Remote Clinical Appeals Analyst
$70k - $80kPiper Companies
- Remote job
Piper Companies is seeking a Clinical Appeals Analyst (RN/LPN/PT/OT) to provide clinical expertise for the Appeals Department. This remote role is available in multiple states, including North Carolina, and requires strong clinical knowledge and decision-making skills. The Analyst will guide non-clinical staff, analyze member appeals, and ensure compliance with medical criteria and regulations. A competitive salary range of $70,000 - $80,000, along with medical benefits, is offered for this full-time position. #J-18808-Ljbffr Piper Companies
- ...Job Description Job Description Fully remote- Must have state of MI unrestricted RN... ...of service and level of care, including appeal requests initiated by providers, facilities... ...average computer skills (Microsoft office) Clinical experience in ICU, ER, or medical...Remote workWork at officeFlexible hours
$24 - $30 per hour
...exciting career opportunity available as a Managed Care Appeals Analyst . This position will be located remote based. The full time schedule for the position will... ...in a professional with fellow coworkers, clinical staff, coders, supervisors, and representatives from...Remote workHourly payFull timeContract workWork experience placementMonday to FridayShift work- ...Job Description Business Analyst - Clinical Analyst & Coding Specialist Location: Fully Remote Interview Process: 1 round, Virtual/Online Duration:... ...insurance, medical review, program integrity, or appeals • 5+ years of experience working with IT...Remote workContract workWork at officeRelocation
- ...Appeals Analyst We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals... ...review appeal requests. Additionally, you will provide thorough clinical review or benefit analysis to determine if the requested...Remote workFull timeFor contractorsCurrently hiringWork at officeLocal areaMonday to Friday
- 260 CGS Administrators, LLC is seeking a RN Appeals Analyst to join their team. This fully remote role involves conducting thorough clinical reviews to determine medical necessity guidelines for appeals. Ideal candidates will have a nursing degree and relevant clinical...Remote jobWork at office
$93.14k - $124.8k
Beth Israel Lahey Health is seeking a Clinical Analyst in Boston to manage clinical appeals for services. This role involves overseeing compliance with coding, billing, and documentation requirements while providing educational support to BILH providers. The Clinical Analyst...- ...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
$106.5k - $118k
...help they need, when they need it. Our clinically validated technology, Precision Mental... ...of Operations Intelligence, the Business Analyst, Operations Performance will help drive... ...experiences at scale. This is a full time, fully-remote position, though the ability to be...Remote workFull timeWork at officeSleeping nights1 day per week- Morgan Hunter Healthcare, Inc. is seeking a Clinical Analyst II for a full-time remote position. The role involves analyzing and optimizing clinical applications and operational workflows, providing support for EHR systems, and leading projects to enhance healthcare delivery...Remote jobFull time
$82 - $86 per hour
A leading technology services company is seeking a Remote Clinical Imaging Radiology/PACS Analyst to join its team. This position focuses on implementing and supporting PACS systems and requires significant experience with Change Healthcare or Merge PACS. Candidates should...Remote jobHourly pay$50.34k - $80.54k
Job Description We are seeking an Appeals Analyst to research, analyze, and process appeals, coding... ...and compliance is met. Gather clinical information by using established criteria... ...company. Whether the role is Hybrid Flex or Remote Flex depends on the nature of the work...Remote workFull timeWork at officeLocal areaFlexible hours- ...CLINICAL APPLICATIONS ANALYST II - EPIC PRELUDE ANALYST Working at Moffitt is both a career and a mission: to contribute to the prevention and... ...NCI)-designated Comprehensive Cancer Center since 2001. Remote applicants from the following states are encouraged to apply...Remote work
- Clinical Systems Business Analyst (Jr & Mid) - Multiple Openings - Essex Management (Contingent Role) Overview Location: US Remote Notice to Candidates: Employment in this position is expressly contingent upon Essex Management’s receipt of a contract award from the Federal...Remote workContract workCasual workCurrently hiringWork from homeFlexible hours
- ...Our client seeks an Business Analyst Veeva Vault Clinical (CTMS/eTMF) for a Full Time Project in Remote . Below is the detailed requirement Job Title: Business Analyst Veeva Vault Clinical (CTMS/eTMF) Work location : Remote Duration: Full...Remote workFull time
$50 per hour
