- Catholic Health Services (Melville, NY)
- …communicate and manage project scope; Assist in work plan development and management ; contributes to completion of project status reports. Lead meetings with staff ... planning, organizing, and managing resources) and all phases of the project management life cycle for a variety of initiatives Actively responds to questions… more
- ManpowerGroup (Columbia, SC)
- …to work in a dynamic and supportive environment. + Gain valuable experience in appeals and utilization management . + Collaborate with a knowledgeable and ... a leader in the healthcare industry, is seeking an Analyst , Appeals to join their team. As...+ 2 years clinical experience plus 1 year in utilization /medical review, quality assurance, or home health. + An… more
- Centene Corporation (Tallahassee, FL)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH healthcare providers...Mental Health Counselor required or + Board Certified Behavior Analyst (BCBA) preferred Pay Range: $26.50 - $47.59 per… more
- The County of Los Angeles (Los Angeles, CA)
- DISASTER SERVICES ANALYST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4684863) Apply DISASTER SERVICES ANALYST Salary $87,086.16 - ... Participates or conducts audits on grant purchases and maintains inventory management of grant funded emergency/disaster supplies and equipment. Medical and Health… more
- Sharecare (Frankfort, KY)
- …+ Research and resolution to eligibility, claims issues, ID card issues, grievances/ appeals , utilization management (UM) statusincluding but not limited ... Job Summary: The role of the Family Health Advocate-Research Analyst is an exciting and integral role in providing...3rd parties for:** + Claims adjustments + Grievances and appeals submissions + Utilization management … more
- Citigroup (Tampa, FL)
- …and functions, and utilization of various technology tools. The Tax Sr. Analyst role is responsible for the following deliverables: + Prepare and file personal ... The Corp Tax Senior Analyst is a seasoned professional role. Applies in-depth...+ Review and validate property tax assessments and prepare appeals as necessary + Resolves complex problems or transactions,… more
- Evolent (Des Moines, IA)
- …analytics team supporting Evolent's clinical services (ie, specialty care, utilization management , care management , appeals & grievances) + Using ... Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Analyst , Client Analytics** Integrate and analyze claims and enrollment data from multiple… more
- Evolent (Lansing, MI)
- …analytics team supporting Evolent's clinical services (ie, specialty care, utilization management , care management , appeals & grievances) + Using ... the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Operational Analytics** The Operational Performance Analytics team, a part of… more
- Access Dubuque (Dubuque, IA)
- Senior PBM Pricing Analyst **MedOne Pharmacy Benefit Solutions** 1 Positions ID: 3206644 Posted On 04/17/2025 **Job Overview** **Position Overview:** The Strategic ... Pricing Analyst position monitors contract performance, analyzes pharmacy claims data,...time + Collaborate with team members to execute MAC appeals process on a weekly basis + Develop and… more
- The County of Los Angeles (Los Angeles, CA)
- …organization, budget, systems and procedures, program, facilities planning, general management , and personnel. CLASSIFICATION STANDARDS: Positions allocable to this ... as assigned, for performing other specialized duties related to the overall management of the department. + Participates in the implementation of changes resulting… more