• CBO Appeals Analyst -CBO

    Mount Sinai Health System (New York, NY)
    **Job Description** This position serves as Appeals Analyst for Central Billing Office management. Responsible for monitoring contractual allowances, analyzing ... and pursuing appeals opportunities with payors and networks, and reporting performance...network offices. 8. Prepares Adhoc payor performance metrics detailing appeals and recoveries. 9. Monitors, tracks, and corrects registration… more
    Mount Sinai Health System (11/13/24)
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  • Senior Appeals & Grievances Analyst

    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 grievances, in ... state 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 (11/15/24)
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  • Appeals and Grievance Analyst

    Point32Health (VA)
    …general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations ... the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works… more
    Point32Health (11/07/24)
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  • Data Analyst , Appeals , Fulltime,…

    RWJBarnabas Health (Oceanport, NJ)
    Data Analyst , Appeals , Fulltime, Remote, NJReq #:0000176993 Category:Billing/Collections/Registration Status:Full-Time Shift:Day Facility:RWJBarnabas Health ... Crescent Place, Oceanport, NJ 07757 Summary of Job Function The Data Analyst , Appeals is primarily responsible for validating clinical and technical denials to… more
    RWJBarnabas Health (11/19/24)
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  • Appeals and Grievances Analyst

    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, in ... effectively due to the time constraints imposed by CMS on Medicare appeals and grievances. + Collaborates closely with beneficiaries, healthcare providers, and… more
    UCLA Health (11/15/24)
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  • Appeals and Grievances Analyst

    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, in ... effectively due to the time constraints imposed by CMS on Medicare appeals and grievances. + Collaborates closely with beneficiaries, healthcare providers, and… more
    UCLA Health (11/15/24)
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  • Workers Compensation Medical Provider…

    Travelers Insurance Company (Tampa, FL)
    …+ College degree preferred and /or equivalent work experience. + Previous Appeals experience reviewing workers compensation medical bills highly desirable. + Solid ... customer service telephone skills. + Strong interpersonal communication skills. + Strong verbal and written communication skills, including effective sentence construction, grammar, spelling, and punctuation. Basic computer skills: ability to toggle between… more
    Travelers Insurance Company (11/13/24)
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  • Medi-Cal Policy Analyst - Alignment…

    City and County of San Francisco (San Francisco, CA)
    …more about what this commitment looks like in action. The Program Support Analyst , under the guidance of the Knowledge and Resource Manager within the Alignment ... & Self Sufficiency (ESSS) initiatives. Additionally, the Program Support Analyst oversees and coordinates the policy needs for CalFresh...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 (11/20/24)
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  • Management Analyst I/II

    Clark County, NV (Las Vegas, NV)
    MANAGEMENT ANALYST I/II Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4717588) Apply  MANAGEMENT ANALYST I/II Salary $30.32 - $50.81 ... is seeking qualified candidates to apply for the Management Analyst I/II position. As a member of our team,...applicant's response to each item in the assessment, score appeals will not be allowed for this recruitment. +… more
    Clark County, NV (11/17/24)
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  • Data Analyst ( Analyst III)

    State of Colorado (Denver, CO)
    Data Analyst ( Analyst III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4721437) Apply  Data Analyst ( Analyst III) Salary ... inform the mission of the DOL. POSITION SUMMARY TheData Analyst ( Analyst III)assists the DOL with a...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
    State of Colorado (11/14/24)
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  • Junior Administrative Analyst - Multiple…

    City and County of San Francisco (San Francisco, CA)
    …that may impact the department. + Providing a real-world example, a Junior Policy Analyst for the Office of the Treasurer & Tax Collector could involve working to ... partners. + Providing a real-world example, a Junior Budget Analyst may have the opportunity to learn about the...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 (10/16/24)
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  • Administrative Analyst - Multiple…

    City and County of San Francisco (San Francisco, CA)
    …grants, contracts, budgets, finance, and/or program evaluation and planning. As an Administrative Analyst , you may work with a manager to perform research to develop ... the department. + Providing a real-world example, a Policy Analyst for the Office of the Treasurer & Tax...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 (10/16/24)
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  • Senior Human Resources Analyst - Multiple…

    City and County of San Francisco (San Francisco, CA)
    …years of verifiable professional human resources experience, similar to 1241 Human Resources Analyst , in one or more of the following areas of activity: recruitment ... Additional qualifying work experience as a professional human resources analyst may be substituted for up to two years...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 (10/16/24)
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  • Quality Review Nurse (Remote)

    CareFirst (Baltimore, MD)
    … and grievance management team. Collaborates with the training team, department business analyst , and the clinical appeals and grievance management team to ... (RN) is to evaluate clinical quality and procedures within the Clinical Appeals & Grievance Department Government Programs (Maryland Medicare and Medicaid). This… more
    CareFirst (11/15/24)
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  • Research Analyst II

    State of Colorado (Lakewood, CO)
    Research Analyst II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4722268) Apply  Research Analyst II Salary $49,848.00 - $79,776.00 ... Office of Demography. In collaboration with an ORS Statistical Analyst , the position participates in drafting the jail capacity...Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel… more
    State of Colorado (11/16/24)
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  • Senior Performance Analyst II - Citywide…

    City and County of San Francisco (San Francisco, CA)
    …examination process is subject to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or the Civil Service Commission. ... under Civil Service Rule 111A.35.1. The standard for the review of such appeals is 'abuse of discretion' or 'no rational basis' for establishing the position… more
    City and County of San Francisco (11/21/24)
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  • Business Requirements Analyst

    Staffing Solutions Organization (Albany, NY)
    Business Requirements Analyst Albany, NY, USA Req #1063 Friday, November 8, 2024 Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group ... our clients and the people they serve. **Business Requirements Analyst ** **- Albany, NY** **DEMI - 1023** **Summary** Within...for New York's Complex Medicaid population, and the new appeals management system. The individual will act as a… more
    Staffing Solutions Organization (11/09/24)
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  • IS Business Analyst - Senior - SFPUC

    City and County of San Francisco (San Francisco, CA)
    …examination process is subject to change after adoption (eg as a result of appeals ), as directed by the Human Resources Director or the Civil Service Commission. The ... Rule 111A.35.1. The standard for the review of such appeals is 'abuse of discretion' or 'no rational basis'...Microsoft Edge web browser to submit your application. Exam Analyst Information: If you have any questions regarding this… more
    City and County of San Francisco (11/22/24)
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  • Analyst IV, Senior Systems Analysts

    State of Colorado (Denver, CO)
    Analyst IV, Senior Systems Analysts - Denver Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4719982) Apply  Analyst IV, Senior Systems ... If so, come join CDOT as a Senior Systems Analyst . We have opportunities for employees to specialize in...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
    State of Colorado (11/19/24)
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  • Sr Reimbursement Analyst

    CommonSpirit Health (Englewood, CO)
    …our hospitals and out in the community. **Responsibilities** The **Senior Reimbursement Analyst i** s responsible for providing cost report preparation, cost report ... appeals , audit preparation and other duties related to the...and other State and Federal regulations. The Sr. Reimbursement Analyst interacts with customers and ensures value is delivered… more
    CommonSpirit Health (10/16/24)
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