• Appeals and Grievance Analyst

    Point32Health (TX)
    …direction of the Member Appeals and Grievance Supervisor the Member 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 (03/08/25)
    - Related Jobs

  • Appeals Analyst

    Highmark Health (Austin, TX)
    …of a grievance /appeal; documents, investigates, refers and coordinates grievances and appeals ; initiates a case file for each grievance and appeal; ensures ... Review inquiries to determine if they meet definition of appeal/ grievance . + Request and review all related relevant documentation...+ Participate in workgroup meetings to address trends in appeals and grievances and to work on process improvement… more
    Highmark Health (04/22/25)
    - Related Jobs