- 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
- Point32Health (Watertown, MA)
- …the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for ... the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works… more
- Highmark Health (Harrisburg, PA)
- …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
- TEKsystems (Tampa, FL)
- …will be on the bill review team specifically working in the backlog of appeals . The Bill Review Analyst position holds accountability for accurate and timely ... and payment of bills to include pre-coding accuracy and adjudication of appeals /provider reconsideration requests. * Examines and adjudicates requests for appeals… 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
- TEKsystems (Minneapolis, MN)
- …II will also make corrections to adjusted and non-adjusted invoice lines. Moreover, the QA Analyst II, as part of our Appeals Team, will engage in written ... Job Description The Legal Invoice Review Quality Assurance Analyst II ("QA Analyst II") will...will also be responsible for handling escalated law firm appeals requiring special attention, known as appeals … more
- City and County of San Francisco (San Francisco, CA)
- …. Under the general direction of the IT Department Manager, the IS Business Analyst will be responsible for working closely with business partners to identify and ... potential solutions protypes and solution analysis. The IS Business Analyst will support multiple product channels and serve as...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- City and County of San Francisco (San Francisco, CA)
- …purposes only) - Correction to Job Title from IS Project Manager to IS Business Analyst - Senior This is a position-based test conducted in accordance with CSC Rule ... (https://www.flysfo.com/sites/default/files/Racial\_Equity\_Plan-4.06.2021-v19.pdf) . Under general direction, the 1053 IS Business Analyst - Senior is responsible for managing technical projects… more
- City and County of San Francisco (San Francisco, CA)
- …grants, contracts, budgets, finance, and/or program evaluation and planning. As an Administrative Analyst , you may work with a manager to perform research to develop ... the department. + Providing a real-world example, a Policy Analyst for the Office of the Treasurer & Tax...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- City and County of San Francisco (San Francisco, CA)
- …School District, or San Francisco City College, working within the 1822 Administrative Analyst classification. San Francisco is a vibrant and dynamic city, on the ... finance, and/or program evaluation and planning. As an Administrative Analyst , you may work with a manager to perform...is subject to change after adoption (eg, because of appeals ), as directed by the Human Resources Director or… more
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