- Elevance Health (Cincinnati, OH)
- ** Grievance / Appeals Analyst Lead** **Must be located within 50 miles of a PulsePoint office** **This position is primarily work from home but requires ... working in a local office once per quarter** The ** Grievance / Appeals Analyst Lead** is responsible for leading and coaching a team of Grievance & … more
- Elevance Health (Norfolk, VA)
- ** Grievance / Appeals Analyst I** **Location: Norfolk, VA | This position is primarily work from home but will require you to work in a local office up to 3 ... times per month** **Schedule: Tuesday-Saturday** The ** Grievance / Appeals Analyst I** is an entry level position in the Enterprise Grievance & Appeals … more
- Elevance Health (Norfolk, VA)
- **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… more
- Elevance Health (Las Vegas, NV)
- **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… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeal and Grievance Compliance Advisor Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances ... documentation and categorization, service authorization request and coverage determination , Appeals and Grievances across all lines of business). This position is… more
- Elevance Health (Denison, TX)
- **SCA Appeals Representative I** **Locations:** **PA-Harrisburg, IN-Indianapolis, ME-South Portland, TX-Denison, NY-East Syracuse.** This is a virtual position. The ... $17.25 + South Portland, ME - $17.25 The **SCA Appeals Representative I** position is an entry-level position in...review tools to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical… more
- Elevance Health (Palo Alto, CA)
- …Two (2) years of experience in health care, including prior authorization process and grievance and appeals process. * Two (2) years of experience with ... **IT Business System Analyst Sr Advisor** [AID020] **Location:** This position will...8:00 am to 5:00 pm The **IT Business System Analyst Sr Advisor** will collaborate with business and IT… more
- City of Lakeland (Lakeland, FL)
- HR Analyst - Policy and Employee/Labor Relations Print (https://www.governmentjobs.com/careers/lakelandfl/jobs/newprint/4429048) Apply HR Analyst - Policy and ... represents the City of Lakeland in unemployment claims and appeals hearings, securing the participation of the HR Director...you have experience in Public Sector collective bargaining and/or grievance handling? + Yes + No 11 Please provide… more
- Centene Corporation (Raleigh, NC)
- …across several functional areas such as claims, enrollment, provider data management, grievance and appeals , sales and contracting. Advanced knowledge of ... Microsoft applications, including Excel and Access preferred. Project management experience preferred. Pay Range: $67,400.00 - $121,300.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock… more
- Highmark Health (Harrisburg, PA)
- …requires 1 Week A Month On-Site Work This job captures all inbound appeals and grievance requests from providers and/or subscribers. The incumbent assesses ... a current case. When necessary, forward to the responsible analyst . + Ensure accuracy of data entry to prevent...calls when additional information is required. + Identify expedited appeals based on key terms/phrases. + Save medical information… more
- CVS Health (Austin, TX)
- …obtain crucial or required information from Providers, such as HEDIS, Credentialing, Grievance and Appeals , SIU, etc.- Coordinates provider status information ... hybrid in Texas** - Lead a team of Medicaid Provider Data Services Analyst responsible for loading and maintaining Medicaid Provider data within Aetna QNXT.- Team… more