- UCLA Health (Los Angeles, CA)
- Description As the Senior Appeals and Grievances Analyst , you will be responsible for: + Assisting with all operational aspects of appeals and ... federal regulations. + Assisting the unit Supervisor in overseeing the appeals and grievances process, ensuring that members and providers receive fair and… more
- UCLA Health (Los Angeles, CA)
- Description As the Appeals and Grievances (A&G) Analyst , you will be responsible for assisting with all operational aspects of appeals and grievances ... due to the time constraints imposed by CMS on Medicare appeals and grievances . + Collaborates closely with beneficiaries, healthcare providers, and insurance… more
- UCLA Health (Los Angeles, CA)
- Description As the Appeals and Grievances (A&G) Analyst , you will be responsible for assisting with all operational aspects of appeals and grievances ... due to the time constraints imposed by CMS on Medicare appeals and grievances . + Collaborates closely with beneficiaries, healthcare providers, and insurance… more
- Sacramento Municipal Utility District (Sacramento, CA)
- …including writing defensible reports and disciplinary documents + Experience responding to grievances or appeals and serving as an employer representative in ... Title: Principal Employee & Labor Relations Analyst Department: Employee Relations Location: Sacramento, CA, US, 95817-1899 Category: Human Resources **Minimum Pay… 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
- Maryland Department of Transportation (Anne Arundel County, MD)
- Labor Relations Analyst (HR Analyst I) Salary $53,808.00 - $86,322.00 Annually Location Anne Arundel County Job Type Full Time Remote Employment ... + Description + Benefits + Questions Description Labor Relations Analyst (HR Analyst I) Grade 14 Job...limited to: + Preparing and filing documents for employee grievances , disciplinary actions, and unemployment insurance hearings + Attending… more
- CareFirst (Owings Mills, MD)
- …Terminations + Process for handling overdue monthly bills + Dispute Handling ( Appeals and Grievances ) + Data Submission Requirements (CMS reporting) The ... in order to travel into local offices.** **PURPOSE:** The Senior Business Analyst to support our **Medicare Prescription Payment Plan (M3P)** functions will have… more
- Sharp HealthCare (San Diego, CA)
- …billing and collections to all payers through resolution of the accounts. This includes appeals and grievances with all payers and pursuit of private pay ... and special reports + Financial Analysis and ReportingSuccessfully file appeals /PDRs on non-clinical underpaid/denied claims.Explain new legislation impacting underpayments/denials… more
- CareFirst (Baltimore, MD)
- …training and/or other business-related activities. **ESSENTIAL FUNCTIONS:** + Reviews Clinical Appeals and Grievances documentation written by the clinical ... management team. Collaborates with the training team, department business analyst , and the clinical appeals and grievance...team, department business analyst , and the clinical appeals and grievance management team to develop resources for… 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
- University of Kansas (Lawrence, KS)
- …optimize dashboards that support SPS and its constituents. + Collaborate with enrollment Analyst to gather, analyze, and distribute point in cycle reports to inform ... the research, instruction and/or service of the School. + Manage petitions, grievances , and other special processes within SPS. These could include student… more
- State of Colorado (Lakewood, CO)
- …personnel actions. + Resolve problems, performance issues, disputes, and informal grievances and initiate corrective action or recommend discipline as needed. + ... scheduled background investigations . Minimum Qualification Screening A Human Resources Analyst will only review the work experience/job duties sections of the… more