- CVS Health (Columbus, OH)
- …other concerns expressed by patients, providers, or other stakeholders. + Analyzes basic quality and completeness of the complaints and appeals documentation to ... under close supervision. **Required Qualifications** Compliance experience Audit Experience Grievance and Appeals Experience **Education** High School Diploma… more
- 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
- Elevance Health (Richmond, VA)
- **Title: Grievance / Appeals Analyst I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles ... of one of our PulsePoint locations. The ** Grievance / Appeals Analyst I** is an...and indemnity) related to clinical and non clinical services, quality of service, and quality of care… more
- Elevance Health (Las Vegas, NV)
- **Title: Grievance / Appeals Analyst I** **Location:** This position will work a remote model. Ideal candidates will live within 50 miles of one of our ... PulsePoint locations. The ** Grievance / Appeals Analyst I** is an...and indemnity) related to clinical and non clinical services, quality of service, and quality of care… more
- The Cigna Group (Nashville, TN)
- Cigna Medicare Part C Appeals Reviewer: Appeals Processing Analyst We will depend on you to communicate some of our most critical information to the correct ... appeals and related issues, implications and decisions. The Case Management Analyst reports to the Supervisor/Manager of Appeals and will coordinate and… more
- Corewell Health (Grand Rapids, MI)
- …SITE - Priority Health - 1239 E Beltline - Grand Rapids Department Name PH - Grievance And Appeals Medicare Employment Type Full time Shift Day (United States of ... Job Summary The Appeals intake coordinator position is focused on the...member will assign the incoming concern to the appropriate analyst and may assist in investigations, documentation gathering, and… more
- The Cigna Group (Nashville, TN)
- … appeals and related issues, implications and decisions. The Case Management Analyst reports to the Supervisor/Manager of Appeals and will coordinate and ... **Cigna Medicare Appeals Reviewer:** We will depend on you to...as well as Part B drugs. The Case Management Analyst will be responsible for analyzing and responding appropriately… more