- Elevance Health (Walnut Creek, CA)
- **Title: Grievance/ Appeals Analyst I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... employment, unless an accommodation is granted as required by law._ The **Grievance/ Appeals Analyst I** is an entry level position in the Enterprise Grievance &… more
- Point32Health (MA)
- …the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for ... the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works… more
- CVS Health (Phoenix, AZ)
- …do it all with heart, each and every day. **Position Summary** + Processes appeals and ensures timely and accurate completion. + Maintains a caseload and monitors ... to Medical Directors and enters all data related to appeals and case reviews into a database. + Participates...reports regarding appeal activity as well as preparing for appeals audits. + Consults with manager on complex cases… more
- BJC HealthCare (St. Louis, MO)
- …experience) **Additional Information About the Role** BJC HealthCare is seeking a Patient Accounts Analyst to join our clinical appeals team! In this role, you ... will be analyzing trends for insurance appeals and denials as well as participating in provider...the country. **Preferred Qualifications** **Role Purpose** The Patient Accounts Analyst ensures that all insurance, accounts receivable and billing… more
- TEKsystems (Tampa, FL)
- …for the same reason (vertical audit) 2. Rebilling - focus on "out the door" claim appeals that are more ready to go - have already been vetted. take this time to ... write the appeals , make the...recommendations about the nature of an account, help the analyst find trends, reach team goals and align priorities… more
- TEKsystems (Tampa, FL)
- …will be on the bill review team specifically working in the backlog of appeals . The Bill Review Analyst position holds accountability for accurate and timely ... and payment of bills to include pre-coding accuracy and adjudication of appeals /provider reconsideration requests. Pay and Benefits The pay range for this position… more
- State of Colorado (Denver, CO)
- Prevention and Intake Data Analyst V - TRAILS / Federal Reporting Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4896255) Apply Prevention ... and Intake Data Analyst V - TRAILS / Federal Reporting Salary $91,320.00...of the department's action. For more information about the appeals process, the official appeal form, and how to… 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)
- …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
- 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
- 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
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …closely with physician advisors, case management, and revenue cycle teams. The UM Analyst helps ensure regulatory compliance, timely appeals , and reduction of ... *_SUMMARY:_* We are currently seeking a Utilization Management Analyst to join our Denials Analysis. This full-time role will primarily work remotely, but may need… more
- Ventura County (Ventura, CA)
- Human Resources Analyst /Sr. Human Resources Analyst Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5057719) Apply Human Resources ... Analyst /Sr. Human Resources Analyst Salary $93,135.37 - $160,800.31 Annually Location Ventura, CA Job Type Full-Time Regular Job Number 0432CEO-25AA (JL)… more
- State of Colorado (Denver, CO)
- Litigation Support Analyst (Information Technology I) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5060524) Apply Litigation Support ... Analyst (Information Technology I) Salary $71,508.00 - $92,400.00 Annually...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- Syndromic Surveillance Data Analyst - Statistical Analyst II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5046504) Apply Syndromic ... Surveillance Data Analyst - Statistical Analyst II Salary $69,024.00...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Stanford University (Stanford, CA)
- Global Benefits Analyst Human Resources Services, Redwood City, California, United States Human Resources Post Date Aug 20, 2025 Requisition # 107104 Sign Up for Job ... in partnership with the Senior Director of Benefits, the Global Benefit Analyst will be responsible for global benefits portfolios, developing the strategy, making… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... Career Services is recruiting to hire three (3) Staff Analyst II to serve as Budget Analysts, who will:...approvals and denials, and data collected to process provider appeals for individual and aggregate performance-based credit or payment… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals audit ... Medicare Medicaid and other State and Federal regulations. The Sr. Reimbursement Analyst interacts with customers and ensures value is delivered and customer… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The **Senior Reimbursement Analyst i** s responsible for providing cost report preparation, cost report appeals , audit preparation and other ... Medicare, Medicaid and other State and Federal regulations. The Sr. Reimbursement Analyst interacts with customers and ensures value is delivered and customer… more
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