- Elevance Health (Cerritos, CA)
- Title: Grievance/ Appeals Analyst I Virtual: This role... analyst may serve as a liaison between grievances & appeals and /or medical management, ... hours: Tuesday - Saturday 8:30am - 5:00pm EST The Grievance/ Appeals Analyst I is an entry level...analyzes and processes non-complex pre service and post service grievances and appeals requests from customer types… more
- Point32Health (MA)
- …the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for ... responsible for the accurate coordination, efficient administration and resolution of member appeals and member grievances submitted by Point32Health members for… more
- Point32Health (Canton, MA)
- …general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations ... responsible for the accurate coordination, efficient administration and resolution of member appeals and member grievances submitted by Point32Health members for… 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
- Elevance Health (Mason, OH)
- **Grievance and Appeals Analyst II (Executive Concierge Analyst )** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering ... unless an accommodation is granted as required by law. The **Grievance and Appeals Analyst II** is responsible for providing support services for multiple… more
- The County of Los Angeles (Los Angeles, CA)
- …personnel in their unit and effectively recommending the adjustment of grievances and disciplinary problems. Other positions are assigned such functions as: ... first level technical and administrative supervision to the complaint or advanced-level appeals unit. Essential Job Functions + Supervises the activities of all… more
- State of Colorado (CO)
- …eligible for overtime compensation. Department Contact Information Anita McEachern - HR Analyst at ###@state.co.us Primary Physical Work Address This is a remote ... goals and objectives. + Resolve problems, performance issues, disputes, and informal grievances and initiate corrective action or recommend discipline as needed. +… more
- Commonwealth Care Alliance (Boston, MA)
- …schedule issues. + Collaborate closely with Provider Relations, Contracting, Payment Integrity, Appeals & Grievances , and Configuration teams to validate and ... to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, and timely reimbursements… more
