity of the departmental database by thorough, timely, and accurate entry, consistent with regulatory protocols, and effectively manage the case resolution inbox every day.
• Participate in departmental meetings, trainings, and audits as requested.
• Answer questions and manage members on existing/open cases.

The ideal candidate will have: The ideal candidate will Appeals and Grievance experience in healthcare environment.

Qualified candidates should APPLY NOW for immediate consideration! Please hit APPLY to provide the required information, and we will be back in touch as soon as possible.

We are currently interviewing to fill this and other similar positions. If this role is not a fit for you, we do offer a referral bonus program for referrals that we successfully place with our clients, subject to program guidelines. ASK ME HOW.

Thank you!

SAURAV KUMAR

678-648-7393

[email protected]

PAY RANGE AND BENEFITS:

Pay Range*: $30 - $35 per hour

*Pay range 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.

Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).

ABOUT INNOVA SOLUTIONS: Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.

Recent Recognitions:

• Named One of America’s Best Employers for New Grads by Forbes (2024
• Named One of the Best Companies to Work for by U.S. News & World Report (Private Companies List, 2024-2025)
• One of the Largest IT Staffing Firms in the US – Ranked #3 by Staffing Industry Analysts (SIA, 2024)
• One of the Largest Staffing Firms in the US – Ranked #13 by Staffing Industry Analysts (SIA, 2024; includes Innova Solutions, Volt, & HireGenics)
• Named One of the Top Ten Private Companies in Atlanta by the Atlanta Business Chronicle (2023)
• One of the Largest Certified Minority Business Enterprises (MBEs) in the United States (NMSDC, 2024)
• AWS Advanced Tier Services Partner with 100+ certifications

Website :

Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at [email protected] or (770) 493-5588. Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. § 1324b.

The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.

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