- Corewell Health (Grand Rapids, MI)
- Job Summary Responsible for the analysis, research and completion of complex member appeal investigations. Effectively administer all steps of the member ... hearing processes for all non-Medicare products to thoroughly investigate appeal requests, leveraging critical thinking skills, gathering relevant information from… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The Lead Appeal & Grievance Support is responsible for daily oversight of inventory management for the Appeal & Grievance (A&G) department. ... as needed and speak to team performance. The Lead Appeal & Grievance Support will also be responsible for...data to identify trends in order to proactively address member concerns. PRINCIPAL DUTIES AND RESPONSIBILITIES: + Act as… more
- State of Colorado (Lakewood, CO)
- Infrastructure Protection GIS Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5140945) Apply Infrastructure Protection GIS Analyst ... cyber program maturity growth. ABOUT THE POSITION The Infrastructure Protection Analyst serves as a critical infrastructure specialist within the Colorado… more
- State of Colorado (Lakewood, CO)
- Infrastructure Protection Analyst IV Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5143121) Apply Infrastructure Protection Analyst IV ... lieu of contribution to Social Security), visit Colorado PERA (https://www.copera.org/ member -contribution-rates) for details. + CDPS provides generous time off… more
- Point32Health (FL)
- …documentation and correspondence to the member outlining final disposition of the member 's appeal or grievance providing further appeal options as ... Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for...lines of business. **Job Description** + Act as a member advocate; clearly communicating the appeal and… more
- Point32Health (Canton, MA)
- …the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal ... the member outlining final disposition of the member 's appeal or grievance providing further ...the judgment to seek out guidance as needed. The Analyst is responsible for the accurate coordination, efficient administration… more
- City and County of San Francisco (San Francisco, CA)
- …The department is comprised of seven divisions: Administration, Finance, Member Services Communications, Enterprise Systems and Analytics (ESA), Contracts, and ... Francisco and UC Law San Francisco. Under direction, the 1813 Senior Benefits Analyst performs complex benefits work for the City's health, dental, vision, Flexible… more
- Elevance Health (Cerritos, 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
- Sacramento County (Sacramento, CA)
- Liability and Property Insurance Analyst Level I/II *Revised Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/5084047) Apply Liability and ... Property Insurance Analyst Level I/II *Revised Salary $77,318.64 - $117,450.00 Annually...the total possible score as determined by the Director. APPEAL PROCESS: Persons who believe their applications have been… more
- Loyola University Chicago (Chicago, IL)
- Data Integrity Gift Analyst Thank you for your interest in Loyola University Chicago. To view open positions, please enter your search criteria below. You may view ... at www.luc.edu/transformativeed. Position Details Position Details Job Title DATA INTEGRITY ANALYST Position Number 8101645 Job Category University Staff Job Type… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR DISASTER SERVICES ANALYST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4320334) Apply SENIOR DISASTER SERVICES ANALYST Salary ... their own user ID and password. Using a family member 's or friend's user ID and password may erase...moving through the process. DEPARTMENT CONTACT: Tanisha Buggs, Exam Analyst ### ###@dhs.lacounty.gov CALIFORNIA RELAY SERVICES PHONE : ###… more
- Devereux Advanced Behavioral Health (Bridgeton, NJ)
- **Description** **Does program development, professional growth, and opportunities for career advancement appeal to you? Would you like to be part of a collaborative ... benefits, effective 30 days after employment:https://www.mydevereuxbenefits.org/ **The Board-Certified Behavior Analyst (BCBA) reports directly to the Clinical Administrator. The… more
- Constellation (Chicago, IL)
- …respective regions and their impacts on the overall portfolio. * The position will appeal to an individual who is a strong communicator and can balance the ... with ability to lead, work independently and/or participate as a team member on multi-part projects with little oversight. * Demonstrated ability to respond… more
- State of Colorado (Denver, CO)
- …Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights H1C3XX ANALYST III ... CO Job Type Full Time Job Number KAA 9519 Analyst III 11.25 Department Department of Labor and Employment...Manages business requirements and backlogs. Acts as "go-to" team member and is delegated additional assignments by supervisor. Primary… more
- Colorado State University (Fort Collins, CO)
- …instructional formats for SURDS reporting. + Partner with the Academic Planning Data Analyst to build out block schedules for special populations. + Code Special ... be sent via email ###@colostate.edu,hr_###@colostate.edu, OR the TA Team Member facilitating the search process. In addition to your...is reasonable and prudent to do so. Employment and Appeal Rights If you receive notice that you have… more
- State of Colorado (CO)
- …eligible for overtime compensation. Department Contact Information Anita McEachern - HR Analyst at ###@state.co.us Type of Announcement A residency waiver has been ... of each live race for gate malfunctions or any other interference. Serves as a member of the Board of Stewards for hearings, orders, and licensing + Serves as a… more
- State of Colorado (Pueblo, CO)
- …and conducting Procurement Card Audits; submitting results of audit to EMT member ; running bank reports; collecting Procurement Cards from State Employees leaving ... as assigned. Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights I mportant Note: Please review your application...them over time; + Ability to work as a member of a team, including communicating with peers, supervisor,… more
- State of Colorado (Pueblo, CO)
- …of duty statements Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights Minimum Qualifications: + High school diploma or General ... of state service experience. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online job… more
- State of Colorado (CO)
- …eligible for overtime compensation. Department Contact Information Haley Thompson, HR Analyst , ###@state.co.us Primary Physical Work Address This is a remote ... 2829 W Howard Place. Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights Residency Requirement: This posting is only open to residents of… more
- State of Colorado (CO)
- …eligible for overtime compensation. Department Contact Information Haley Thompson, HR Analyst , ###@state.co.us Primary Physical Work Address This is a remote ... Denver, CO. 80204. Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights Residency Requirement: This posting is only open to residents… more