• Appeals Nurse Consultant - Fully Remote

    CVS Health (OH)
    …care for members. Administers review and resolution of clinical complaints and appeals . Interprets data obtained from clinical records to apply appropriate clinical ... experience, including hospital acute care/medical experience. + 1+ years of Appeals experience in Utilization Management + 3+ years utilization review experience.… more
    CVS Health (10/08/25)
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  • Clinical Denials Prevention & Appeals

    Nuvance Health (Danbury, CT)
    …44, MOON, Connecticut notice of conversion, etc. * Tracking and trending all appeals and communicating on a daily/regular basis with the Denials Management team. * ... Experience* * Bachelor's Degree (BSN) is highly preferred. * Minimum of Associate 's Degree in Nursing required when accompanied by strong demonstrated competencies… more
    Nuvance Health (09/26/25)
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  • Appeals Bureau: Trial Preparation…

    City of New York (New York, NY)
    …enthusiastic Trial Preparation Assistant, Level II (TPA II) to assist Appeals Bureau Assistant District Attorneys with post-conviction matters. JOB RESPONSIBILITIES: ... all other duties as assigned. PREFERRED SKILLS - A baccalaureate degree or associate 's degree preferred - Familiarity with general court services - Ability to… more
    City of New York (09/19/25)
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  • Appeals Bureau: Trial Preparation Assistant…

    City of New York (New York, NY)
    …Attorney is seeking an Attorney Assistants (TPA 2) to assist Appeals Bureau Assistant District Attorneys with post-conviction matters. JOB RESPONSIBILITIES: Specific ... all other duties as assigned. QUALIFICATIONS: - A baccalaureate degree or Associate 's Degree preferred. - Familiarity with general court services - Ability to… more
    City of New York (09/02/25)
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  • Medical Director - Medicare Grievances…

    Humana (Olympia, WA)
    …Medical Director relies on medical background and reviews health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope and ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (10/02/25)
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  • Corporate Medical Director - Medicare Grievances…

    Humana (Topeka, KS)
    …Director (CMD) relies on medical background to review health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope and ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (09/05/25)
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  • Associate Counsel

    New York State Civil Service (Albany, NY)
    NY HELP No Agency Corrections and Community Supervision, Department of Title Associate Counsel Occupational Category Legal Salary Grade NS Bargaining Unit M/C - ... hearings and arbitrations, ministerial, and investigations.Within the Office of Counsel, ASSOCIATE COUNSELS assist the Deputy Commissioner and Counsel of the… more
    New York State Civil Service (10/08/25)
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  • HR Advisor (Remote)

    Compass Group, North America (NC)
    …on the following: complaints about working conditions, disciplinary actions, Associate and applicant appeals , alleged wrongful terminations, harassment ... Leave + Holiday Time Off (varies by site/state) + Personal Leave + Associate Shopping Program + Health and Wellness Programs + Discount Marketplace + Identity… more
    Compass Group, North America (09/27/25)
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  • Medical Revenue Cycle Associate

    Robert Half Accountemps (Los Angeles, CA)
    Description We are looking for a detail-oriented Medical Revenue Cycle Associate to join our team our team in Los Angeles, California. The Medical Revenue Cycle ... Associate will play a critical part in optimizing the...balances as necessary. * Prepare and submit corrections or appeals for rejected claims, adhering to payer-specific guidelines and… more
    Robert Half Accountemps (09/19/25)
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  • IRS Tax Controversy & Procedure Senior…

    Access Dubuque (Dubuque, IA)
    IRS Tax Controversy & Procedure Senior Associate **Eide Bailly** 1 Positions ID: 8792 Posted On 08/21/2025 Refreshed On 09/21/2025 **Job Overview** **_Location:_** ... A typical day as an IRS Tax Controversy Senior Associate might include the following: + Provide consulting services...Assist in management and delivery of client IRS, audit, Appeals , collection and penalty abatement projects, including review and… more
    Access Dubuque (10/11/25)
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