- Elevance Health (Indianapolis, IN)
- **Title: Grievance/ Appeals Analyst I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of ... one of our PulsePoint locations. The **Grievance/ Appeals Analyst I** is an entry level...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Elevance Health (Los Angeles, CA)
- **Title: Grievance/ Appeals Analyst I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of ... one of our PulsePoint locations. The **Grievance/ Appeals Analyst I** is an entry level...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Elevance Health (Richmond, VA)
- **Title: Grievance/ Appeals Analyst Lead** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of ... a California PulsePoint location. The **Grievance/ Appeals Analyst Lead** will be responsible for...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Elevance Health (Norfolk, VA)
- **Grievance/ Appeals Analyst Lead** **Candidates must be located within 50 miles of Atlanta, GA, Miami, FL, Mason, OH, Norfolk, VA, Tampa, FL, or Topeka, KS** The ... **Grievance/ Appeals Analyst Lead** is responsible for leading...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Point32Health (MA)
- …experience in health care, conflict resolution or related field + 3-5 years appeals and grievances healthcare experience required + 1-2 years supervisory ... . **Job Summary** Under the general direction of the Senior Manager of Appeals and Grievances the Appeals and Grievance Supervisor, through the use… more
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a Sr Ancillary Benefits Analyst ? At HCA Healthcare , you come first. HCA Healthcare has committed up ... members over the course of three years. **Benefits** HCA Healthcare , offers a total rewards package that supports the...We are looking for a dedicated Sr Ancillary Benefits Analyst like you to be a part of our… more
- Molina Healthcare (Lexington, KY)
- **Molina Healthcare ** is hiring for a **Sr Business Analyst ** with experience in **Managed Care Compliance** . This role is **100% Remote** and open to all ... (EOE) M/F/D/V. Key Words: Enrollment, Enrollment Analyst , Analyst , Business Analyst , BA, Sr Business Analyst , Healthcare , Managed Care, MCO, Member,… more
- Atrius Health (Chelmsford, MA)
- …package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Medical Revenue Analyst - Healthcare Only* **Location:** *Chelmsford MA - ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected...audits including Medicare program, writing complex clinical medical necessity appeals , analysis of claims data and billing related issues… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …**Primary Function/General Purpose of Position** The Pharmacy Business & Performance Analyst will assist in administrating the pharmacy benefits program by ... maintaining the pharmacy benefit formulary, facilitating administrative appeals , auditing pharmacy benefit claims, and analyzing pharmacy benefits data. The Pharmacy… more
- TEKsystems (Indianapolis, IN)
- …and 1500 claims) + Experience with AR follow up, claims denials, insurance appeals , and knowledge of modifiers + Medicare, Medicaid, and Commercial claims required + ... Various Clearinghouse experience required + Paragon system or Medhost system experience preferred but not required About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity.… more
- 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
- City and County of San Francisco (San Francisco, CA)
- The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its ... recruitment therefore, it is their responsibility to contact the Analyst if they update their email address. Applicants will...Rule 111A.35.1. The standard for the review of such appeals is 'abuse of discretion' or 'no rational basis'… more
- State of Colorado (Denver, CO)
- Analyst III - Fugitive Apprehension Unit Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4701282) Apply Analyst III - Fugitive ... CO Job Type Full Time Job Number Par 83123 Analyst III 10.2024 Department Department of Corrections Opening Date...are contingent upon a successful medical screening by a healthcare professional, certifying the candidate's ability to perform the… more
- AbbVie (North Chicago, IL)
- …can be based in any state or city in the US The Supervisor, Insurance Analyst provides leadership, support, and supervision for the Insurance Analyst team . This ... commercial pharmacy, major medical, and government insurance plans, prior authorizations, appeals , and alternate coverage referrals. The supervisor ensures that all… 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...and/or the Memorandum of Understanding (MOU) dispute resolution compliant appeals process + Researching and analyzing historical data for… more
- Keystone Lab (Asheville, NC)
- …and challenging opportunity awaits a highly qualified Medical Insurance Billing & Reimbursement Analyst I in one of the most beautiful areas in the country, ... more cost-effectively than anyone else. Summary/Objective The Billing and Reimbursement Analyst is responsible for the maximization of reimbursements by contacting… more
- Integra Partners (Troy, MI)
- …member to help us turbocharge our analytical capabilities and thinking. The Business Analyst role will report to the Service Operations Director to support the ... overall development and growth of the Customer Service, Provider Claims & Appeals and Escalations departments, playing a key role in our growth and driving our… more
- R1 RCM (Chicago, IL)
- …analytics, AI, intelligent automation, and workflow orchestration. As our Underpayments Analyst , you will help R1 clients by analyzing claims information so ... prevent future underpayments. **Here's what you will experience working in Underpayments Analyst :** + You will be investigating and analyzing claims to identify… more
- R1 RCM (Detroit, MI)
- …analytics, AI, intelligent automation, and workflow orchestration. As our Denials & AR Analyst II, you will help R1 clients by analyzing claims information so that ... what you will experience working in Denials & AR Analyst II:** + You will be investigating and analyzing...contact payors to learn the status of previously resubmitted appeals . + You will be responsible for drafting appeal… more
- R1 RCM (Detroit, MI)
- …analytics, AI, intelligent automation, and workflow orchestration. As our Denials & AR Analyst I, you will help R1 clients by analyzing claims information so that ... you will experience working as a Denials & AR Analyst I:** + You will be investigating and analyzing...to learn the status of previously resubmitted claims, written appeals , or updates on incoming claims payments. + Utilizing… more