Remote Grievance & Appeals Analyst I
Elevance Health
Elevance Health is seeking a Grievance/Appeals Analyst I to review and process non-complex grievances and appeals in the Enterprise Grievance & Appeals Department. This entry-level position allows for virtual work but requires in-person training sessions. The ideal candidate should possess a high school diploma and have at least 3 years of experience related to grievances and appeals. The analyst will ensure compliance with regulatory requirements and clear communication of determinations. We offer competitive rewards, including medical benefits, 401(k), and paid time off. #J-18808-Ljbffr
- ...Position: Business Analyst III - Appeals & Grievances Location: Los Angeles, CA, US (Remote) Duration: Permanent Job Description: The Business Analyst III facilitates business process improvement via the methodical investigation, analysis, review...Remote workPermanent employmentWork at office
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$93.14k - $124.8k
...lives. Reporting to the Manager, Patient Financial Services, the Clinical Analyst plays an important role in a high-profile team tasked with handling all commercial and government clinical appeals and audit processes. The Clinical Analyst will perform high-level...Remote workFull time- Maximus is seeking a Senior Appeals Administrator for its California Independent Medical Review team. This role ensures fair resolutions... ...familiarity with MS Office applications. The role allows for remote work and offers a range of benefits including competitive pay and...Remote job
$24 per hour
Maximus is hiring a Senior Appeals Administrator for its California Independent Medical Review team. In this position, you'll ensure timely resolutions for medical reviews, enhancing the quality of care provided. Ideal candidates have experience in data entry and MS Office...Remote job$24 per hour
Maximus is looking for a Senior Appeals Administrator in Denver, Colorado. In this role, you will ensure fair resolutions for medical review cases, analyze data for Independent Medical Reviews, and assist clients with the appeals process. Qualifications include an associate...Remote jobHourly pay- Maximus is seeking a Senior Appeals Administrator to join their California Independent Medical Review team. This critical role ensures... ...balance and comprehensive insurance coverage, the position supports remote work with required minimum internet speeds. An associate degree...Remote job
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$70k - $80k
...Piper Companies is seeking a Remote Clinical Appeals Analyst to provide clinical expertise in reviewing and resolving complex member and provider appeals. Candidates must hold an active North Carolina licensure as an RN, LPN, PT, or OT and have significant clinical experience...Remote workFull timeContract workMonday to Friday$248.5k - $373k
...together . Work at home! You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: The Appeals and Grievances Medical Director is responsible for ongoing clinical review and...Remote workMinimum wageWork experience placementLocal areaWork from home$248.5k - $373k
UnitedHealth Group is seeking an Appeals And Grievances Medical Director. This role is crucial for the clinical review and adjudication of appeals... ...and grievances cases for UnitedHealthcare. You'll work remotely from anywhere within the U.S., collaborating closely with...Remote job$248.5k - $373k
UnitedHealth Group is looking for an Appeals and Grievances Medical Director to oversee clinical reviews and adjudications. This role offers the flexibility to work remotely from anywhere in the U.S. Key responsibilities include reviewing appeals cases, communicating with...Remote job$248.5k - $373k
...Appeals And Grievances Medical Director At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities... ...together Work at home! You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough...Remote jobMinimum wageWork experience placementLocal areaWork from home- EPITEC is seeking a Review Analyst RN to perform a thorough review of inpatient, outpatient... ...care levels. This role is fully remote based in Michigan. The ideal candidate will... ...Responsibilities include conducting reviews, managing appeals, and coordinating care plans. Excellent...Remote job
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- Southcarolinablues is hiring an Appeals Analyst to join their team in Nashville, Tennessee. This role involves analyzing appeal requests and... ...position offers a full-time schedule and the option to work remotely or on-site. Ideal candidates should have at least two years...Remote jobFull time
- Texas Health Institute is seeking an Appeals and Grievances Medical Director who will be responsible for the clinical review and adjudication... ...of appeals cases. This role offers the flexibility to work remotely from anywhere within the U.S. It involves communicating with...Remote job
$248.5k - $373k
A healthcare organization is seeking a Medical Director for Appeals and Grievances to oversee ongoing clinical reviews and adjudications. This... ...provisions and liaising with medical directors. The position offers remote work flexibility and a comprehensive benefits package....Remote job
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