- 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 (On ... W2)** **Job Description:** The Clinical Appeals Consultant is responsible for supporting the increased workload in the Claims Department, particularly due to an… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... required to achieve that purpose. Job Summary The Supervisor, Customer Solution Center Appeals & Grievances is responsible for direct supervision and support of the… more
- Fallon Health (Worcester, MA)
- **Overview** **About us:** Fallon Health is a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in ... purpose** : Responsible for the coordination and timely completion of provider appeals . Serves as a liaison between Fallon Health and contracted and non-contracted… more
- CVS Health (Carson City, NV)
- …affordable. Position Summary Responsible for managing to resolution of Fast Track Appeals for Medicare products, which may contain multiple issues and, may require ... report and recommend solutions. Research incoming Medicare Fast Track appeals to identify if appropriate for unit based upon...Track appeal is handled within established timeframe to meet company and regulatory requirements. Act as single point of… more
- Universal Health Services (Richmond, VA)
- …The Atlantic Region CBO is seeking a dynamic and talented Senior Appeals Specialist. The Senior Appeals Specialist is responsible for the ... resolution of all appeals relating to technical issues identified during the billing...Dental, Vision and Prescription Drug Plans + 401(K) with company match and discounted stock plan + SoFi Student… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member… more
- CVS Health (Hartford, CT)
- …make health care more personal, convenient and affordable. Position Summary Aetna, a CVS Health Company , a Fortune 6 company , is one of the oldest and largest ... of this Medical Director role are related to Medicare Appeals .* Direct daily work on part C appeals...This position also includes an award target in the company 's equity award program. In addition to your compensation,… more
- Universal Health Services (Richmond, VA)
- …Companies. Our operating philosophy is as effective today as it was upon the Company 's founding in 1979: Build or acquire high quality hospitals in rapidly growing ... Atlantic Region CBO is seeking a dynamic and talented Appeals Specialist. The Appeals Specialist is responsible...Dental, Vision and Prescription Drug Plan 401k plan with company match + Generous Paid Time Off If you… more
- Elevance Health (Woodland Hills, CA)
- **Title: Grievance/ Appeals Analyst I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of ... our PulsePoint locations. The **Grievance/ Appeals Analyst I** is an entry level position in...provider networks, the medical management process, claims process, the company 's internal business processes, and internal local technology is… more
- Elevance Health (Louisville, KY)
- **SCA Appeals Representative I** **Locations:** This is a virtual position. The ideal candidate must live within 50 miles of one of our NGS OR Elevance Health Pulse ... - $17.25 + Atlanta, GA - $18.15 + Louisville, KY - $17.25 The **SCA Appeals Representative I** position is an entry-level position in the NGS Appeals Department… more