- Elevance Health (Tampa, FL)
- **Grievance/ Appeals Analyst Lead** **Candidates must be located within 50 miles an Elevance Health PulsePoint office. This position is primarily work from home ... you to work in the office quarterly.** **Schedule: Monday-Friday 8am-5pm EST** The **Grievance/ Appeals Analyst Lead** is responsible for leading and coaching a… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including ... fashion. In collaboration with the Underpayment Team manager, the Senior CBO Appeals Analyst will work to further the CBO's goals of enhancing contract… 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
- Point32Health (MA)
- …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
- ManpowerGroup (Columbia, SC)
- Our client, a leader in the healthcare industry, is seeking an Analyst , Appeals to join their team. As an Analyst , Appeals , you will be part of the ... clinical background which will align successfully in the organization. **Job Title:** Analyst , Appeals **Location:** Columbia, SC **Pay Range:** Not specified… more
- Highmark Health (Carson City, NV)
- …of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals ; initiates a case file for each grievance and appeal; ensures ... all involved parties. + Participate in workgroup meetings to address trends in appeals and grievances and to work on process improvement initiatives with cross… more
- Penske (Reading, PA)
- **Position Summary:** The Tax Analyst is an integral member of the Fleet Services Organization. This dynamic position will be responsible for providing analysis and ... audits, including negotiating with auditors and interfacing with taxing jurisdictions. -Perfect appeals and refund claims. -The position will require the ability to… more
- LA Care Health Plan (Los Angeles, CA)
- Appeals & Grievances Regulatory Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... documentation and categorization, service authorization request and coverage determination , Appeals and Grievances across all lines of business). This position is… more
- Centene Corporation (Tallahassee, FL)
- …or + LMHC-Licensed Mental Health Counselor required or + Board Certified Behavior Analyst (BCBA) preferred Pay Range: $26.50 - $47.59 per hour Centene offers a ... comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will… more
- MyFlorida (Tallahassee, FL)
- SENIOR BENEFITS ANALYST - 72002415 Date: May 1, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 852392 Agency: Management Services Working Title: SENIOR BENEFITS ANALYST - 72002415 Pay Plan: Career Service Position Number: 72002415 Salary:… more
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