- Elevance Health (Las Vegas, NV)
- …of clinical information. + The analyst may serve as a liaison between grievances & appeals and /or medical management, legal, and/or service operations and ... **Title: Grievance/ Appeals Analyst I** **Location:** This position...analyzes and processes non-complex pre service and post service grievances and appeals requests from customer types… more
- Elevance Health (Cincinnati, OH)
- **Grievance/ Appeals Analyst I** **Location: Must be... analyst may serve as a liaison between grievances & appeals and /or medical management, ... flexible to work Monday-Friday or Tuesday-Saturday as needed** The **Grievance/ Appeals Analyst I** is an entry level...analyzes and processes non-complex pre service and post service grievances and appeals requests from customer types… more
- Elevance Health (Norfolk, VA)
- …of clinical information. + The analyst may serve as a liaison between grievances & appeals and /or medical management, legal, and/or service operations and ... **Title: Grievance/ Appeals Analyst I** **Location:** This position...analyzes and processes non-complex pre service and post service grievances and appeals requests from customer types… more
- 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...review, analyze and process pre service and post service grievances and appeals requests related to clinical… more
- City and County of San Francisco (San Francisco, CA)
- …bargaining agreements. + Key duties include negotiating resolutions to grievances , investigating complaints of serious employee misconduct, and conferring with ... professional human resources experience, similar to 1241 Human Resources Analyst , in one or more of the following areas...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- Sacramento County (Sacramento, CA)
- …stakeholders to facilitate/lead projects or initiatives + Investigations and discipline + Grievances and appeals + Recruitment and selection + Classification and ... Principal Human Resources Analyst Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/4484028) Apply Principal Human Resources Analyst … more
- LA Care Health Plan (Los Angeles, CA)
- … Analyst III Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: ... net required to achieve that purpose. Job Summary The Business Analyst III facilitates business process improvement via the methodical investigation, analysis,… more
- Henry Ford Health System (Troy, MI)
- …this opportunity. GENERAL SUMMARY: Responsible for addressing customer inquiries, grievances (complaints), identify appeals , process Individual plan cancellation ... Relationship Manager/Appeal and Grievance preferred. + A working knowledge of appeals , grievances , inquiries and the specific processes of how they should be… more
- LA Care Health Plan (Los Angeles, CA)
- … II supports the collection and validation of Medicare Organization Determination, Appeals & Grievances (ODAG) data from LA Care's Participant Physician ... Claims Compliance Data Validation Analyst II Job Category: Claims Department: Claims Data...Compliance and technical staff. The Claims Compliance Data Validation Analyst also ensures that LA Care's Claims Department is… more
- Army Tank-Automotive and Armament Command (TACOM) (Rock Island, IL)
- …organization-wide policies and/or programs for the major area of labor relations, grievances and appeals . Assist with change management throughout the ... information about transcripts is in this document. Specialized Experience for Program Analyst , GS-13 position: To qualify based on your work experience, your resume… more
- LA Care Health Plan (Los Angeles, CA)
- …Grievance Compliance Advisor Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... call documentation and categorization, service authorization request and coverage determination , Appeals and Grievances across all lines of business). This… more
- State of Colorado (Colorado Springs, CO)
- …disciplinary actions, sign performance plans and appraisals, and resolve informal grievances . Initiate the hiring process, interview applicants, and recommend hire, ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information This… more