- Highmark Health (Boston, MA)
- …of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals ; initiates a case file for each grievance and appeal; ensures ... all involved parties. + Participate in workgroup meetings to address trends in appeals and grievances and to work on process improvement initiatives with cross… more
- Point32Health (Canton, MA)
- …be doing** + Assign new verbal and written appeals and grievances to Appeals and Grievances Analyst + Process Fast Track Appeals including monitoring ... Management, and Independent Review Organization (IRO) + Support A&G Analyst in timely completion of Appeals and...Support A&G Analyst in timely completion of Appeals and Grievances + Adheres to all regulatory and… more
- Beth Israel Lahey Health (Burlington, MA)
- …you're making a difference in people's lives.** **Job Description:** The Utilization Analyst works with physicians, the payers and inpatient case management team to ... intensity of medical care provided. This role specifically works with insurance appeals and denials, this role is onsite. **Essential Duties & Responsibilities**… more
- Boston University (Boston, MA)
- …Report. + The Assistant Provost supervises the work undertaken by the Senior Data Analyst in Graduate Affairs. + The Assistant Provost uses data from the Doctoral ... for Graduate Affairs and the programs themselves. + Academic Appeals : + The Assistant Provost is the primary reviewer...Assistant Provost is the primary reviewer of graduate academic appeals that reach the Office of the Provost. +… more
- Boston University (Boston, MA)
- …Develop and monitor metrics to measure success, in collaboration with GP data analyst . Essential Function 2: [25%] + Lead a combined staff of 17.0 professionals ... explore potential leveraging of funds for increasing enrollments; consider student appeals and grant exceptions as appropriate. Required Skills + Master's Degree… more