- Catholic Health Services (Melville, NY)
- …communicate and manage project scope; Assist in work plan development and management ; contributes to completion of project status reports. Lead meetings with staff ... planning, organizing, and managing resources) and all phases of the project management life cycle for a variety of initiatives Actively responds to questions… 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...to convey the determination. + Responsibilities exclude conducting any utilization or medical management review activities which… more
- Elevance Health (Louisville, KY)
- …documents to convey the determination. + Responsibilities exclude conducting any utilization or medical management review activities that require the ... and regulatory standards and requirements. + As such, the analyst will strictly follow department guidelines and tools to...may serve as a liaison between grievances & and appeals and /or medical management , legal, and/or… more
- The Cigna Group (Nashville, TN)
- …appeals and related issues, implications and decisions. The Case Management Analyst reports to the Supervisor/Manager of Appeals and will coordinate and ... services as well as Part B drugs. The Case Management Analyst will be responsible for analyzing...not limited to:** + Must have experience in Medicare Appeals , Utilization Case Management or… more
- MTA (Long Island City, NY)
- Staff Analyst /Associate Transit Management Analyst Job ID: 7099 Business Unit: MABSTOA Location: Long Island City, NY, United States Regular/Temporary: ... Date Posted: May 20, 2024 Description Job Information Staff Analyst / Transit Management Analyst First...& Compliance Reports To: Sr. Director Paratransit SVC Eligibility Appeals Work Location: 3300 Northern Blvd, Long Island City,… more
- University of Michigan (Ann Arbor, MI)
- HEALTH INFORMATION MANAGEMENT ANALYST II - COMPLIANCE AND AUDITING Apply Now **Summary** Utilize the EPIC Release Module to locate, analyze, and produce medical ... (OGC), the Office of Patient Relations and Clinical Risk, Utilization Management , and Revenue Cycle departments upon...Detail** **Job Opening ID** 250238 **Working Title** HEALTH INFORMATION MANAGEMENT ANALYST II - COMPLIANCE AND AUDITING… more
- State of Colorado (Lakewood, CO)
- Domestic Violent Extremist Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4527884) Apply Domestic Violent Extremist Analyst ... Department Department of Public Safety Division Homeland Security and Emergency Management Opening Date 06/03/2024 Closing Date 6/16/2024 11:59 PM Mountain FLSA… more
- State of Colorado (Denver, CO)
- Budget Analyst II - Budget and Contract Analyst - Denver - Hybrid Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4510800) Apply Budget ... Analyst II - Budget and Contract Analyst ...of Child Welfare (DCW) provides a range of leadership, management , and supervisory functions related to the delivery of… more
- System One (Baltimore, MD)
- …and business knowledge of clinical operations, including Care Management , Utilization Management , and Appeals & Grievances. Previous experience ... Services has a Contract opening for a Healthcare Business Analyst to support a leading, Washington DC based health...along with clinical operations, including Care Management , Utilization Management , and Appeals &… more
- State of Colorado (Denver, CO)
- Access to Care Reports and Operations Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4543195) Apply Access to Care Reports and ... Operations Analyst Salary $56,028.00 - $72,840.00 Annually Location Denver Metro,...Officer (CFO) is accountable for the financial and risk management operations of the Department, and oversees control systems… more
- American Red Cross (Omaha, NE)
- …TO KNOW ABOUT THE JOB:** The American Red Cross is seeking a Tech Support Analyst based in Omaha, NE. The Tech Support Analyst will install, troubleshoot, and ... repair software and/or equipment. The Tech Support Analyst will solve user's routine to moderately complex problems with network or applications software for… more
- Montrose Memorial Hospital (Montrose, CO)
- …within case management , utilization management or denial management . Experience with business letter writing, eg, appeals , preferred. + Must at ... the patient. About The Career: + The Clinical Denial Analyst is a key contributor within the interdisciplinary Denial...Analyst is considered a clinical expert in Denial Management and ensures all medical necessity denials are accurately… 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 ... for carrying out various department assignments and a high level of involvement/ management of several employee programs. A high degree of initiative and independent… more
- Elevance Health (Palo Alto, CA)
- …and appeals process. * Two (2) years of experience with end-to-end utilization management process. * Two (2) years of experience translating use cases, ... **IT Business System Analyst Sr Advisor** [AID020] **Location:** This position will...* Identify opportunities to strengthen effectiveness. * Support the management of integrated (business, functional, and technical) requirements and… more
- Nightwing (Sterling, VA)
- …accurate, efficient responses within a specific timeframe. The individual will provide case management support for Privacy, FOIAs, Appeals , and EOM requests. The ... organizational and time management skills. + Must be proficient in computer utilization . + Must have multi-tasking ability. + Must be flexible and adaptable to… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …understand regulatory requirements as they pertain to personnel. + Supervises the Quality Management Clinical Analyst and the Quality Management Assistant. + ... Director Quality Management /Compliance Officer 75 Vanderbilt Ave, Staten Island, NY...to obtain quality data. + Oversight of Medicare Expedited appeals and conventional Medicare appeals process. Maintains… more
- City and County of San Francisco (San Francisco, CA)
- …its Managed Care division which oversees the Office of Coordinated Care (OCC), Utilization Management (UM), and Quality Management (QM). Additionally, BHS ... with the Director of Managed Care and with OCC, Utilization Management (UM), and Quality Management...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)
- …to EEO; oversees, directs and provides training in the analysis of workforce utilization ; + Oversees and provides technical assistance to departments on ADA in ... degree in Public Administration/Public Policy, Personnel Administration, Human Resources Management , or Business Administration may be substituted for one (1)… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Quality Management Assistant 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #11963 Monday, June 3, 2024 Quality Management Assistant Duties and ... clerical assistance to the QM Director/Compliance Officer and the QM Clinical Analyst such as faxing, copying, scanning and file maintenance. + Medical Record… more
- University of Michigan (Ann Arbor, MI)
- …+ 3-5 years of progressively more responsible experience in a health information management or appeals / revenue cycle billing department is required. + ... activities related to the response to external audit activities, appeals , and denials. Work with stakeholders to create proactive...& Clinical Risk, and Revenue Cycle / Billing / Utilization Review. Ensure timely response to all auditing and… more