A healthcare technology company in New Hampshire seeks a Clinical Appeals Nurse to enhance AI models in healthcare. This role involves providing complex problems for AI chatbots, evaluating outputs for accuracy, and ensuring overall quality of responses. Candidates should...Remote jobHourly payFlexible hours$50 per hour
A healthcare technology company is seeking a Clinical Appeals Nurse to enhance AI models by providing complex healthcare problems and evaluating AI outputs. The role is remote, offering flexible scheduling, with hourly pay starting at $50+. Candidates should have fluency...Remote jobHourly payFlexible hours- ...Clinical Business Analyst Remote- East Coast hours BigRio is a remote-based, technology consulting firm with headquarters in Boston, MA. We deliver software solutions ranging from: custom development, software implementation, data analytics, and machine learning/...Remote workLocal area
$50 per hour
A healthcare solutions company is seeking a Clinical Appeals Nurse to join their team. This remote position involves training AI models by providing complex healthcare-related problems and evaluating responses for logic and accuracy. The ideal candidate has a current or...Remote jobHourly payFlexible hours- A healthcare technology company is seeking a Clinical Appeals Nurse to enhance AI models by providing complex healthcare challenges and assessing accuracy. The position is flexible and allows you to choose projects that align with your expertise. Successful candidates...Remote jobHourly payFlexible hours
$70.58k - $88.22k
A healthcare organization is looking for a CCA Configuration Analyst III to analyze, design, and maintain their Clinical Care Advance system. This role involves troubleshooting system issues, supporting requirements, and ensuring high-quality work. Applicants should have...Remote jobFull timeWork from home$65k - $88.6k
Humana is seeking a Senior Grievances & Appeals Analyst to analyze and audit complaints, ensuring the integrity of claims and authorization processes. This role involves utilizing data analysis tools and performing root cause analysis of audit findings to recommend improvements...Remote jobWork from homeFlexible hours- ...Job Title: Clinical Imaging Analyst Project Duration: 6 months Location: Tulsa- Hybrid (Estimated 3 days onsite and 2 days remote) Overview: Provide expertise in the engineering/design and implementation services for new products, technologies and solutions...Remote workLocal area
- ...stakeholders to inform functional requirements for risk management tools within our direct, end client. Must required Experience on clinical trials and using/participating in study level risk assessments (not IT/System risk assessments). Partner closely with the...Remote work
- ...Senior Clinical Information System Analyst Under minimal direction from department leadership, the Clinical Information Systems Analyst, Senior provides operational support for clinical applications, including but not limited to RevenueCycle and Powerchart. This role...Remote work
- ...Business Analyst – Clinical Platform BigRio is a remote-first technology consulting firm headquartered in Boston, MA. We specialize in delivering impactful digital solutions, from custom software development and platform integration to data analytics and AI/ML innovation...Remote work
$77k - $100k
...applications and next steps. Our partner is looking for a Data Analyst, Clinical Data Effectiveness based in the United States. This role... ...) retirement savings plan with employer support ~ Flexible remote-first work environment ~ Generous paid time off and flexible...Remote jobFull timeHome officeFlexible hours$85.7k - $137.12k
...national provider network, providing the clinical insights and tailored technologies... ...than 1,200 skilled professionals, working remotely across 49 states. We offer a generous compensation... ...The Epic Inpatient Solutions Analyst on our Epic Product team supports the mission...Remote workFull timeFor contractorsWork at officeWork from homeHome office£400 per day
Overview Data Analyst (clinical operations) - contract - outside IR35 - £400 per day - Remote Exalto consulting are currently recruiting for a contract data analyst you must have experience in clinical operations and have fantastic stakeholder communication skills. Responsibilities...Remote jobContract workImmediate start- ...unique needs. OVERVIEW At Orion, we are seeking a Clinical Imaging Analyst to provide expertise in the engineering, design, and implementation... ...contract-to-hire ~ Hybrid: 3 days onsite & 2 days remote (U.S. - Central & Eastern Time Zones) ~ Tulsa,...Remote workContract workLocal area
- ...Job Description Summary The Clinical Informatics Analyst II reports to the Manager of Clinical Informatics. Under limited supervision, the Clinical Informatics Analyst II works collaboratively with end users and Information Solutions -IS) to design and deploy clinical...Remote workWork experience placementShift workRotating shift
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