- Elevance Health (Atlanta, GA)
- **Title: Grievance/ Appeals Analyst I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... unless an accommodation is granted as required by law._ " The **Grievance/ Appeals Analyst I** is an entry level position in the Enterprise Grievance &… more
- Elevance Health (Atlanta, GA)
- **Grievance/ Appeals Analyst Senior** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... onboarding and skill development. Shift hours: 8:00am - 4:30pm EST** The **Grievance/ Appeals Analyst Senior** is responsible for reviewing, analyzing, and… more
- Highmark Health (Atlanta, GA)
- …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
- State of Georgia (Fulton County, GA)
- Eligibility and Enrollment Analyst (State Based Exchange) Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/70188/other-jobs-matching/location-only) New ... Sign Up for Job Alerts Under supervision, the Eligibility and Enrollment Analyst is responsible for reviewing and updating program policies and operational… more
- State of Georgia (Fulton County, GA)
- Judicial Security Analyst Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/70206/other-jobs-matching/location-only) New ... Up for Job Alerts Job Summary The Judicial Security Analyst analyzes evidence, crime reports, and databases to assist...security for the Supreme Court of Geogia, Court of Appeals of Georgia, the Georgia State-wide Business Court, and… more
- Evolent (Atlanta, GA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Analyst , Client Analytics** Integrate and analyze claims and enrollment data from multiple ... Evolent's clinical services (ie, specialty care, utilization management, care management, appeals & grievances) + Using analytical tools to integrate various data… more
- Koniag Government Services (Savannah, GA)
- FOIA Analyst 2003 The News Pl, Savannah, GA 31405, USA Req #623 Friday, June 27, 2025 **PacArctic, LLC** , a Koniag Government Services company, is looking for ... appropriate agency-specific components and OGAs. + Respond to FOIPA administrative appeals and litigation requirements. + Conduct appropriate research for background… more
- BrightSpring Health Services (Valdosta, GA)
- …balancing and reporting.* Maintain open communication with Billing Specialist, Cash Application Analyst and Operations.* Send cash transfer & check requests to the ... with State Billing Portal sites, preferred.* Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement preferred*… more
- Molina Healthcare (Columbus, GA)
- …+ Experience working with complex, often highly technical teams + Appeals & Grievance, healthcare services, or claims background **Preferred License, Certification, ... Association** Certified Business Analysis Professional (CBAP), Certification from International Institute of Business Analysis preferred To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job… more
- Intermountain Health (Atlanta, GA)
- …updates to charging/coding/NCCI regulations and/or errors, and regarding audits and appeals , to facilitate corrective action planning for improved processes. 7. ... Complies with all CMS, Federal and State regulations, and payor guidelines, and ensures consistent and compliant application with charge/coding capture, charge editing, and audit and reimbursement practices. Researches and collaborates on regulation updates to… more