RN Appeals Analyst - Impactful Medical Necessity Reviews
260 CGS Administrators, LLC
260 CGS Administrators, LLC, part of BlueCross BlueShield, is hiring an Appeals Analyst. This role involves researching complex appeal requests and performing clinical reviews. The job is full-time, Monday through Friday, and can be remote or on-site in Nashville, TN. Qualified candidates should have an associate degree in a related field, experience in clinical settings, and an active RN license. Benefits include 401(k) match, health plans, and tuition assistance. #J-18808-Ljbffr
$63k - $65k
...in Financial Services & Insurance RN Utilization Review As a nurse at Sedgwick, you can build... ...assist in the management of complex medical conditions, treatment planning and recovery... ...worlds - a rewarding career making an impact on the health and well-being of others...MedicalWork experience placementLocal areaRemote workFlexible hours$74.23k - $142.25k
...us, where we’ll make a greater impact together. What You'll do:... ...looking for an Appian Business Analyst to join our team! This person... ...backlog. Conduct the formal review and acceptance of user stories... ...Want to Leave: Comprehensive medical, dental, and vision plans Flexible...MedicalLocal areaImmediate startRemote workFlexible hours- ...resilient. Together, we’re making an impact around the world. If you’re... ...looking for a Senior Noise Analyst to support our Mid-Atlantic... .... The ideal candidate reviews and approves all preliminary... ...hours per week) have access to medical, dental, and vision plans, a...MedicalFull timeContract workTemporary workPart timeCasual workWork at officeLocal areaFlexible hours
$83k - $166.1k
...Practices and Finance & Accounting policies Review and discuss assessments of non-standard,... ...which includes the following: # Medical, dental, and vision insurance, including... ...leading the way in AI and cloud solutions that impact billions of lives. True innovation...MedicalTemporary workRemote workFlexible hours- ...opportunity below: Senior Collections Analyst Job Summary and... ...Comprehensive benefits for medical, prescription drug, dental, vision... ...physician practices, all making an impact on patients, providers and... ...Analyst opening. We promptly review all applications. Highly qualified...MedicalContract workTemporary workWork experience placementWork from homeFlexible hours
- ...invests in you as a Contract Analyst? At Parallon you come first.... ...contract terms and assess their impact on reimbursement,... ...Perform quality assurance reviews of contract model changes related... ...Comprehensive benefits for medical, prescription drug, dental, vision...MedicalOngoing contractContract workTemporary workWork experience placementWork at officeWork from homeFlexible hours
$25 - $45 per hour
...grow your career and make a real impact on people’s health around the... ...a remote Cytogenetics (FISH) Analyst to join our team that’s based... ...via computerized images Review of cytogenetic cases via... ...Clinical Laboratory Science or Medical Technology ~ ASCP certification...MedicalTemporary workCasual workInternshipRemote workWork from homeHome officeFlexible hoursShift work- ...Job Seekers can review the Job Applicant Privacy Policy by clicking... ...Summary - The Asset Management Analyst position is designed to... ...communication skills having desired impact and effect to drive results... ...welfare benefits, to include medical, prescription, dental, vision,...MedicalFull timeTemporary workLocal area
- ...comprehensive, cost-effective medical care for individuals living... ...Role We are looking for a Data Analyst to join our Data & Analytics... ...recurring Quarterly Business Reviews to ad hoc analyses that answer... ...to make a meaningful impact on chronic disease management...MedicalRemote workWork from homeFlexible hours
- ...currently have an opportunity to make a real impact with your work? With over 2,000 sites of... ...year, nurses at TriStar Southern Hills Medical Center have the opportunity to make a... ...! Our Talent Acquisition team is reviewing applications for our Medical Surgical Nurse...MedicalFull timeTemporary workPart timeFlexible hoursShift work
- ...an opportunity to make a real impact with your work? With over 2,00... ...year, nurses at TriStar Skyline Medical Center have the opportunity to... ...As an Intermediate Care Unit RN you can be a part of change.... ...Our Talent Acquisition team is reviewing applications for our Intermediate...MedicalFull timeTemporary workPart timeFlexible hoursShift work
- ...currently have an opportunity to make a real impact with your work? With over 2,000 sites of... ...every year, nurses at TriStar Skyline Medical Center have the opportunity to make a... ...industry! Our Talent Acquisition team is reviewing applications for our Medical ICU Nurse...MedicalFull timeTemporary workPart timeFlexible hours
- ...improve positive outcomes for your patients as a (an) RN Medical Surgical. We want your knowledge and expertise!... ...that leverages our size to make a real impact in our industry! Our Talent Acquisition team is reviewing applications for our RN Medical Surgical opening...MedicalTemporary workFlexible hoursShift work
- ...an opportunity to make a real impact with your work? With over 2,00... ...year, nurses at TriStar Skyline Medical Center have the opportunity to... ...As an Intermediate Care Unit RN you can be a part of change.... ...Our Talent Acquisition team is reviewing applications for our Intermediate...MedicalFull timeTemporary workPart timeFlexible hoursShift work
