- AbbVie (North Chicago, IL)
- …objectives or functions or outputs of this position. The Supervisor, Insurance Analyst provides leadership, support, and supervision for the Insurance Analyst ... commercial pharmacy, major medical, and government insurance plans, prior authorizations, appeals , and alternate coverage referrals. The supervisor ensures that all… more
- City and County of San Francisco (San Francisco, CA)
- …email about this recruitment therefore, it is their responsibility to contact the Analyst if they update their email address. Applicants will receive a confirmation ... may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department...regarding this recruitment or application process, please contact the analyst , Stephen Lee at ###@sfdph.org or ### . We… more
- Elevance Health (Cerritos, CA)
- **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 (Columbus, 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
- 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
- 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
- Point32Health (MA)
- …. **Job Summary** Under the general direction of the Manager, Appeals and Grievances the Supervisor, Appeals and Grievances using ... requirements, will coordinate and provide leadership for the daily operations of the Appeals and Grievances department. The supervisor represents the Appeals and… more
- State of Michigan (Lansing, MI)
- …(DIFS) is seeking an individual to work in public service as a Utilization Review Analyst in the Office of Appeals , Legal Research, and Market Regulation. This ... services industries. The right candidate will serve as a utilization review analyst responsible for processing provider appeals and applications for… more
