- Henry Ford Health System (Troy, MI)
- …for the prompt and thorough investigation of medical and pharmacy member appeals and grievances for Health Alliance Plan's (HAP's): Commercial, Medicare Advantage, ... Medicare-Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify trending issues on an ongoing basis and provide root/cause analysis when… more
- AmeriHealth Caritas (Manchester, NH)
- …data experience updating the directory, claims payout, etc. + Experience with the appeals and grievance process preferred + Proficiency with Microsoft Office ... services. Discover more about us at www.amerihealthcaritas.com. The Provider Network Operations Analyst is responsible for the following day to day activities in… more