• Appeals & Grievance Analyst

    Henry Ford Health System (Troy, MI)
    …for the prompt and thorough investigation of medical and pharmacy member appeals and grievances for Health Alliance Plan's (HAP's): Commercial, Medicare Advantage, ... Medicare-Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify trending issues on an ongoing basis and provide root/cause analysis when… more
    Henry Ford Health System (12/18/24)
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  • Provider Network Operations Analyst

    AmeriHealth Caritas (Manchester, NH)
    …data experience updating the directory, claims payout, etc. + Experience with the appeals and grievance process preferred + Proficiency with Microsoft Office ... services. Discover more about us at www.amerihealthcaritas.com. The Provider Network Operations Analyst is responsible for the following day to day activities in… more
    AmeriHealth Caritas (12/13/24)
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