- Motion Recruitment Partners (Durham, NC)
- Appeals Analyst Durham, NC **100% Remote** Contract $15/hr - $19/hr Our client, a nationally recognized and award-winning company in the health insurance ... vertical, has a possible contract to hire opening for a Appeals Analyst . They have over 4 million customers and 5,000+ employees dedicated to providing… more
- Corewell Health (Grand Rapids, MI)
- …education to internal departments. Serves as a mentor/trainer to other team members. The Senior Appeals Analyst makes decisions on moderately complex issues ... Essential Functions + Responsible for complex and thorough investigation of appeals , external complaints, and fair hearing reviews including: formulate action plan… more
- Henry Ford Health System (Troy, MI)
- …prompt and thorough investigation of medical, transportation, and pharmacy member appeals and grievances for Health Alliance Plan's (HAP's): Commercial, Medicare ... Advantage, Medicare-Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify trending issues on an ongoing basis and provide root/cause analysis… more
- Penn Medicine (Bala Cynwyd, PA)
- …Compliance Analysts, Senior Compliance Analyst , Nurse Auditor, and Analyst Government Audits and Appeals + Recruit and retain talented results-oriented ... 8:30AM -5:00PM The Director for Hospital Billing Compliance and Government Audits/ Appeals directs the planning, coordinating, scheduling and performance of annual… more
- CommonSpirit Health (Phoenix, AZ)
- …happen both inside our hospitals and out in the community. **Responsibilities** The ** Senior Reimbursement Analyst i** s responsible for providing cost report ... current knowledge of Medicare, Medicaid and other State and Federal regulations. The Sr . Reimbursement Analyst interacts with customers and ensures value is… more
- CVS Health (Tallahassee, FL)
- …health care more personal, convenient and affordable. Position Summary As a Sr Analyst within the Grievance and Appeals DDAT Technology team you will manage ... the day-to-day activities of one or multiple complex business-sponsored technical projects. Sr Analysts are responsible for bridging the gap between the technology… more
- Elevance Health (Palo Alto, CA)
- **IT Business System Analyst Sr Advisor** [AID020] **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 ... 8:00 am to 5:00 pm The **IT Business System Analyst Sr Advisor** will collaborate with business...health care, including prior authorization process and grievance and appeals process. * Two (2) years of experience with… more
- Honeywell (Charlotte, NC)
- We are looking for an experienced, data-driven Sr . Benefits Analyst to manage our defined benefit (DB) administration and oversight for the Honeywell Retirement ... to increased volume of escalations or issues. + Manage the claims and appeals process ensuring timely and accurate responses back to participants. + Maintain a… more
- BD (Becton, Dickinson and Company) (San Diego, CA)
- …on the execution to Benefits related activities. This role reports into the Sr . Manager, North America Health & Welfare Benefits (Total Rewards). This role is ... + Ensures benefit plans are compliant with coordinating audits, non-discrimination testing, appeals and related activities + Reviews and revises plan document and… more
- CVS Health (Austin, TX)
- …shift: 8:00 AM - 5:00 PM Central Standard Time (CST), Monday through Friday. The Senior Analyst will act as the Prior Authorization system Subject Matter Expert ... implementations, client, state or regulatory implementations, direct client support when needed. The Sr . Analyst is also responsible for ensuring that the day to… more
- CVS Health (Austin, TX)
- …hybrid in Texas** - Lead a team of Medicaid Provider Data Services Analyst responsible for loading and maintaining Medicaid Provider data within Aetna QNXT.- Team ... will also include provider operations analyst and pre-cred support for implementation activities.- Provides assistance and support to other departments, as needed,… more
- City and County of San Francisco (San Francisco, CA)
- …steps to advance in this selection process, which includes the following: Senior Human Resources Analyst Core Exam (Weight: 100%) Candidates self-certifying ... Qualifications will be invited to participate in the online Senior Human Resources Analyst Core Exam. Candidates...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- R1 RCM (Detroit, MI)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Denials Senior Analyst , you will help R1 by managing assigned accounts ... companies to resolve authorization and clinical claim denials, writing appeals and letters to insurance companies to resolve denials,...**Here's what you will experience working as a Denials Senior Analyst :** + You will be investigating… more
- Cargill (Wayzata, MN)
- …animals with the food they need to thrive. **Job Purpose and Impact** The Senior Benefits Analyst - Health and Welfare provides consultation, education and ... related to complex employee benefit issues and services. The Senior Benefits Analyst works closely with third-party...related interfaces between the company and other vendors. The Sr . Benefits Analyst will maintain, develop, and… more
- Eaton Corporation (Houston, TX)
- Eaton's Corporate Sector division is currently seeking a Senior Analyst - IRS Practice, Procedure & Controversy. The expected annual salary range for this role ... you'll do:** Eaton's Corporate Sector is currently seeking a Sr . Analyst - IRS Practice, Procedure & Controversy...work schedule available from Houston, TX. **Position Overview:** The Senior Analyst - IRS Practice, Procedure & Controversy… more
- University of Michigan (Ann Arbor, MI)
- Reimbursement Analyst Senior Apply Now **How to Apply** A cover letter is required for consideration for this position, and it should be attached as the first ... action employer. **Job Detail** **Job Opening ID** 229901 **Working Title** Reimbursement Analyst Senior **Job Title** Reimbursement Analyst Senior… more
- Clark County, NV (Las Vegas, NV)
- SENIOR PROGRAMMER ANALYST Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4070565) Apply SENIOR PROGRAMMER ANALYST Salary ... Department is seeking qualified candidates to apply for the Senior Programmer Analyst (Full-Stack Developer) position. This...printed materials and a computer screen, and hearing and speech to communicate in person or over the telephone.… more
- MTA (Long Island City, NY)
- …/ TA / MTA Bus Department: Paratransit Eligibility & Compliance Reports To: Sr . Director Paratransit SVC Eligibility Appeals Work Location: 3300 Northern Blvd, ... Staff Analyst /Associate Transit Management Analyst Job ID:...any of the Paratransit departments listed below. No-Show/Late Cancellation Appeals These positions are critical for compliance with the… more
- Clark County, NV (Las Vegas, NV)
- SENIOR BUSINESS SYSTEMS ANALYST (IT PROJECT MANAGEMENT) Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4357238) Apply SENIOR ... Office is seeking qualified candidates to apply for the Senior Business Systems Analyst (SBSA) position. As...printed materials and a computer screen, and hearing and speech to communicate in person or over the telephone.… more
- UT Health (Houston, TX)
- Remote Senior Compliance Coding Analyst - Emergency Medicine **Location:** Texas Medical Center-Houston, Texas **Hot** **Category:** Legal McGovern Medical ... coding staff. Attends meetings. Manages EPIC PB Edits and Requests for denial appeals . Reports review results to the Revenue Cycle Manager, Manager, and/or Medical… more