- Elevance Health (Cincinnati, OH)
- ** Grievance / Appeals Analyst Lead** **Must be located within 50 miles of a PulsePoint office** **This position is primarily work from home but requires ... working in a local office once per quarter** The ** Grievance / Appeals Analyst Lead** is responsible for leading and coaching a team of Grievance & … more
- Elevance Health (Cincinnati, OH)
- ** Grievance / Appeals Analyst I** **Location: Must be located within 50 miles of a PulsePoint office** **This position is primarily work from home but requires ... **Schedule: Must be flexible to work Monday-Friday or Tuesday-Saturday as needed** The ** Grievance / Appeals Analyst I** is an entry level position in the… more
- CVS Health (Columbus, OH)
- …updates and staff educationRequired QualificationsCompliance experience Audit Experience Grievance and Appeals ExperiencePreferred QualificationsPlease replace ... this section with the Preferred Job QualificationsEducationHigh School Diploma or GED Pay Range The typical pay range for this role is: $19.52 - $40.90 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job… more
- Motion Recruitment Partners (Durham, NC)
- Appeals Analyst Durham, NC **100% Remote** Contract $15/hr - $19/hr Our client, a nationally recognized and award-winning company in the health insurance ... has a possible contract to hire opening for a Appeals Analyst . They have over 4 million...recommendations to address future exposure. + Audit appeal and grievance files as required by Federal and/or State regulatory… more
- Elevance Health (Indianapolis, IN)
- **Title: Grievances & Appeals Risk Analyst II** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 ... miles of one of our PulsePoint locations. The **Grievances & Appeals Risk Analyst II** will be responsible for providing support services for multiple states,… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeal and Grievance Compliance Advisor Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances ... documentation and categorization, service authorization request and coverage determination , Appeals and Grievances across all lines of business). This position is… more
- Elevance Health (Denison, TX)
- **SCA Appeals Representative I** **Locations:** **PA-Harrisburg, IN-Indianapolis, ME-South Portland, TX-Denison, NY-East Syracuse.** This is a virtual position. The ... $17.25 + South Portland, ME - $17.25 The **SCA Appeals Representative I** position is an entry-level position in...review tools to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …Department of Insurance Regulations including working knowledge of member complaints, grievance , and appeals processing. Demonstrated ability to work ... plan types. It involves validating Annual & Biannual Reporting for both Appeals & Grievances and Enrollment teams, conducting Monthly and Quarterly Data Validation,… more
- Elevance Health (Palo Alto, CA)
- …Two (2) years of experience in health care, including prior authorization process and grievance and appeals process. * Two (2) years of experience with ... **IT Business System Analyst Sr Advisor** [AID020] **Location:** This position will...8:00 am to 5:00 pm The **IT Business System Analyst Sr Advisor** will collaborate with business and IT… more
- City of Lakeland (Lakeland, FL)
- HR Analyst - Policy and Employee/Labor Relations Print (https://www.governmentjobs.com/careers/lakelandfl/jobs/newprint/4429048) Apply HR Analyst - Policy and ... represents the City of Lakeland in unemployment claims and appeals hearings, securing the participation of the HR Director...you have experience in Public Sector collective bargaining and/or grievance handling? + Yes + No 11 Please provide… more
- Centene Corporation (Raleigh, NC)
- …across several functional areas such as claims, enrollment, provider data management, grievance and appeals , sales and contracting. Advanced knowledge of ... Microsoft applications, including Excel and Access preferred. Project management experience preferred. Pay Range: $67,400.00 - $121,300.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock… more
- CVS Health (Austin, TX)
- …obtain crucial or required information from Providers, such as HEDIS, Credentialing, Grievance and Appeals , SIU, etc.- Coordinates provider status information ... hybrid in Texas** - Lead a team of Medicaid Provider Data Services Analyst responsible for loading and maintaining Medicaid Provider data within Aetna QNXT.- Team… more
- MyFlorida (Tallahassee, FL)
- …associated duties. + Researches and provides responses to the Bureau of Inmate Grievance Appeals for classification issues. + Prepares documents and affidavits ... rules, regulations, policies, and procedures relating to operational and management analyst activities. + Knowledge of the principles and techniques of effective… more