- Elevance Health (Los Angeles, CA)
- **Grievance & Appeals Analyst I** **Location:** Must be located in the state of California. This position is primarily work from home but requires residence in ... and ensures essential face-to-face onboarding and skill development. The **Grievance & Appeals Analyst I** is an entry level position in the Enterprise Grievance… more
- Motion Recruitment Partners (Durham, NC)
- Appeals Analyst Durham, North Carolina **100% Remote** Contract $20/hr - $25/hr Our client, a nationally recognized and award-winning company in the health ... insurance vertical, has a contract opening for a Appeals Analyst . They have over 4 million customers and 5,000+ employees dedicated to providing innovative… more
- 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
- Mount Sinai Health System (New York, NY)
- **Job Description** This position serves as Appeals Analyst for Central Billing Office management. Responsible for monitoring contractual allowances, analyzing ... and pursuing appeals opportunities with payors and networks, and reporting performance...network offices. 8. Prepares Adhoc payor performance metrics detailing appeals and recoveries. 9. Monitors, tracks, and corrects registration… more
- Point32Health (MA)
- …general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations ... the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works… more
- ManpowerGroup (Columbia, SC)
- Our client, a leader in the healthcare industry, is seeking an Analyst , Appeals to join their team. As an Analyst , Appeals , you will be part of the ... clinical background which will align successfully in the organization. **Job Title:** Analyst , Appeals **Location:** Columbia, SC **Pay Range:** Not specified… more
- ManpowerGroup (Durham, NC)
- Our client is seeking Appeal Analyst a to join their team. Appeal Analyst Contract to Hire Remote Responsibilities: * Analyze, research, resolve and respond to ... confidential/sensitive appeals , coding disputes, grievances and coverage/organization determinations from members, member's representatives, providers, media… more
- Highmark Health (Columbus, OH)
- …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
- Penske (Reading, PA)
- **Position Summary:** The Tax Analyst is an integral member of the Fleet Services Organization. This dynamic position will be responsible for providing analysis and ... audits, including negotiating with auditors and interfacing with taxing jurisdictions. -Perfect appeals and refund claims. -The position will require the ability to… more
- LA Care Health Plan (Los Angeles, CA)
- Appeals & Grievances Regulatory Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... documentation and categorization, service authorization request and coverage determination , Appeals and Grievances across all lines of business). This position is… more
- Centene Corporation (Tallahassee, FL)
- …or + LMHC-Licensed Mental Health Counselor required or + Board Certified Behavior Analyst (BCBA) preferred Pay Range: $26.50 - $47.59 per hour Centene offers a ... comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will… more
- GAP Solutions Inc (Bethesda, MD)
- Position Objective: Provide services as a FOIA Policy Analyst in support of the overall functions of the National Heart, Lung, Blood Institute (NHLBI) within the ... the appropriateness of the release and review and make recommendations regarding appeals . + Review documents and responses to ensure compliance with the Acts… 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/4855694) Apply COMMUNICATIONS NETWORK ANALYST I/II ... seeking qualified candidates to apply for the Communications 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
- City and County of San Francisco (San Francisco, CA)
- …and County of San Francisco has to offer. As a Senior Administrative Analyst , you will be responsible for directing and performing challenging, complex, and ... operations. + Providing a real-world example, a Senior Contracts Analyst could assist with procurement and contract administration related...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)
- …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
- CACI International (Birmingham, AL)
- Litigation Support Analyst (DMA II) Job Category: Service Contract Act Time Type: Full time Minimum Clearance Required to Start: DOJ MBI Employee Type: Regular ... professionals to support the Department of Justices' mission. The Litigation Support Analyst role is an excellent opportunity for advancement for someone with prior… more
- City and County of San Francisco (San Francisco, CA)
- …County of San Francisco has to offer. In the role of Principal Administrative Analyst , you will lead and perform challenging and complex projects that span areas ... in this selection process, which includes the following: Administrative Analyst Core Exam (Weight: 60%) Candidates meeting the Minimum...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- GEHA (Lee's Summit, MO)
- …customer experience, sustained by a nimble and efficient organization. The Business Analyst - Operations Performance serves on projects of moderate to significant ... expectations for success. + Comprehensively review and evaluate second level appeals . Determine eligibility, benefits, and prior activity related to the claims,… more