- CVS Health (Albany, NY)
- …This person will be responsible for curating, leading, and providing oversight of our proficiency program. This includes planning, executing, and supervising ... departmental projects to ensure they are completed within scope and aligned with organizational objectives. **Functional Components** + Collaborating with account executives to resolve any member or plan sponsor complaints. + Communicates professionally and… more
- Ochsner Health (New Orleans, LA)
- …make a difference at Ochsner Health and discover your future today!** The Appeals Specialist is responsible for managing and resolving insurance claim denials and ... Collaborate with clinical staff and coding teams to obtain necessary documentation for appeals + Track and monitor appeal status, maintaining detailed records in the… more
- Henry Ford Health System (Troy, MI)
- …for the prompt and thorough investigation of medical and pharmacy member appeals and grievances for Health Alliance Plan's (HAP's): Commercial, Medicare Advantage, ... Medicare-Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify trending issues on an ongoing basis...from State and Federal agencies and speak before members, senior leaders and other key stakeholders to present appeal… more
- City and County of San Francisco (San Francisco, CA)
- …that the City and County of San Francisco has to offer. As a Senior Administrative Analyst , you will be responsible for directing and performing challenging, ... compliant contract operations. + Providing a real-world example, a Senior Contracts Analyst could assist with procurement...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)
- …steps to advance in this selection process, which includes the following: Senior Human Resources Analyst Core Exam (Weight: 100%) Candidates self-certifying ... Qualifications will be invited to participate in the online Senior Human Resources Analyst Core Exam. Candidates...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)
- …of California San Francisco and UC Law San Francisco. Under direction, the 1813 Senior Benefits Analyst performs complex benefits work for the City's health, ... projects in an assigned benefit program. Additionally, the 1813 Senior Benefits Analyst directly oversees a team...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- Clark County, NV (Las Vegas, NV)
- SENIOR ENTERPRISE SYSTEMS ANALYST Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4931637) Apply SENIOR ENTERPRISE SYSTEMS ... (ERP) is seeking qualified candidates to apply for the Senior Enterprise Systems Analyst position. We are...applicant's response to each item in the assessment, score appeals will not be allowed for this recruitment. +… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Analyst Senior Location: Hybrid | Eagan, Minnesota Career Area: Data ... are ready to make a difference, join us. The Impact You Will Have The Senior Healthcare Analyst is responsible for contributing to and supporting the strategic… more
- Nightwing (Sterling, VA)
- …civil, and commercial markets. Nightwing seeks a full-time Information Review and Release Analyst ( senior -performance level) in the Herndon, VA area in support ... agencies. The person in this position serves as an Analyst and/or Case Manager for the Executive Order Mandated...for the Executive Order Mandated (EOM), FOIA, PA, and Appeals requests, from the receipt of the initial request… more
- CVS Health (Hartford, CT)
- …we do it all with heart, each and every day. **Position Summary** The Sr. Analyst , MHK Product Owner (PO) is responsible for leading the MHK product development and ... configuration for the Grievance & Appeals (G&A) Department. This role contributes to the product...with the ability to establish working relationships across the senior management team, business units, as well as with… more