- 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
- Highmark Health (Trenton, NJ)
- …of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals ; initiates a case file for each grievance and appeal; ensures ... all involved parties. + Participate in workgroup meetings to address trends in appeals and grievances and to work on process improvement initiatives with cross… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... Career Services is recruiting to hire three (3) Staff Analyst II to serve as Budget Analysts, who will:...approvals and denials, and data collected to process provider appeals for individual and aggregate performance-based credit or payment… more
- City of New York (New York, NY)
- …The Contracts and Budgets Unit. Career Services is recruiting for three (3) Staff Analyst II's to function as Budget Analysts, who will: - Review and take ... justifications of approvals and denials, and data collected to process provider appeals for individual and aggregate performance-based credit or payment in a timely… more
- Evolent (Trenton, NJ)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Analyst , Client Analytics** Integrate and analyze claims and enrollment data from multiple ... Evolent's clinical services (ie, specialty care, utilization management, care management, appeals & grievances) + Using analytical tools to integrate various data… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTATIVE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... deliverables as specified in a vendor's contract; and vendor appeals for performance -based payments. Career Services is recruiting...Career Services is recruiting for one (1) Administrative Staff Analyst NM-II to function as a Senior Director of… more
- City of New York (New York, NY)
- …THIS POSITION CANDIDATE MUST BE SERVING PERMANENTLY IN THE TITLE OF ADMINISTRATIVE STAFF ANALYST , OR BE REACHABLE ON THE CIVIL SERVICE LIST, OR BE ELIGIBLE UNDER THE ... and orders from OATH, and distributes to HIQA Borough Managers/Supervisors. Reviews appeals determining which cases to appeal before weekly meetings with the… more
- City of New York (New York, NY)
- …- Aid in the supervision of attorney responsible for tracking FOIL requests and appeals received by OMB. - Become familiar with Microsoft 365 and other e-discovery ... A cover letter is required to be considered for this position BUDGET ANALYST (OMB)-MANAGERIA - 0608A Qualifications 1. A baccalaureate degree from an accredited… more