$115k - $130k
...tech enabled, pediatrician led medical group reimagining care for... ...Senior Business Intelligence Analyst is responsible for working cross... ..., CI/CD, testing, and code reviews Comfort owning a project end-... ...insights with business goals and impact Familiarity with semantic...MedicalTemporary workImmediate start$85k - $105k
...Cadmus is hiring a Business Analyst for an ongoing directorate-wide... ...goals and drive lasting, impactful change by leveraging transformative... ...lifecycle as a product SME. Review developed features to make... ...benefits package to include: medical dental vision company paid...MedicalPermanent employmentWork experience placementLocal areaWorldwide- ..., constraints, dependencies, impacts, edge cases, exception scenarios... ...to define test scenarios, review test coverage, support UAT, prioritize... ...of experience as a Business Analyst, Product Analyst, Systems... ...That Goes Beyond the Clock: Medical, Rx, Dental and Vision...MedicalWork at officeRemote work
$51.7k - $68.9k
...resource, cost-benefit, variance, impact and/or other analyses of... ...support management or senior analysts in the development of modeling... ...executive and management review. Pay Information The salary range... ...preferred. Benefits For You Medical, Dental Vision plans Health Spending...MedicalTemporary workWork at officeLocal areaImmediate startFlexible hours- ...identified, designed and operating effectively. Review and challenge Risk and Control Self-... ...incident management, including client-impacting events: opine on root cause, corrective... ...is available at Benefit Highlights Medical with wellness incentives, dental, and vision...Medical
- ...Records Examiner/Analyst Be a part of the nationwide law enforcement... ...from their crime and impacting the infrastructure of criminal... ...Office (USAO). Responsibilities Reviews and evaluates data and information... ...at $0 employee cost for: Medical, Dental, Vision, Term Life Insurance...MedicalTemporary workWork at officeFlexible hours
- ...of only one year, along with medical benefits that start on day one... ...have the opportunity to make an impact and grow your career in a... .... Job Summary The Senior FP&A Analyst supports the financial planning... ...preparation of budget templates, review of submissions, and consolidation...Medical
- ...Travel Cath Lab RN Company: Fusion Medical Staffing Location: Facility in Nashville, Tennessee... ...have the opportunity to make a positive impact on the lives of patients while enjoying... ...prior to procedures, including reviewing medical history and performing physical...MedicalTemporary workImmediate start
$2,250 per week
...AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Nashville, Tennessee. Job... ...treatments, services, and resources align with each patient’s medical needs and recovery goals. Collaborate closely with...MedicalTemporary workFor contractorsLocal areaImmediate startShift workWeekend workWeekday work- ...transaction origination to closing. Our Analysts receive world‑class training, outstanding... ...of earnings and non‑recurring items Reviewing target company's accounting policies for... ...include: Healthcare Coverage: Comprehensive medical, dental, and vision plans. Time Off and...MedicalTemporary workWork experience placementWork at officeRelocation package
- ...of only one year, along with medical benefits that start on day one... ...the opportunity to make an impact and grow your career in a supportive... .... JOB SUMMARY Compiles and reviews the budgets for corporate... ...needs Trains and mentors other analysts Performs other duties as...Medical
$25 - $45 per hour
...TN office is seeking a remote Cytogenetic Analyst to join their team! The position will... ...eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k),... ...karyotyping of cytogenetic specimens. Review test requisitions to gather pertinent...MedicalPart timeCasual workReliefWork at officeLocal areaRemote workWork from homeHome officeFlexible hoursShift work$21 - $31 per hour
...portals to monitor project completion and progress. Conduct thorough reviews of weekly vendor reports to ensure compliance with project... ...that generally apply to regular, full‑time employees include: Medical, Dental, and Vision Coverage Maternity and Parental Leave Options...MedicalHourly payFull timeTemporary workSeasonal workWork at officeFlexible hours- ...supplies, is searching for an experienced Analyst reporting to the VP of Purchasing in... ...and driving activities and projects that impact the company. Responsible for participating... ...package Complete benefits package including medical/dental/vision 401k with company match Paid...Medical
$105k - $130k
...Senior Analyst, Life Sciences Consulting Company: Dedham Group Location: Remote,... ...faster and more efficiently, ultimately impacting patient lives. Norstella unites market... ...and analytical skills Benefits ~ Medical and prescription drug benefits ~ Health...MedicalFull timeTemporary workLocal areaRemote workFlexible hoursShift work$98k - $156k
...Job TitleCustomer Experience Analyst### Job DescriptionDo you like to... ...complex data into clear and impactful narratives? As part of the Philips... ...shift from manual feedback review to scalable, insight-driven... ...candidate is selected or business necessity dictates. Interested...Full timeWork at officeImmediate startWork visaRelocation packageShift work3 days per week
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