- ManpowerGroup (Durham, NC)
- **Title:** **Clinical Appeals Analyst ** **Location: 4613 University Drive Durham NC 27707 United States (Onsite)** **Duration: 6+ months** **Pay rate: $41.75/hr ... (On W2)** **Job Description:** The Clinical Appeals Consultant is responsible for supporting the increased workload...claims. This role involves providing clinical consultation within the Appeals Department, managing the appeals process to… more
- Elevance Health (Colorado Springs, CO)
- **Title: Grievance/ Appeals Analyst I** **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 **Grievance/ Appeals Analyst I** is an entry level position in the Enterprise Grievance & Appeals Department that… more
- HCA Healthcare (San Antonio, TX)
- …work environment where diversity and inclusion thrive? Submit your application for our Senior Appeals Analyst opening with Parallon today and find out what it ... Eligibility for benefits may vary by location._** We are seeking a Senior Appeals Analyst for our team to ensure that we continue to provide all patients… more
- Corewell Health (Grand Rapids, MI)
- …departments. Serves as a mentor/trainer to other team members. The Senior Appeals Analyst makes decisions on moderately complex issues regarding technical ... Essential Functions + Responsible for complex and thorough investigation of appeals , external complaints, and fair hearing reviews including: formulate action plan… more
- City of New York (New York, NY)
- …7,500 diverse professionals and knowledgeable experts. The DOC seeks to recruit a Chronic Appeals Analyst to assist with all aspects of the Chronic Appeals ... the following: - Track and process designation of chronic absence and chronic appeals for the Department. - Track and Process all HMD suspensions, medical… more
- Centene Corporation (Tallahassee, FL)
- …As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Qualified candidates must ... reside in Florida **Position Purpose:** Perform various analysis and interpretation to link business needs and objectives for assigned function. + Support business initiatives through data analysis, identification of implementation barriers and user acceptance… more
- Catholic Health Services (Melville, NY)
- …Performs extensive data analytics, documents findings and recommendations to meet department and corporate goals. Builds, documents and maintains workflows related to ... all phases of department processes and systems. Able to act as an operations' liaison, collaborating with various entities including payers, clinical, financial and/or operational departments. Duties/Responsibilities: Conducts data analysis with a high degree… more
- The Cigna Group (Nashville, TN)
- **Cigna Medicare Part C Appeals Reviewer: Appeals Processing Analyst ** We will depend on you to communicate some of our most critical information to the ... and related issues, implications and decisions. The Case Management Analyst reports to the Supervisor/Manager of Appeals ...Management Analyst reports to the Supervisor/Manager of Appeals and will coordinate and perform all appeal related… more
- Elevance Health (Louisville, KY)
- **SCA Appeals Representative I** **Locations:** This is a virtual position. The ideal candidate must live within 50 miles of one of our NGS OR Elevance Health Pulse ... - $18.15 + Louisville, KY - $17.25 The **SCA Appeals Representative I** position is an entry-level position in...and regulatory standards and requirements. + As such, the analyst will strictly follow department guidelines and tools to… more
- MTA (Long Island City, NY)
- Staff Analyst /Associate Transit Management Analyst Job ID: 7099 Business Unit: MABSTOA Location: Long Island City, NY, United States Regular/Temporary: Regular ... Date Posted: May 20, 2024 Description Job Information Staff Analyst / Transit Management Analyst First date of...& Compliance Reports To: Sr. Director Paratransit SVC Eligibility Appeals Work Location: 3300 Northern Blvd, Long Island City,… more
- R1 RCM (Detroit, MI)
- …analytics, AI, intelligent automation, and workflow orchestration. As our Denials Senior Analyst , you will help R1 by managing assigned accounts or clients. Each ... calling insurance companies to resolve authorization and clinical claim denials, writing appeals and letters to insurance companies to resolve denials, following up… more
- City and County of San Francisco (San Francisco, CA)
- …opportunity for an excellent communicator, experienced project manager and business analyst , energetic individual who is passionate about solving homelessness for ... to serve as the primary project manager and business analyst for our new Agreement Management System Project. This...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- State of Colorado (Lakewood, CO)
- Business Analyst III - Delivery DMV - Hybrid Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4549381) Apply Business Analyst III - ... eligible for overtime compensation. Department Contact Information Lily Keenan, HR Analyst ###@state.co.us Primary Physical Work Address 1881 Pierce St, Lakewood, CO… more
- State of Colorado (Lakewood, CO)
- MLO System Analyst - Hybrid Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4539831) Apply MLO System Analyst - Hybrid Salary $70,140.00 - ... for overtime compensation. Department Contact Information Lily Keenan, HR Analyst ###@state.co.us Primary Physical Work Address 1881 Pierce Street, Lakewood,… more
- City and County of San Francisco (San Francisco, CA)
- …grants, contracts, budgets, finance, and/or program evaluation and planning. As an Administrative Analyst , you may work with a manager to perform research to develop ... the department. + Providing a real-world example, a Policy Analyst for the Office of the Treasurer & Tax...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)
- …that may impact the department. + Providing a real-world example, a Junior Policy Analyst for the Office of the Treasurer & Tax Collector could involve working to ... partners. + Providing a real-world example, a Junior Budget Analyst may have the opportunity to learn about the...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- Clark County, NV (Las Vegas, NV)
- COMMUNICATIONS NETWORK ANALYST I/II Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4319553) Apply COMMUNICATIONS NETWORK ANALYST I/II ... seeking qualified candidates to apply for the Communication Network Analyst I/II position. As a Communication Network Analyst...applicant's response to each item in the assessment, score appeals will not be allowed for this recruitment. +… more
- Clark County, NV (Las Vegas, NV)
- PROGRAMMER ANALYST I/II Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4276916) Apply PROGRAMMER ANALYST I/II Salary $29.44 - $49.33 ... is seeking qualified candidates to apply for the Programmer Analyst I/II position. This position performs applications systems design...applicant's response to each item in the assessment, score appeals will not be allowed for this recruitment. +… more
- City and County of San Francisco (San Francisco, CA)
- …years of verifiable professional human resources experience, similar to 1241 Human Resources Analyst , in one or more of the following areas of activity: recruitment ... Additional qualifying work experience as a professional human resources analyst may be substituted for up to two years...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)
- …Behavioral Health Services, and Administration. The 1825 Principal Administrative Analyst II, Manager of Contractual Pre-Award, Compliance and Training Services, ... the eligible list. Under administrative direction, the Principal Administrative Analyst II plans and directs staff in the operations...Rule 111A.35.1. The standard for the review of such appeals is 'abuse of discretion' or 'no rational basis'… more