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Remote Grievance/Appeal Analyst jobs

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GRIEVANCE AND APPEAL - SENIOR ANALYST

This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accele...

CompanyCvs Health
AddressColumbus, OH
CategoryInformation Technology
Date Posted 5 hours ago See detail

Grievance and Appeal - Senior Analyst New

Cvs Health

Columbus, OH

This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accele...

5 hours ago seen See more...

Grievance & Appeals Analyst (Full-time Remote, North Carolina Based)

Alliance Health

Morrisville, NC

$25.00 - $32.50 an hour

Responsible for receiving and monitoring information related to provider quality assurance issues including but not limited to grievances, quality of care concerns, and/or appeals. Works to ensure comprehensive quality assurance i...

2 months ago seen See more...

Appeals Processing Analyst (Payment Analysis) - Remote - Nationwide

Vituity

Sacramento, CA

Assess training opportunities and provide training to team. Create and analyze reports. Conduct payer or practice line analysis. Support team with Q&A. Ensures team procedures are current. Support supervisor with daily workflow or...

4 weeks ago seen See more...

Grievance/Appeals Analyst I

Elevance Health

Lexington, KY

Reviews, analyzes and processes non-complex grievances and appeals in accordance with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, under...

a month ago seen See more...

Grievance/Appeals Analyst I (California)

Elevance Health

WOODLAND HILLS, CA

Reviews, analyzes and processes non-complex grievances and appeals in accordance with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, under...

a month ago seen See more...

REMOTE | Coordinator Appeals & Grievances

Amerihealth Caritas

Dublin, OH

$35.9K - $45.5K a year

Research and Investigate member and/or provider appeals and grievance requests, including review of UM/claim denial reasons, contract/regulatory rules, benefits, and documentation received on appeal/grievance. Outreach call(s) mad...

4 weeks ago seen See more...

Grievances and Appeals Analyst I

Elevance Health

LAS VEGAS, NV

Reviews, analyzes and processes non-complex Grievances and Appeals in accordance with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, under...

a month ago seen See more...

Clinical Reviewer, Grievance & Appeals - Remote

Connecticare

New York, NY

$63,000 - $110,000 a year

Prepare and present clinical summations/recommendations to the Medical Director or Pharmacist, or Independent Review Organization in accordance with state and federal regulations, NCQA requirements, and internal policy for final c...

a month ago seen See more...

Appeals & Grievances Coordinator - Remote in NM

Unitedhealthcare

Albuquerque, NM

$50.4K - $63.9K a year

Analyze/research/understand how a service/procedure/authorization was processed and why it was denied/modified. Obtain relevant medical records to submit appeals or grievance for additional review, as needed. Leverage appropriate...

a month ago seen See more...

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