- CVS Health (Columbus, OH)
- …staff education **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… more
- Elevance Health (Richmond, VA)
- **Title: Grievance / Appeals Analyst II** **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 II** will be...and indemnity) related to clinical and non clinical services, quality of service, and quality of care… more
- Elevance Health (Topeka, KS)
- ** Grievance / Appeals Analyst I** **Candidates...and indemnity) related to clinical and non clinical services, quality of service, and quality of care ... must be located within 50 miles of Topeka, KS** The ** Grievance / Appeals Analyst I** is an entry level position in the Enterprise Grievance & Appeals … more
- Elevance Health (Richmond, VA)
- **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...and indemnity) related to clinical and non clinical services, quality of service, and quality of care… more
- City of Cincinnati (Cincinnati, OH)
- …have knowledge and experience with collective bargaining agreements, corrective action, and grievance and appeals procedures; must be skilled in analyzing and ... HUMAN RESOURCES ANALYST (GENERALIST) Print (https://www.governmentjobs.com/careers/cincinnati/jobs/newprint/4674095) Apply HUMAN RESOURCES ANALYST (GENERALIST)… more
- The Cigna Group (Bloomfield, CT)
- …with every other weekend (Tuesday ALT Day).** + Must have experience in Medicare Appeals , Utilization Case Management or Compliance in Medicare Part C + Ability to ... differentiate different types of requests Appeals , Grievances, coverage determination and Organization Determinations in order to ensure the correct processing of… more
- Sacramento County (Sacramento, CA)
- …years of experience in Sacramento County service in the class of Senior Personnel Analyst or Labor Relations Representative. Or: 2. Four years of experience in a ... duties, including a minimum of one year experience in discipline, grievance investigation, arbitration, or labor negotiations (public sector experience is highly… more
- LA Care Health Plan (Los Angeles, CA)
- …following 3 health plan functions: Call Center Operations, Enrollment Services Operations, Appeals & Grievance Operations For Advanced Analytics Lab: Preferred: ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...requirement. Preferred: Experience in leading a team of data analyst knowledgeable in SQL. Experience and knowledge in Python… more