• Member Appeal Analyst

    Corewell Health (Grand Rapids, MI)
    …steps of the member appeal and fair hearing processes for all non- Medicare products to thoroughly investigate appeal requests, leveraging critical thinking skills, ... system issues to determine course correctionsApply strong analytical skills and business knowledge to investigation, analysis and recommendation of solutions to… more
    Corewell Health (06/27/25)
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  • Reimbursement Analyst

    Corewell Health (Grand Rapids, MI)
    …with CMS & State of Michigan regulations. Maintains up-to-date knowledge of Medicare /Medicaid rules and regulations. + Facilitate the timely and accurate reporting ... to appropriate leadership. + Apply strong analytical skills and business knowledge to the investigation, analysis and recommendation of...pay program powered by Payactiv + Discounts directory with deals on the things that matter to you, like… more
    Corewell Health (07/26/25)
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  • Supervisor, Appeals and Grievances

    Point32Health (MA)
    …agencies (National Committee for Quality Assurance / NCQA and Centers for Medicare & Medicaid Services / CMS), providers, high profile employer groups (Group ... in the field, responding to requests from sales). The supervisor routinely deals with escalated issues, the supervisor must demonstrate strong professional judgment… more
    Point32Health (07/22/25)
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