- Elevance Health (Tampa, FL)
- **Grievance/ Appeals Analyst Lead** **Candidates must be located within 50 miles an Elevance Health PulsePoint office. This position is primarily work from home ... you to work in the office quarterly.** **Schedule: Monday-Friday 8am-5pm EST** The **Grievance/ Appeals Analyst Lead** is responsible for leading and coaching a… 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
- Mount Sinai Health System (New York, NY)
- **Job Description** This position serves as Appeals Analyst for Central Billing Office management. Responsible for monitoring contractual allowances, analyzing ... and pursuing appeals opportunities with payors and networks, and reporting performance...network offices. 8. Prepares Adhoc payor performance metrics detailing appeals and recoveries. 9. Monitors, tracks, and corrects registration… more
- Point32Health (MA)
- …general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations ... the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works… more
- ManpowerGroup (Columbia, SC)
- Our client, a leader in the healthcare industry, is seeking an Analyst , Appeals to join their team. As an Analyst , Appeals , you will be part of the ... clinical background which will align successfully in the organization. **Job Title:** Analyst , Appeals **Location:** Columbia, SC **Pay Range:** Not specified… more
- Highmark Health (Bismarck, ND)
- …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
- CVS Health (Columbus, OH)
- …matter and independently coaches others on matters regarding complaints and appeals , ensuring compliance with federal and/or state regulations. Ensures compliance ... audits. + Analyzes basic quality and completeness of the complaints and appeals documentation to ensure the accuracy, clarity, and compliance of the information… more
- Catholic Health Services (Melville, NY)
- …Performs extensive data analytics, documents findings and recommendations to meet department and corporate goals. Builds, documents and maintains workflows related to ... all phases of department processes and systems. Able to act as an operations' liaison, collaborating with various entities including payers, clinical, financial and/or operational departments. Duties/Responsibilities: Conducts data analysis with a high degree… more
- Elevance Health (Middletown, NY)
- **Title: Grievance/ Appeals Analyst Lead** **Location:** This position will work a hybrid model. Ideal candidates will live within 50 miles of one of our ... PulsePoint locations. The **Grievance/ Appeals Analyst Lead** will be responsible for leading and coaching a team of Grievance & Appeals Analysts in the… 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