- State Of California (Elk Grove, CA)
- …Manager I (SSM I), Policy and Risk Management Services, Health Care Correspondence and Appeals Branch, the Associate Governmental Program Analyst , as the lead ... Manager I, Policy and Risk Management Services, Health Care Correspondence and Appeals Branch, the Staff Services Analyst performs the coordinating, conducting,… more
- Children's National Hospital (Silver Spring, MD)
- Under direction of the Reimbursement Manager, The Senior Reimbursement Analyst will be responsible for preparing and filing the annual Medicare and Medicaid cost ... report desk review and CHGME review. Assist in the preparation of all appeals (Medicare/Medicaid Cost Reports and others) as directed by the Reimbursement Manager.… more
- Manhattan District Attorney (New York, NY)
- …Operations Division Civil Service Title: Community Associate Position Title: Operations Analyst Salary Range: $64,680 - $64,680 Job Description: The New York ... Office (DANY) has an immediate opening for an Operations Analyst in its Operations Division. In this position the...Special Victims Division, Pathways to Public Safety Division, and Appeals Division, which handles all the Office's matters in… more
- Highlight Health (Philadelphia, PA)
- …skills Medicare and/or Medicaid claims experience Experience managing ERISA appeals NSA IDR experience Team/department management experience Professional claim ... experience, particularly related to hospital care and J-code drugs Benefits Compensation and Benefits Salary Range: $110,000+ Highlight Health offers an attractive benefits package, with healthcare cost reimbursement, paid time off, commuting benefits, short… more
- Southern Management Companies, LLC (Mclean, VA)
- WHAT WE ARE LOOKING FOR: We are seeking a Financial Analyst to join the Investments & Asset Management Team. You will be part of an entrepreneurial team that touches ... analyzing property valuations related to real estate tax assessments and appeals . *Assist with specific investor relations functions including investor valuations,… more
- JPS Health Network (Fort Worth, TX)
- …www.jpshealthnet.org, www.jpshealthnet.org/careers, or www.teamacclaim.org. Job Title: Sr Financial Analyst Reimburse Requisition Number: 38860 Employment Type: Full ... Shift Worked: Day Job Description: Job Summary: The Sr. Financial Reimbursement Analyst coordinates and provides senior level expertise and support for all… more
- Diverse Lynx (San Francisco, CA)
- Job Description & Responsibilities: The Grievances & Appeals Specialist plays a critical role in supporting patients and families by investigating complaints, ... Experience: Minimum 2 years of recent relevant experience in grievances, appeals , or patient advocacy. Skills Required: Strong oral and written communication… more
- Macpower Digital Assets Edge (Los Angeles, CA)
- …call documentation and categorization, service authorization request and coverage determination, Appeals and Grievances across all lines of business). This position ... management for continuous process improvements. Collaborates with Customer Solution Center Business Analyst to track, trend, and analyze results of QA scorecards for… more
- PJT Partners, Inc. (New York, NY)
- …and remains, that a great team brings in both top tier clients and appeals to a wide-range of diverse, talented colleagues. Fostering an inclusive culture, which ... investor role as a portfolio manager and/or buyside equity research analyst Strong relationship skills Strong leadership skills Collaborative and team-oriented with… more
- County of Los Angeles, CA (Los Angeles, CA)
- …Environmental Health, addressing customer service complaints, community outreach, citation appeals and training. One such position provides departmental management ... in recruitment, selection, and employment practices. Department Contact Name: Exam Analyst Department Contact Phone: ### Department Contact E-mail: California Relay… more
- PJT Partners, Inc. (New York, NY)
- …and remains, that a great team brings in both top tier clients and appeals to a wide-range of diverse, talented colleagues. Fostering an inclusive culture, which ... other agreements; work with senior management and coordinate associate / analyst materials. Analyzing financial data and developments in financial markets important… more
- State of Colorado (Aurora, CO)
- …Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules. Supplemental Information This posting ... Statute (CRS) 24-21-201 through 24-21-214, please notify the Human Resources office or analyst listed on this announcement so that you are provided the appropriate… more
- Elevance Health (Cerritos, CA)
- **Title: Grievance/ Appeals Analyst I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... unless an accommodation is granted as required by law._ " The **Grievance/ Appeals Analyst I** is an entry level position in the Enterprise Grievance &… more
- Elevance Health (Columbus, GA)
- **Grievance/ Appeals Analyst Senior** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... onboarding and skill development. Shift hours: 8:00am - 4:30pm EST** The **Grievance/ Appeals Analyst Senior** is responsible for reviewing, analyzing, and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including ... fashion. In collaboration with the Underpayment Team manager, the Senior CBO Appeals Analyst will work to further the CBO's goals of enhancing contract… more
- Point32Health (Watertown, MA)
- …the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for ... the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works… more
- TEKsystems (Tampa, FL)
- …will be on the bill review team specifically working in the backlog of appeals . The Bill Review Analyst position holds accountability for accurate and timely ... and payment of bills to include pre-coding accuracy and adjudication of appeals /provider reconsideration requests. * Examines and adjudicates requests for appeals… more
- Penske (Reading, PA)
- **Position Summary:** The Tax Analyst is an integral member of the Fleet Services Organization. This dynamic position will be responsible for providing analysis and ... audits, including negotiating with auditors and interfacing with taxing jurisdictions. -Perfect appeals and refund claims. -The position will require the ability to… more
- Point32Health (MA)
- …. **Job Summary** Under the general direction of the Manager, Appeals and Grievances the Supervisor, Appeals and Grievances using ... requirements, will coordinate and provide leadership for the daily operations of the Appeals and Grievances department. The supervisor represents the Appeals and… more
- State of Michigan (Lansing, MI)
- …(DIFS) is seeking an individual to work in public service as a Utilization Review Analyst in the Office of Appeals , Legal Research, and Market Regulation. This ... services industries. The right candidate will serve as a utilization review analyst responsible for processing provider appeals and applications for… more
