- Elevance Health (Los Angeles, CA)
- **Title: Grievance/ Appeals Analyst I** **Location:** This position will work a remote model. Ideal candidates will live within 50 miles of one of our PulsePoint ... locations. The **Grievance/ Appeals Analyst I** is an entry level position in the Enterprise Grievance & Appeals Department that reviews, analyzes and… more
- 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 position in the Enterprise Grievance & Appeals Department that… more
- Elevance Health (Columbus, GA)
- **Title: Grievance/ Appeals Analyst Lead** **Location:** This position will work a remote model. Ideal candidates will live within 50 miles of a PulsePoint ... location. The **Grievance/ Appeals Analyst Lead** will be responsible for leading and coaching a team of Grievance & Appeals Analysts in the Enterprise… more
- Motion Recruitment Partners (Durham, NC)
- Appeals Analyst Durham, NC **100% Remote** Contract $20/hr - $22/hr Our client, a nationally recognized and award-winning company in the health insurance ... vertical, has a contract to hire opening for an Appeals Analyst . They have over 4 million customers and 5,000+ employees dedicated to providing innovative… more
- Mount Sinai Health System (New York, NY)
- **Job Description** This position serves as Appeals Analyst for Central Billing Office management. Responsible for monitoring contractual allowances, analyzing ... and pursuing appeals opportunities with payors and networks, and reporting performance...network offices. 8. Prepares Adhoc payor performance metrics detailing appeals and recoveries. 9. Monitors, tracks, and corrects registration… more
- Federal Emergency Management Agency (Winchester, VA)
- …requirements must be met by the closing date of the announcement. To qualify for this Appeals Analyst position at the IC-13 level, you must possess one full year ... of specialized experience equivalent to at least the IC-12 level in the Federal government, which has equipped you with the skills needed to successfully perform the duties of the position. Experience may be obtained in the federal government, a state or local… more
- TEKsystems (Tampa, FL)
- …will be on the bill review team specifically working in the backlog of appeals . The Bill Review Analyst position holds accountability for accurate and timely ... and payment of bills to include pre-coding accuracy and adjudication of appeals /provider reconsideration requests. Prefer candidates to have worked in Mitchell Smart… more
- Point32Health (VA)
- …general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations ... the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works… more
- Travelers Insurance Company (Tampa, FL)
- …+ College degree preferred and /or equivalent work experience. + Previous Appeals experience reviewing workers compensation medical bills highly desirable. + Solid ... customer service telephone skills. + Strong interpersonal communication skills. + Strong verbal and written communication skills, including effective sentence construction, grammar, spelling, and punctuation. Basic computer skills: ability to toggle between… more
- CVS Health (Columbus, OH)
- …**Required Qualifications** Compliance experience Audit Experience Grievance and Appeals Experience **Preferred Qualifications** **Education** High School Diploma or ... GED **Pay Range** The typical pay range for this role is: $19.52 - $36.78 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will… more
- City and County of San Francisco (San Francisco, CA)
- …14, 2024, 11:59 PM PST + Recruitment ID: REF45372Y + Exam Analyst : Zoey Feng (###@sfgov.org) The Department The San Francisco Planning Department ... Planning Department's policies and practices. The 1053 IS Business Analyst -Senior is responsible for executing the business analysis and...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- CalSTRS (Sacramento, CA)
- …is seeking a motivated individual to work as an Associate Governmental Program Analyst on the Benefit Resolution, Appeals & Legislation Team. Service Retirement ... Job Posting: Benefit Resolution Analyst State Teachers' Retirement System JC-454955 - Benefit...Appeals and Legislation Team (BRAL) Associate Governmental Program Analyst (AGPA) works independently and in a team environment… more
- State of Colorado (Denver, CO)
- Data Analyst ( Analyst III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4721437) Apply Data Analyst ( Analyst III) Salary ... inform the mission of the DOL. POSITION SUMMARY TheData Analyst ( Analyst III)assists the DOL with a...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Clark County, NV (Las Vegas, NV)
- MANAGEMENT ANALYST I/II Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4717588) Apply MANAGEMENT ANALYST I/II Salary $30.32 - $50.81 ... is seeking qualified candidates to apply for the Management Analyst I/II position. As a member of our team,...applicant's response to each item in the assessment, score appeals will not be allowed for this recruitment. +… more
- Clark County, NV (Las Vegas, NV)
- BUSINESS SYSTEMS ANALYST I/II Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4718025) Apply BUSINESS SYSTEMS ANALYST I/II Salary ... Attorney's Office is actively hiring for a Business Systems Analyst I/II. As a member of our team, you...applicant's response to each item in the assessment, score appeals will not be allowed for this recruitment. +… more
- State of Colorado (Grand Junction, CO)
- CBI Western Slope Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4714262) Apply CBI Western Slope Analyst Salary $49,848.00 - ... Job Type Full Time Job Number RAA CBI #530 Analyst II Department Department of Public Safety Division Colorado...Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel… more
- City and County of San Francisco (San Francisco, CA)
- …that may impact the department. + Providing a real-world example, a Junior Policy Analyst for the Office of the Treasurer & Tax Collector could involve working to ... partners. + Providing a real-world example, a Junior Budget Analyst may have the opportunity to learn about the...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- City and County of San Francisco (San Francisco, CA)
- …grants, contracts, budgets, finance, and/or program evaluation and planning. As an Administrative Analyst , you may work with a manager to perform research to develop ... the department. + Providing a real-world example, a Policy Analyst for the Office of the Treasurer & Tax...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- City and County of San Francisco (San Francisco, CA)
- …years of verifiable professional human resources experience, similar to 1241 Human Resources Analyst , in one or more of the following areas of activity: recruitment ... Additional qualifying work experience as a professional human resources analyst may be substituted for up to two years...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… 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