- Elevance Health (Richmond, VA)
- **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 position in the Enterprise Grievance & Appeals Department… more
- CVS Health (Columbus, OH)
- …under close supervision. **Required Qualifications** Compliance experience Audit Experience Grievance and Appeals Experience **Education** High School Diploma ... matter and independently coaches others on matters regarding complaints and appeals , ensuring compliance with federal and/or state regulations. Ensures compliance… more
- Corewell Health (Grand Rapids, MI)
- …internal departments. Serves as a mentor/trainer to other team members.The Senior Appeals Analyst makes decisions on moderately complex issues regarding ... Degree or equivalent + 5 years of relevant experience Grievance & or Appeal Analyst or related...E Beltline - Grand Rapids Department Name PH - Grievance And Appeals Medicare Employment Type Full… more
- Corewell Health (Grand Rapids, MI)
- …SITE - Priority Health - 1239 E Beltline - Grand Rapids Department Name PH - Grievance And Appeals Medicare Employment Type Full time Shift Day (United States of ... Job Summary The Appeals intake coordinator position is focused on the...member will assign the incoming concern to the appropriate analyst and may assist in investigations, documentation gathering, and… 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 ... **Cigna Medicare Appeals Reviewer:** We will depend on you to...as well as Part B drugs. The Case Management Analyst will be responsible for analyzing and responding appropriately… more
- Corewell Health (Grand Rapids, MI)
- …experience Extensive knowledge of CMS regulations and process + Previous experience with grievance and appeals processes About Corewell Health As a team member ... according to timeline requirements. + Complete investigation of Medicare Pharmacy appeals , including formulate action steps, gather information, ensure benefits are… more
- Loretto Management Corporation (Syracuse, NY)
- …not limited to Complaints, Polypharmacy, Adverse Incidents. + Assists in maintenance of Grievance and Appeals Logs and files. + Assists in maintaining Adverse ... Overview The Sr. Quality Improvement Analyst directs, analyzes, researches and understands critical data...development of quality improvement plans. The Sr. Quality Improvement Analyst assists the Director of Quality Management in evaluating,… more
- City and County of San Francisco (San Francisco, CA)
- …the City in state and federal civil litigation (through trial and appeals ), in administrative proceedings involving labor and employment matters, and provides ... 30 unions that represent City employees, including collective bargaining, labor grievance arbitrations, and defending unfair labor practice and other administrative… more
- City and County of San Francisco (San Francisco, CA)
- …the City in state and federal civil litigation (through trial and appeals ) and administrative proceedings involving labor and employment matters and provides ... 30 unions that represent City employees, including collective bargaining, labor grievance arbitrations, and defending unfair labor practice and other administrative… more