- 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 ... and timely fashion. In collaboration with the Underpayment Team manager, the Senior CBO Appeals Analyst will work to further the CBO's goals of enhancing… more
- Elevance Health (Tampa, FL)
- …school diploma or GED equivalent and a minimum of 3 years of Grievance & Appeals Senior analyst experience; or any combination of education and experience which ... **Grievance/ Appeals Analyst Lead** **Candidates must be located within...in the office quarterly.** **Schedule: Monday-Friday 8am-5pm EST** The **Grievance/ Appeals Analyst Lead** is responsible for leading and coaching… more
- Ventura County (Ventura, CA)
- …County of Ventura and other commissions, committees, and special districts + Assessment Appeals process ( Senior Deputy Clerk of the Board) Considerable Knowledge ... Deputy Clerk of the Board/ Senior Deputy Clerk of the Board Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4899045) Apply Deputy Clerk of the… more
- VNS Health (Manhattan, NY)
- …including intake, classification, setup, and assignment of grievances and appeals . Additionally, provides administrative support to staff, including tasks such ... as clinical case file preparation for appeals . This includes retrieving documents from related systems (such...Do + Identifies case types (eg- clinical vs non-clinical appeals ) during the intake process, communicates and responds to… more
- CVS Health (Harrisburg, PA)
- …issues and may require coordination of responses from multiple business units. Appeals are typically more complex and may require outreach and deviation from ... outside plan sponsors or regulators. * Research and resolves incoming electronic appeals as appropriate as a "single-point-of-contact" based on type of appeal. *… more
- New York State Civil Service (Albany, NY)
- … Appeals building and grounds and for security in the Court of Appeals . The Senior Assistant Building Superintendent performs repairs and maintenance tasks, ... NY HELP No Agency Court Administration, Office of Title Senior Assistant Building Superintendent Occupational Category Skilled Craft, Apprenticeship, Maintenance… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Centralized Appeals Unit - Supervisor Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4881433) Centralized Appeals Unit - Supervisor ... + Description + Benefits Supplemental Information Please click HERE (https://ulsuno.wd1.myworkdayjobs.com/en-US/UniversityOfNewOrleans/job/Baton-Rouge-La/Centralized- Appeals -Unit Supervisor\_R-001713?q=R-001713) to apply + Manage and report on… more
- Healthfirst (NY)
- + Conduct quality audits of A&G items including grievances, pre-service appeals , and post service appeals utilizing appropriate sources of information; including ... improve processes and performance to ensure quality. + Review and investigate appeals and grievances requests to ensure all requests are identified, classified, and… more
- Legal Aid Society of Mid-New York, Inc. (Utica, NY)
- EXTERNAL JOB POSTING POSITION TITLE Staff Attorney PRACTICE AREA/DEPARTMENT Appeals - Eviction Defense Program OFFICE LOCATION(s) Utica | Binghamton HOURS 35 Hours ... We also target specific vulnerable populations with our services, such as senior citizens, victims of domestic violence, people with disabilities, refugees and… more
- Intermountain Health (Columbus, OH)
- **Job Description:** The Manager, RN Revenue Integrity Audit, Recovery and Appeals organizes and manages the daily operations of the Audit and Recovery teams in the ... with external stakeholders for optimal account resolution **Scope** Reports to the Senior Director, Revenue Integrity **Job Essentials** + Manages the government and… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …is not limited to: Pharmacy & Therapeutics, Credentialing and Second Level Administrative Appeals as directed by the Senior Medical Director. + Completes ... manage people + This role reports to this job: SENIOR MEDICAL DIRECTOR (MGR) + Necessary Contacts: department Managers,...and the related procedure. + Performs medical or administrative appeals as needed based on medical policy, benefit language… more
- NTT America, Inc. (Plano, TX)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to hire a ... **Medicare Appeals Clinical Leader** to lead service delivery engagements and...recommendations and interpretations of records. + Prepare reports for senior management on appeal trends and compliance status. **Requirements:**… more
- MyFlorida (Tallahassee, FL)
- SENIOR BENEFITS ANALYST - 72002415 Date: May 1, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 852392 Agency: Management Services Working Title: SENIOR BENEFITS ANALYST - 72002415 Pay Plan: Career Service Position… more
- City and County of San Francisco (San Francisco, CA)
- …injuries and illnesses. About the Position Under general direction, the Senior Industrial Hygienist performs highly technical and complex occupational health and ... site inspections/evaluations, conduct trainings and participate in meetings. The 6139 Senior Industrial Hygienist is required to perform other related duties as… more
- Independent Health (Buffalo, NY)
- …fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist- Senior will be responsible for reviewing coding and clinical decisions on ... They will aid in training other team members, evaluating appeals , and share audit trends across the team. Expertise...audit tips across the team. The Clinical & Coding Specialist- Senior will support the leadership in Hospital Audit in… more
- City and County of San Francisco (San Francisco, CA)
- …City and County of San Francisco is looking to bring on board multiple Senior Human Resources Analysts to help departments in hiring, supporting, and retaining a ... City and County of San Francisco has to offer. Senior Human Resources Analysts are responsible for hiring, developing,...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)
- …right fit. The City and County of San Francisco is looking to hire multiple Senior Administrative Analysts to be part of the City workforce of nearly 40,000 staff ... County of San Francisco has to offer. As a Senior Administrative Analyst, you will be responsible for directing...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- Banner Health (Phoenix, AZ)
- …for assigned facility / community to establish appropriate fundraising goals for various appeals . 3. Partners with facility senior management and physicians to ... collaborate closely with internal stakeholders, including clinical leaders and senior administrators, to align corporate engagement strategies with institutional… more
- City and County of San Francisco (San Francisco, CA)
- …minimum qualifications. Application Deadline: Continuous How to Apply: Applications for Senior Information Systems Engineer - Security Specialty are only accepted ... systems together as an enterprise networking backbone. The 1043 Senior Security Engineer is the advanced journey level in...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)
- …minimum qualifications. Application Deadline: Continuous How to Apply: Applications for Senior Information Systems Engineer - Networks Specialty are only accepted ... systems together as an enterprise networking backbone. The 1043 Senior Networks Engineer is the advanced journey level in...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
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