- UnitedHealth Group (Minnetonka, MN)
- …to our patients. Join us in making an impact as an Optum Team Member supporting Pro Health Care and discover the meaning behind Caring. Connecting. Growing together ... register and ensure guidelines are used and followed appropriately Understanding of appeal process with knowledge how to speak to denial and/or appeals Provide… more
- Commonwealth Care Alliance (Boston, MA)
- …to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, and timely reimbursements ... issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare,… more
- State of Colorado (Colorado Springs, CO)
- Retail Business Analyst II - Lottery Sales Representative Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5164371) Apply Retail Business ... Analyst II - Lottery Sales Representative Salary $55,716.00 Annually...and procedures. Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights Residency Requirement: This posting is only open… more
- Point32Health (FL)
- …documentation and correspondence to the member outlining final disposition of the member 's appeal or grievance providing further appeal options as ... Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for...lines of business. **Job Description** + Act as a member advocate; clearly communicating the appeal and… more
- Point32Health (Canton, MA)
- …the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal ... the member outlining final disposition of the member 's appeal or grievance providing further ...the judgment to seek out guidance as needed. The Analyst is responsible for the accurate coordination, efficient administration… more
- City and County of San Francisco (San Francisco, CA)
- …The department is comprised of seven divisions: Administration, Finance, Member Services Communications, Enterprise Systems and Analytics (ESA), Contracts, and ... Francisco and UC Law San Francisco. Under direction, the 1813 Senior Benefits Analyst performs complex benefits work for the City's health, dental, vision, Flexible… more
- 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 ... employment, unless an accommodation is granted as required by law._ The **Grievance/Appeals Analyst I** is an entry level position in the Enterprise Grievance &… more
- State of Colorado (Golden, CO)
- Research Billing System Analyst I Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5158238) Research Billing System Analyst I Salary ... Benefits Department Information PLEASE NOTE:Please apply directly at Mines Careers:https://mines.wd1.myworkdayjobs.com/en-US/Mines\_Careers/details/Research-Systems- Analyst -I\_JR107573 About Mines & Golden, CO When the world… more
- Loyola University Chicago (Chicago, IL)
- Data Integrity Gift Analyst Thank you for your interest in Loyola University Chicago. To view open positions, please enter your search criteria below. You may view ... at www.luc.edu/transformativeed. Position Details Position Details Job Title DATA INTEGRITY ANALYST Position Number 8101645 Job Category University Staff Job Type… 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 ... accommodation is granted as required by law. The **Grievance and Appeals Analyst II** is responsible for providing support services for multiple states,… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Insurance Complaint Analyst Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5163273) Apply Insurance Complaint Analyst Salary $62,337.60 - ... The Iowa Insurance Division is seeking a highly motivated analyst to join our Market Regulation Bureau. This crucial...are committed to your well-being. As a valued team member , you'll enjoy a comprehensive benefits package that includes:… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR DISASTER SERVICES ANALYST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4320334) Apply SENIOR DISASTER SERVICES ANALYST Salary ... their own user ID and password. Using a family member 's or friend's user ID and password may erase...moving through the process. DEPARTMENT CONTACT: Tanisha Buggs, Exam Analyst ### ###@dhs.lacounty.gov CALIFORNIA RELAY SERVICES PHONE : ###… more
- Devereux Advanced Behavioral Health (Mays Landing, NJ)
- **Description** **Does program development, professional growth, and opportunities for career advancement appeal to you? Would you like to be part of a collaborative ... benefits, effective 30 days after employment:https://www.mydevereuxbenefits.org/ **The Board-Certified Behavior Analyst (BCBA) reports directly to the Clinical Administrator. The… more
- State of Colorado (CO)
- …inventory analyst Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights Residency Requirement: This posting is only open to residents ... + Current or prior state experience as a business/data analyst . + Current or previous experience at a state...from consideration for this position, you may file an appeal with the State Personnel Board or request a… more
- State of Colorado (CO)
- …eligible for overtime compensation. Department Contact Information Anita McEachern - HR Analyst at ###@state.co.us Type of Announcement A residency waiver has been ... of each live race for gate malfunctions or any other interference. Serves as a member of the Board of Stewards for hearings, orders, and licensing + Serves as a… more
- State of Colorado (Denver, CO)
- …eligible for overtime compensation. Department Contact Information Haley Thompson, HR Analyst , ###@state.co.us How To Apply Please submit an online application for ... and are tech savvy! As a Call Center team member you will: + Educate inbound callers over the...of interview. Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights Residency Requirement: This posting is only open… more
- State of Colorado (Greeley, CO)
- …substance abuse screening and assessments, and participates as a team member and clinical consultant with other assessment and regional personnel. Information ... duties as assigned. Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights Applicants must meet the minimum qualifications listed below to… more
- State of Colorado (Lakewood, CO)
- …rubrics for student work. Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights Experience must be described in detail on your application ... and minimum requirements. Minimum Qualification Screening Process: A Human Resources Analyst will review the work experience/job duties sections of the online… more
- State of Colorado (Pueblo, CO)
- …as directed during regulatory surveys. May perform as an adhoc Reference Committee member for the Policy and Procedure process utilizing expertise for ongoing policy ... the department. Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights Minimum Qualifications: Applicants must possess a valid, active… more
- State of Colorado (Pueblo, CO)
- …skills. Description of Job About the Position: + Exists as a collaborative member of the individual Team in the assessment, development, and implementation of the ... Appointing Authority. Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights Education/Licensure/Certification/Experience: + High school diploma or General… more
