- 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 ... for employment, unless an accommodation is granted as required by law._ " The ** Grievance / Appeals Analyst I** is an entry level position in the Enterprise … 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
- Point32Health (Watertown, MA)
- …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… more
- Point32Health (MA)
- …or related field + Preferred: Experience + Required (minimum): 4-6 years of Appeals and Grievance experience.1-2 years of prior supervisor experience; health ... . **Job Summary** Under the general direction of the Manager, Appeals and Grievances the Supervisor, Appeals and Grievances using… more
- CVS Health (Richmond, VA)
- …ongoing provider in-services and provider education. + Participates, when requested, in Grievance and Appeals meetings, and/or assists with tracking and trending ... obtain crucial or required information from Providers, such as HEDIS, Credentialing, Grievance and Appeals , SIU, etc. Coordinates provider status information… more
- City of Stockton, CA (Stockton, CA)
- …in labor negotiations; provides strategic guidance to staff on disciplinary appeals , grievance /arbitration appeals and labor negotiations proposals. ... Supervising Human Resources Analyst Print (https://www.governmentjobs.com/careers/stockton/jobs/newprint/5012788) Apply Supervising Human Resources Analyst … more
- City and County of San Francisco (San Francisco, CA)
- …School District, or San Francisco City College, working within the Human Resources Analyst (1241) classification. San Francisco is a vibrant and dynamic city, on the ... of understanding; implements pay provisions of arbitration awards, mediated and grievance settlements; and reviews, analyzes, and processes requests for special pay… more
- Corewell Health (Grand Rapids, MI)
- …or advanced level using Microsoft Office Suite preferred + Previous experience with grievance and appeals processes. Preferred How Corewell Health cares for you ... Essential Functions + Responsible for complex and thorough investigation of appeals , external complaints, and fair hearing reviews including: formulate action plan… more
- City of La Mesa, CA (La Mesa, CA)
- …documentation; assists in the administration of disciplinary hearing process and grievance appeals ; and works through discipline and termination procedures ... Senior Management Analyst (Human Resources ) Salary $101,587.20 - $123,468.80...La Mesa is seeking an experienced, dynamic Senior Management Analyst to join our Human Resources team. This pivotal… more
- Molina Healthcare (Cleveland, OH)
- …Management + 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… more
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