• General Attorney

    Securities and Exchange Commission (Washington, DC)
    Summary The Appellate group represents the Commission in appeals of civil enforcement actions and in petitions seeking review of Commission adjudicatory actions, ... and other documents for filing in the United States Supreme Court, courts of appeals , and district courts. Present oral argument in appeals from district court… more
    Securities and Exchange Commission (09/05/25)
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  • Program Representative- Advanced

    Health Advocates Network (Harrisburg, PA)
    …Waiver. The employee will act as the waiver liaison regarding Hearings and Appeals , will prepare materials and coordinate staff members' participation in response to ... a request for appeal; will coordinate with the Bureau of Hearings and Appeals ; will maintain records of any requests for pre-hearing conferences or appeals .… more
    Health Advocates Network (09/05/25)
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  • Prior Authorization Specialist

    US Tech Solutions (May, OK)
    …upon established standards. + Utilizing multiple software systems to complete Medicare appeals case reviews + Meeting or exceeding government mandated timelines + ... Med D guidance + Utilizing multiple software systems to complete Medicare appeals case reviews + Meeting or exceeding government mandated timelines + Complying… more
    US Tech Solutions (09/04/25)
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  • Supervisor - Billing Operations

    Caris Life Sciences (Irving, TX)
    …of our financial operations. This position is responsible for overseeing the appeals process within the billing department, ensuring timely and accurate resolution ... and maintain standard operating procedures (SOPs) for claim follow-up and appeals processes. + Monitor and manage appeal workflows, prioritizing high-impact or… more
    Caris Life Sciences (09/04/25)
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  • Quality Control Senior Manager

    HCA Healthcare (Nashville, TN)
    …coverage. + Provide crucial support to the regulatory compliance team in managing appeals and improving documentation to meet regulatory standards. + Serve as a ... from the centralized peer-to-peer team and others regarding denials and appeals processes, observation level of care, decisions about admission, patient transitions,… more
    HCA Healthcare (09/04/25)
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  • Medical Billing Specialist

    Thrive Proactive Health (Virginia Beach, VA)
    …billing partners while learning the ins and outs of insurance billing, denials, appeals , and patient financial support. This position is ideal for someone who enjoys ... Submit and follow up on claims, corrected claims, and appeals . + Denials & A/R Management : Investigate, appeal,...Specialist (Experienced): Take ownership of full claim lifecycles, denials, appeals , and collections. + Level 3 - Senior Billing… more
    Thrive Proactive Health (09/04/25)
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  • Medical Director - Dsnp/MMP

    CVS Health (Tallahassee, FL)
    …needed and state calls. Understand UM and participate in UM front line work and appeals in markets as needed. * Confer directly with providers regarding the care of ... director teams focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review, and provider appeals … more
    CVS Health (09/04/25)
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  • Public Defender 1 - Mason City Office

    Iowa Department of Administrative Services (Mason City, IA)
    …IA Job Type Full-time Job Number 26-00567 Agency 428 Department of Inspections, Appeals & Licensing - Public Defender Opening Date 09/03/2025 Closing Date 10/3/2025 ... a non-merit position for the Iowa Department of Inspections, Appeals & Licensing - Public Defender. Positions in this...Employer State of Iowa Agency 428 Department of Inspections, Appeals & Licensing - Public Defender Address 6200 Park… more
    Iowa Department of Administrative Services (09/03/25)
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  • Denials & AR Operations Support I-Fully In Office

    R1 RCM (Southfield, MI)
    …will help our Denials/AR team by submitting the required documents for prepared appeals . Every day you will review and gather medical documentation and successfully ... packages to be submitted to various payers + Submit appeals to various payers in accordance with specific facility...in accordance with specific facility protocols + Navigate Quantum Appeals , R1 software suite, and combined use of other… more
    R1 RCM (08/31/25)
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  • Imaging Supervisor - Department of Public Health

    City and County of San Francisco (San Francisco, CA)
    …under Civil Service Rule 111A.35.1. The standard for the review of such appeals is 'abuse of discretion' or 'no rational basis' for establishing the position ... description, the minimum qualifications and/or the certification rule. Appeals must include a written statement of the item(s) being contested and the specific… more
    City and County of San Francisco (08/29/25)
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