- 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 (Cincinnati, OH)
- ** Grievance / Appeals Analyst I** **Location: Must be located within 50 miles of a PulsePoint office** **This position is primarily work from home but requires ... **Schedule: Must be flexible to work Monday-Friday or Tuesday-Saturday as needed** The ** Grievance / Appeals Analyst I** is an entry level position in the… 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 (Woodland Hills, CA)
- **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
- 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
- Henry Ford Health System (Troy, MI)
- …study preferred. + Experience working in Pega Customer Relationship Manager/Appeal and Grievance preferred. + A working knowledge of appeals , grievances, ... SUMMARY: Responsible for addressing customer inquiries, grievances (complaints), identify appeals , process Individual plan cancellation requests, process deductible transfer… 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