- Stanford Health Care (Palo Alto, CA)
- …as well as excellent analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, ... **This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle… more
- Staffing Solutions Organization (Albany, NY)
- …reflection of our clients and the people they serve. **Business Requirements Analyst in Albany, NY** **Division of Eligibility & Marketplace Integration (DEMI)** ... the new eligibility system for New York's Complex Medicaid population, and the new appeals management system. The individual will act as a liaison between the DEMI… more
- FREEMAN (Dallas, TX)
- …existing and new product offerings. + Assist with managing sales/use tax audits and appeals . + Process and analyze business data to support sales and use tax audits ... and process improvement. + Assist with the integration of newly acquired companies' sales/use tax activities. + Provide excellent customer service by responding on a timely basis to business unit and external customer inquiries on sales and use tax matters… more
- HCA Healthcare (Nashville, TN)
- …VA). Do you want to join an organization that invests in you as a Senior Appeals Analyst ? At Parallon, you come first. HCA Healthcare has committed up to $300 ... the opportunity to make a difference. We are looking for a dedicated Senior Appeals Analyst like you to be a part of our team. **Job Summary and Qualifications**… more
- Motion Recruitment Partners (Birmingham, AL)
- Appeals and Grievance Analyst Birmingham, Alabama **Onsite** Contract $18/hr - $28/hr Are you detail-oriented, highly organized, and passionate about making a ... difference in healthcare? We are seeking several Appeals and Grievances Consultants s for an onsite contract...will help drive impactful results as you navigate complex appeals and grievances processes. The ideal candidate will demonstrate… more
- Beth Israel Lahey Health (Charlestown, MA)
- …in a high-profile team tasked with handling all commercial and government clinical appeals and audit processes. The Clinical Analyst will perform high-level ... and procedures; to gather information that would support submitted charges. Prepare clinical appeals relevant to the audits in order to prove medical necessity and… more
- Elevance Health (Indianapolis, IN)
- …for system edits. + Coordinates research and responds to system inquiries and appeals . + Conducts research of claims systems and system edits to identify ... adjudication issues and to audit claims adjudication for accuracy. + Perform pre-adjudication claims reviews to ensure proper coding was used. + Prepares correspondence to providers regarding coding and fee schedule updates. + Trains customer service staff on… more
- Ochsner Health (New Orleans, LA)
- …with a professional staff, experience prioritizing, organizing and coordinating multiple work assignments under strict deadlines, often in a high pressure setting, ... **We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate,** **and innovate. We believe** **that every award earned, every record broken and every patient helped is because of… more
- Wolters Kluwer (Minneapolis, MN)
- …II will also make corrections to adjusted and non-adjusted invoice lines. Moreover, the QA Analyst II, as part of our Appeals Team, will engage in written ... appeals that have not been successfully resolved by QA Analyst I peers (" appeals mediation"). + At the direction of management, organize and participate in… more
- City and County of San Francisco (San Francisco, CA)
- …grants, contracts, budgets, finance, and/or program evaluation and planning. As an Administrative Analyst , you may work with a manager to perform research to develop ... the department. + Providing a real-world example, a Policy Analyst for the Office of the Treasurer & Tax...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- City and County of San Francisco (San Francisco, CA)
- …that may impact the department. + Providing a real-world example, a Junior Policy Analyst for the Office of the Treasurer & Tax Collector could involve working to ... partners. + Providing a real-world example, a Junior Budget Analyst may have the opportunity to learn about the...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- City and County of San Francisco (San Francisco, CA)
- …and County of San Francisco has to offer. As a Senior Administrative Analyst , you will be responsible for directing and performing challenging, complex, and ... operations. + Providing a real-world example, a Senior Contracts Analyst could assist with procurement and contract administration related...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- City and County of San Francisco (San Francisco, CA)
- …years of verifiable professional human resources experience, similar to 1241 Human Resources Analyst , in one or more of the following areas of activity: recruitment ... Additional qualifying work experience as a professional human resources analyst may be substituted for up to two years...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- City and County of San Francisco (San Francisco, CA)
- …duration of the eligible list. Under general direction, the Senior Epic Business Analyst oversees the more difficult and complex aspects of the systems development ... in performing to desired specifications. The 1053 Senior IS Business Analyst may perform other duties as assigned/required. Minimum Qualifications + CERTIFICATION:… more
- City and County of San Francisco (San Francisco, CA)
- …County of San Francisco has to offer. In the role of Principal Administrative Analyst , you will lead and perform challenging and complex projects that span areas ... in this selection process, which includes the following: Administrative Analyst Core Exam (Weight: 60%) Candidates meeting the Minimum...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- State of Colorado (CO)
- …Solutions Integration (ESI) Business & Data Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5123867) Apply Enterprise Solutions ... Integration (ESI) Business & Data Analyst Salary $71,544.00 - $93,012.00 Annually Location Statewide, CO...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- City and County of San Francisco (San Francisco, CA)
- …a healthcare system is preferred. Metrics and Data Analytics GIS Business Analyst Collaborates with Population Health, Street Health, and clinical teams to manage ... Rule 111A.35.1. The standard for the review of such appeals is 'abuse of discretion' or 'no rational basis'...regarding this recruitment or application process, please contact the analyst , Katrina Navarro at ###@sfdph.org or ###. We may… more
- Clark County, NV (Las Vegas, NV)
- SENIOR ENTERPRISE SYSTEMS ANALYST Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4931637) Apply SENIOR ENTERPRISE SYSTEMS ANALYST ... qualified candidates to apply for the Senior Enterprise Systems Analyst position. We are looking for skilled professionals with...applicant's response to each item in the assessment, score appeals will not be allowed for this recruitment. +… more
- Clark County, NV (Las Vegas, NV)
- PRINCIPAL HUMAN RESOURCES ANALYST (EMPLOYEE/LABOR RELATIONS) Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/5120021) Apply PRINCIPAL HUMAN ... RESOURCES ANALYST (EMPLOYEE/LABOR RELATIONS) Salary $41.31 - $61.02 Hourly Location...applicant's response to each item in the assessment, score appeals will not be allowed for this recruitment. +… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Coding Analyst Location: Hybrid | Eagan, Minnesota Career Area: Customer Service/Operations About ... Blue Shield of MN is hiring a Healthcare Coding Analyst in Eagan, MN. In this role, you will...Your Responsibilities * Conduct in-depth research and analysis of appeals data and processes to identify trends and emerging… more
