- Elevance Health (Cerritos, CA)
- Title: Grievance/ Appeals Analyst I Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... hours: Tuesday - Saturday 8:30am - 5:00pm EST The Grievance/ Appeals Analyst I is an entry level position in...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Dearborn, MI)
- Medical Director-Dermatology Appeals Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... unless an accommodation is granted as required by law. The Medical Director-Dermatology Appeals is responsible for the review of appeals for physical health… more
- Elevance Health (Miami, FL)
- …records. Under guided supervision, participate in completing more complex appeals related work: Position papers Jurisdictional Reviews Maintaining accurate records ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- NTT America, Inc. (Plano, TX)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to hire a Medicare ... Appeals Clinical Leader to lead service delivery engagements and...service delivery engagements and improve end-to-end delivery of Medicare Appeals . Desire experience specifically for processes for clinical … more
- Nestle (Solon, OH)
- …property tax audits, the identification, management, and negotiation of valuation appeals , and the execution of other value-add projects. Primary Responsibilities: ... property tax planning opportunities. Administer property tax audits. Manage valuation appeals . Identify and negotiate property tax incentives. Prepare and review… more
- Mount Sinai Health System (New York, NY)
- Job Description RN/Case Manager MSH Case Management FT Days The Case Manager (CM) will be responsible for all aspects of case management for an assigned group of ... care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or a minimum of...with physicians and managed care companies on concurrent denial appeals e. Communicates clinical information to the payor, as… more
- Transdev (Readville, MA)
- Overview Transdev in Boston, MA is seeking a Labor Relations Manager for its Boston Public Schools transportation contract. The Labor Relations Manager provides ... Manage labor relations program of the property jointly with the General Manager . Research, compile, and prepare data for use in grievance hearings, arbitration… more
- Ralliant (Indianapolis, IN)
- Job Title: Product Manager Location: Remote, USA Job Summary: As a key contributor within Hengstler-Dynapar, the Product Manager will guide the strategic vision ... aligns with the company's business objectives while collaborating cross-functionally. The Product Manager will work closely with all functions within our company to… more
- Amrize (Dundee, MI)
- …providing appropriate support where needed; assist with sales and use tax audits and appeals ; work in conjunction with the accounting manager on sales & use ... Compliance Manager , US Indirect Tax Requisition ID: 15192 Location...Join our amazing team and contribute as a Compliance Manager , US Indirect Tax ABOUT THE ROLE This position… more
- Houston Methodist (Katy, TX)
- At Houston Methodist, the Manager Revenue Cycle position is responsible for the daily management of the staff and operations for one or more of the following areas ... to: medical coding, insurance billing, collections, patient account resolution, appeals /denials, customer service, cash applications, revenue integrity, etc. This… more
- Guardian Life (Frankfort, KY)
- …to Dental Support Organization (DSO) partners. As a Key DSO Dental Account Manager , Dental Support Organizations , you will be responsible for growing the network ... for all assigned DSOs. Respond to provider inquiries, concerns, complaints, appeals and grievances within assigned timeframes. Collaborate across teams to resolve… more
- Dignity Health (Phoenix, AZ)
- Job Summary and Responsibilities As the Manager of Philanthropy, you will develop, implement, and manage strategies to cultivate, solicit, and steward annual donors, ... for our mission. Every day you will oversee direct mail, email appeals , online giving, and donor communication, ensuring compelling messaging and effective… more
- UnitedHealth Group (Scottsdale, AZ)
- …to, access, coding, billing, collections, practice management systems, payer relations, appeals , and authorization process Driver's License and access to reliable ... transportation Preferred Qualification: Managed Care experience Related experience in technical or specialty areas Proven ability to communicate effectively; ability to analyze and interpret data; ability to plan, develop and coordinate multiple projects Pay… more
- Beth Israel Lahey Health (Charlestown, MA)
- …that should be appealed. Responsible for writing timely, comprehensive and compelling appeals to third party payers in order to get denial overturned. Responsible ... for timely follow up on filed appeals via telephone, writing, or the payer website. Organizes, maintains and updates the access payer database to house the issues… more
- CVS Health (Trenton, NJ)
- …each and every day. Position Summary The Medicaid VBS Network State Manager manages and oversees compliance with our Network responsibilities as provided within ... required information from Providers, such as HEDIS, Credentialing, Grievance and Appeals , SIU, etc. Coordinates provider status information with member services and… more
- PedIM Healthcare (Crystal River, FL)
- …claims to payers promptly. Follow up on unpaid or denied claims and handle appeals as needed. Work with patients to address billing inquiries and provide assistance ... This is NOT a remote position. This position reports to the Billing Manager . The schedule is M-F, 8:30AM-5:00PM. Apply today Apply at www.pedimhealthcare.com (click… more
- Southland Industries (Dulles, VA)
- …Plumbing and Fire Protection industry. Primary responsibility is to assist a design manager or project manager to successfully coordinate a project using the ... and potential career paths with one of the country's largest MEP building systems firms appeals to you and you're ready for the next big step in your career, then… more
- Community Health Systems (Franklin, TN)
- …role conducts admission and continued stay reviews, supports denials and appeals activities, and collaborates with healthcare providers to facilitate efficient ... - State Licensure and/or Compact State Licensure required CCM - Certified Case Manager preferred or Accredited Case Manager (ACM) preferred Equal Employment… more
- Baylor Scott & White Health (Dallas, TX)
- JOB SUMMARY Under the direct supervision of the Safe Choice Claims Manager the Claims Adjuster is responsible for the review, analysis and processing of assigned ... Responsibility for the preparation of summaries and files for denials, appeals , medical opinions, subrogation and litigation.1. Collection of documents and… more
- Elevance Health (Miami, FL)
- …a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
Related Job Searches:
Appeals,
Appeals Grievance Manager,
Appeals Manager Department Utilization,
CHS Utilization Appeals Manager,
Case Manager Appeals,
Denials Appeals Manager,
Manager,
Manager Appeals Grievances,
Senior Manager Appeals Grievances,
Senior Manager Appeals Project