- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Senior Healthcare Program Specialist (Level 2 or 3) in Albany, NY** **Bureau of System ... eligibility system for New York's Complex Medicaid population, and the new appeals management system. Within the Division of Eligibility and Marketplace Integration… more
- Southland Industries (Horsham, PA)
- …related to heating, ventilating, and air-conditioning systems under supervision of Senior Engineers. + Performs basic calculations for a project, such as ... one of the country's largest MEP building systems firms appeals to you and you're ready for the next...upon performance, profitability, and achievement + **Medical, Dental, Vision Insurance - 100% Paid for Employee** + Term Life,… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Insurance Appeals Senior , Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health ... pre-certification required. Licensure Requirements: None. Apply/Share Job Title INSURANCE APPEALS SENIOR ID 4357425 Facility Covenant Health Corporate… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Enforcement Actions and Appeals Bureau Chief Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5144543) Enforcement Actions and Appeals Bureau ... 26-01303 Agency 625 Iowa Department of Revenue Division Legal Services & Appeals Division Opening Date 11/17/2025 Closing Date 12/1/2025 11:59 PM Central LinkedIn… more
- NJM Insurance (Hammonton, NJ)
- …life cycle. Job Responsibilities: + Review, evaluate and process incoming Pre-Litigation Appeals in accordance with the PIP Internal Appeal Procedures. + Review, ... appropriate. + Collaborate and communicate cross-departmentally regarding claims and appeals handling related to pending litigation. Required Skills &… more
- NTT DATA North America (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...eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... denial management and appeals process, as applicable, in collaboration with clinical team partners. This position uses sound clinical judgement in the Utilization… more
- City and County of San Francisco (San Francisco, CA)
- …California San Francisco and UC Law San Francisco. Under direction, the 1813 Senior Benefits Analyst performs complex benefits work for the City's health, dental, ... oversees special projects in an assigned benefit program. Additionally, the 1813 Senior Benefits Analyst directly oversees a team of Benefits Analysts and Benefits… more
- R1 RCM (Boise, ID)
- …development based on contractual provisions and applicable state and federal laws, writing appeals and letters to insurance companies to resolve denials, and ... legal and procedural arguments and tools. + Oversee and draft complex contractual appeals and letters to insurance companies. + Review and apply client… more
- MyFlorida (Tallahassee, FL)
- SENIOR ASSISTANT ATTORNEY GENERAL-DLA - 41000177 Date: Oct 29, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... 864031 Agency: Office of the Attorney General Working Title: SENIOR ASSISTANT ATTORNEY GENERAL-DLA - 41000177 Pay Plan: SES...in federal district courts, the Eleventh Circuit Court of Appeals , and United States Supreme Court. Capable of handling… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Quality Control Senior Manager you want with your current employer? We have an exciting ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… 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 ... benefits that include: competitive salaries; medical, dental, and vision insurance ; defined benefit retirement plan; deferred compensation plan; long-term disability… 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 ... benefits that include: competitive salaries; medical, dental, and vision insurance ; defined benefit retirement plan; deferred compensation plan; long-term disability… more
- State of Colorado (Denver, CO)
- …WHAT YOU WILL DO The Senior Paralegal position will support two teams - Insurance Fraud and Securities Fraud - within the Financial Fraud Unit. In this role, the ... Senior Paralegal (Legal Assistant II) - Financial Fraud...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- The Cigna Group (St. Louis, MO)
- …+ Lead and develop team responsible for pharmacy appeals , secondary appeals , and department of insurance complaints. + Support talented team in ... oversees State and Federal pharmacy reimbursement legislation and pharmacy appeals . Oversee business regulatory compliance projects and process enhancements. Monitor… 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 ... that integrate these systems together as an enterprise networking backbone. The 1043 Senior Networks Engineer is the advanced journey level in the Engineer series.… more
- City and County of San Francisco (San Francisco, CA)
- …minimum qualifications. Application Deadline: Continuous How to Apply: Applications for Senior Information Systems Engineer - Systems Specialty are only accepted ... these systems together as an enterprise networking backbone or platform. The 1043 Senior Systems Engineer is the advanced journey level in the Engineer series. The… more
- City and County of San Francisco (San Francisco, CA)
- …qualifications. Application Deadline: Continuous How to Apply: Applications for Senior Information Systems Engineer - Applications Specialty are only accepted ... integrate these systems together as an enterprise networking backbone. The 1043 Senior Applications Engineer is the advanced journey level in the Engineer series.… 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 ... that integrate these systems together as an enterprise networking backbone. The 1043 Senior Security Engineer is the advanced journey level in the Engineer series.… more
- City and County of San Francisco (San Francisco, CA)
- …be the primary MIS resource for an organization with a complex system. The Senior IS Business Analyst is the advanced journey level in the Business Analyst series. ... working with healthcare information (eg Public Health, Epidemiology, Health Insurance ) technology or within a clinical systems environment. Substitution: Additional… more
