- Elevance Health (Cincinnati, OH)
- **Title: Grievances & Appeals Risk 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 ** Grievances & Appeals Risk Analyst I** will be responsible for responding to inquiries received from… more
- Elevance Health (Richmond, VA)
- …of clinical information. + The analyst may serve as a liaison between grievances & appeals and /or medical management, legal, and/or service operations and ... **Title: Grievance/ Appeals Analyst I** **Location:** This position...analyzes and processes non-complex pre service and post service grievances and appeals requests from customer types… more
- Elevance Health (Columbus, GA)
- …of clinical information. + The analyst may serve as a liaison between grievances & appeals and /or medical management, legal, and/or service operations and ... **Title: Grievance/ Appeals Analyst I** **Location:** This position...analyzes and processes non-complex pre service and post service grievances and appeals requests from customer types… more
- Elevance Health (Richmond, VA)
- …achieve the accreditation. + The analyst may serve as a liaison between grievances & appeals and /or medical management, legal, and/or service operations and ... **Title: Grievance/ Appeals Analyst II** **Location:** This position...non-complex and some complex pre service and post service grievances and appeals requests in the Enterprise… more
- City and County of San Francisco (San Francisco, CA)
- …bargaining agreements. + Key duties include negotiating resolutions to grievances , investigating complaints of serious employee misconduct, and conferring with ... professional human resources experience, similar to 1241 Human Resources Analyst , in one or more of the following areas...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- LA Care Health Plan (Los Angeles, CA)
- …Physical Requirements Light Additional Information Department Specifics: Customer Solution Center Appeals and Grievances : This position requires work after ... Business Analyst III - Encounters Data Job Category: Accounting/Finance...required to achieve that purpose. Job Summary The Business Analyst III facilitates business process improvement via the methodical… more
- The Cigna Group (Bloomfield, CT)
- …in Medicare Part C + Ability to differentiate different types of requests Appeals , Grievances , coverage determination and Organization Determinations in order to ... documentation of final documentation of final determination of the appeals using the appropriate system applications, templates, communication process, etc.… more
- City of Cincinnati (Cincinnati, OH)
- HUMAN RESOURCES ANALYST (GENERALIST) Print (https://www.governmentjobs.com/careers/cincinnati/jobs/newprint/4674095) Apply HUMAN RESOURCES ANALYST (GENERALIST) ... experience with collective bargaining agreements, corrective action, and grievance and appeals procedures; must be skilled in analyzing and investigating complaints,… more
- LA Care Health Plan (Los Angeles, CA)
- …Solution Center Compliance Audit Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position ... call documentation and categorization, service authorization request and coverage determination , Appeals and Grievances across all lines of business). This… more
- Sacramento County (Sacramento, CA)
- …Free Workplace Act + Principles and methods for investigating and resolving grievances and complaints + Principles and practices of organizational behavior and ... resource problems and concerns + Analyze, investigate, evaluate and resolve grievances , complaints and disciplinary matters + Counsel employees + Effectively… more
- Intermountain Health (Murray, UT)
- …Pharmacy Benefits Specialist (PBS) II, AR/Enrollment Specialist II, HBS Claims Processor, Appeals Analyst II. + -and- + Demonstrated ability to collaborate ... the operational areas of SelectHealth Member Services, Claims, Pharmacy Services, Appeals and Grievances and Sales. It is responsible for the success of… more