- Elevance Health (Colorado Springs, CO)
- …of clinical information. + The analyst may serve as a liaison between grievances & appeals and /or medical management, legal, and/or service operations and ... **Title: Grievance/ Appeals Analyst I** **Location:** This position...analyzes and processes non-complex pre service and post service grievances and appeals requests from customer types… more
- ManpowerGroup (Durham, NC)
- **Title:** **Clinical Appeals Analyst ** **Location: 4613 University Drive Durham NC 27707 United States (Onsite)** **Duration: 6+ months** **Pay rate: $41.75/hr ... appeals as required. + Analyse complex/non-routine member and provider appeals and grievances for all lines of business, excluding FEP, by reviewing CMP,… more
- Elevance Health (Louisville, KY)
- …of clinical information. + The analyst may serve as a liaison between grievances & and appeals and /or medical management, legal, and/or service operations, ... Department that reviews analyzes and processes non-complex pre-service and post-service grievances and appeals requests from customer types (ie member,… more
- City and County of San Francisco (San Francisco, CA)
- …bargaining agreements. + Key duties include negotiating resolutions to grievances , investigating complaints of serious employee misconduct, and conferring with ... professional human resources experience, similar to 1241 Human Resources Analyst , in one or more of the following areas...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- LA Care Health Plan (Los Angeles, CA)
- … Analyst III Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: ... net required to achieve that purpose. Job Summary The Business Analyst III facilitates business process improvement via the methodical investigation, analysis,… more
- The Cigna Group (Nashville, TN)
- …in Medicare Part C + Ability to differentiate different types of requests Appeals , Grievances , coverage determination and Organization Determinations in order to ... documentation of final documentation of final determination of the appeals using the appropriate system applications, templates, communication process, etc.… more
- LA Care Health Plan (Los Angeles, CA)
- …Grievance Compliance Advisor Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... call documentation and categorization, service authorization request and coverage determination , Appeals and Grievances across all lines of business). This… more
- State of Colorado (CO)
- …is responsible for supervision including performance management, resolving informal grievances , documentation to support corrective and disciplinary actions, and ... Qualifications, Substitutions, Conditions of Employment & Appeal Rights *A Human Resources Analyst will only review the work experience/job duties sections of the… more
- State of Colorado (Arapahoe County, CO)
- …disciplinary actions, sign performance plans and appraisals, and resolve informal grievances . Initiate the hiring process, interview applicants, and recommend hire, ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information This… more