Grievance & Appeals Analyst I - Compliance & Resolution
Solis Health Plans
Solis Health Plans is hiring for the Grievance and Appeals Analyst I position based in New York. This role involves reviewing member grievances and appeals, ensuring compliance with CMS and NCQA guidelines. Ideal candidates will have at least 2 years of experience in managed care or claims processing. The position requires strong analytical skills and the ability to document findings meticulously. Applicants should also be proficient in Microsoft Office and have solid communication abilities. #J-18808-Ljbffr Solis Health Plans
$75.53k - $116.31k
...commercial insurance products and services so businesses can thrive and face the future with confidence. If our mission statement appeals to you, come and be a part of our amazing team! We are seeking a passionate and energetic professional that is driven to succeed, provide...SuggestedWork experience placementLocal areaNight shift- Certified Epic Resolute HB App Analyst page is loaded## Certified Epic Resolute HB App Analystlocations: Remotetime type: Full timeposted on: Posted Todayjob requisition id: JR107194Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading...SuggestedWork at office
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$76k - $126.6k
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- Business Analyst II - Title & Escrow Position Summary We are seeking a Business Analyst... ...application and process issues through resolution. Gather, analyze, and document detailed... ...system enhancements. Perform quarterly SOX compliance reviews for applicable business systems....Work at officeLocal area
$24.72 - $30.9 per hour
...a positive client experience. Exception Management & Problem Resolution: Investigate and resolve trade exceptions, rejected orders, funding... ...FINRA licensing (SIE, Series 99, Series 7) General compliance and risk awareness Why Join Us At BNY, this isn’t just a role...Hourly payFull timeContract workFor contractorsWorldwide- ...collaborative environment. Join our Technology Team as an IT Risk and Compliance Analyst located in our Miramar office. We are seeking a professional... ...with IT audits, findings, and tracking and remediating to resolution Working knowledge of cloud technologies (any of these,...Work experience placementWork at office
- ...looking to add a Lead External Financial Reporting Analyst to their External Reporting & Compliance team for our Juno Beach, FL headquarters. The responsibilities... ...data gathering and analysis, drafting and comment resolution (Form 10-K, 10-Q, 8-K). Participate in quarterly due...Full timeLocal areaRelocation
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- BNY is looking for a skilled professional for corporate action processing in Florida, New York. This role entails performing custody and accounting processing, managing risks, and acting as a resource for less experienced team members. You'll need 5-7 years in the financial...
- ...development. Its employees consistently rank Moss as one of the best places to work. POSITION SCOPE AND ORGANIZATIONAL IMPACT The Risk Analyst is a key member of the Risk Management Team, supporting business transformation through emerging technologies, AI and automation,...Full timeFor contractorsWork experience placementFor subcontractor
- ...will be responsible for the monitoring of merchant activity via report analysis, gateway monitoring, and outbound calling to verify compliance of terms of the merchants processing agreement, holding questionable batches until an investigation can be completed, and...Work at office
- Watches of Switzerland Group PLC is seeking a Compensation Analyst to design and administer comprehensive compensation programs, ensuring competitiveness and compliance across multiple states. The ideal candidate will have at least 5 years of experience in compensation...
$90k - $100k
...Business Analyst - Knowledge Management - Law Firm - Hybrid - $90-100k Join a dynamic team that thrives on innovation and collaboration... ...legal tasks and accelerate content drafting. Governance & Compliance: Assist in authoring and enforcing firm policies regarding data...- ...Overview The SAP & Third‑Party Service Delivery, Senior Business Analyst is responsible for developing and supporting the... ...licensing models, and vendor services are optimized for cost, compliance, and business value. Using systems analysis models, Senior Business...Full timeContract workWork experience placementLocal areaFlexible hoursWeekend work
$81.07k - $129.71k
Job Description The IT Governance Analyst assists in the identification, assessment, monitoring, and risk mitigation associated with... ...stakeholders, procurement teams, information security, legal, and compliance functions to ensure third-party relationships align with the...Work at officeLocal areaRemote workFlexible hours2 days per week- The Compensation Analyst will be a key partner in shaping competitive and innovative total compensation programs that attract and retain... ...reflect our brand’s prestige while driving performance and compliance. We believe that rewarding talent is as important as inspiring...Local area
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$65k - $75k
Herc Rentals is seeking an Internal Audit Analyst to assist with compliance and process improvement through the execution of the annual internal audit plan. This role requires experience in accounting or finance and includes responsibilities such as financial audits and...- ...The Broward County Tax Collector’s Office is seeking a Quality Assurance Analyst to help ensure compliance, accuracy, and operational excellence. If you’re detail-oriented, analytical, and passionate about improving processes, this is your chance to join our team. Enjoy...Work at office
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$21.1 - $40.9 per hour
...community at a time. Position Summary - Bilingual Case Manager Analyst - Field in South Miami-Dade County , FL Location specific zip... ...care plan progress, documenting activities, and ensuring compliance with regulatory standards, company policies, and quality management...Hourly payFull timeTemporary workWork at officeLocal area- ...and ensuring adherence to bank policies. You will monitor client relationships, perform due diligence, analyze transactions for suspicious activity, and prepare cases for management review, collaborating with compliance and risk teams. #J-18808-Ljbffr First Horizon Bank
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- ...staff. This role tracks physician delinquency reports, sends timely notifications, and partners with hospital leadership to ensure compliance and timely actions. Ideal candidates bring familiarity with CMS and Joint Commission standards, strong data analysis and...
- Key Responsibilities Exposure to all domains of Information Security Executive communication and presence - develop communications and presentations for C-suite and other leadership consumption Project management Cross-functional relationship development Stakeholder management...Work experience placement
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