Regulatory Appeals & Grievance Specialist — Data Insight
Presbyterian Healthcare Services
Presbyterian Healthcare Services in Albuquerque is seeking an Appeals and Grievance Regulatory Specialist. This role will manage complaint and grievance processes, ensuring compliance with regulatory requirements while assisting in performance reporting and training development. The ideal candidate will hold a Bachelor's Degree and have at least 2 years of experience in customer service or related fields. We offer a comprehensive benefits package, including medical, dental, and wellness programs. #J-18808-Ljbffr Presbyterian Healthcare Services
$48.07k - $73.4k
Appeals and Grievance Regulatory Specialist Compensation Pay Range: Minimum Offer $48,068.80 - Maximum Offer $73,403.20 Location Address: 9521 San Mateo... ...improvements by supporting multi-functional teams through data trending, tracking and analysis. Acts as a resource to...DataRegulatoryTemporary work- ...filtration, neutralization, separation. Modeling/data analysis/experimental validation; compliance/regulatory environment. BS/MS in ChemE/Environmental/Chemistry... ...experience, and strong collaboration and communication skills are essential. #J-18808-Ljbffr Insight GlobalDataRegulatory
- ...hire the "best" candidates. The Code Specialist is a senior-level Registered Architect with... ...deep expertise in building codes and regulatory compliance. This role serves as the Subject... ..., and regulatory standards for Data Center projects. The Code Specialist ensures...DataRegulatoryWork at officeLocal area
$92k - $115k
...responsibilities must be carried out in compliance with applicable legal and regulatory requirements. Responsibilities Underwrite and process... ...decisions based on diverse perspectives and effective use of data in a timely manner, even when faced with imperfect information....DataRegulatory$41.7k - $92.8k
...bachelor's degree in business or have relevant experience in health insurance, along with strong communication skills and proficiency with data analysis and reporting tools. Competitive salary range from $41,700 to $92,800, with a comprehensive benefits package. #J-18808-...DataRegulatory- ...Prior Authorization Specialist The Prior Authorization Specialist is responsible for obtaining... ...Coordinate peer-to-peer reviews and appeal processes with providers and leadership... ...payer policies, clinic workflows, and regulatory standards impacting outpatient services...Regulatory
$70k - $80k
...staffing trends and workforce data to support operational... ...policies, staffing standards, and regulatory requirements. Promote a positive... ...analysis and operational insight. Ensure all 1099 requisitions... .... Ensure all complaints and grievances are properly documented via reporting...DataRegulatoryFor contractorsLocal areaImmediate start$43.89k
...Responsibilities The Career Transition Specialist is responsible for CTS assignees in all... ...is responsible for securing placement data for assignees and identifying assignees who... ...information on all caseload students. Complete appeals process and verifies placements to...DataTemporary workLocal areaFlexible hours- ...Medical Payment Posting & Reconciliation Specialist Position reports to the Central Billing... ...and comments to assure all necessary appeals and post payment follow up can take place... ...Knowledge, Skills, and Abilities Required Data entry skills and working knowledge of...DataWork at officeMonday to FridayWeekend workAfternoon shift
- The Internal Salesforce Specialist is responsible for the ongoing development, customization... ...and dashboards to provide actionable insights to Sales, Marketing, and Executive teams... ...translate them into scalable solutions. Ensure data integrity and manage deduplication and...Data
- ...background in Python‑based analytical application development, data engineering, database interaction, and user‑facing analytical interfaces... ...explore data, compare scenarios, and generate actionable insights. The work directly supports national defense objectives by improving...DataFull timeWork at officeFlexible hours
$120.2k - $175.2k
As a Nuclear Stockpile Management Specialist, you will be at the forefront of ensuring the... ...maintain and manage nuclear stockpile related data and materials data in support of the... ..., as owners, let’s turn meaningful insights into action. Life at CGI is rooted in ownership...DataLocal area$150k - $195k
...patient‑focused Immunology Therapeutic Specialist to launch and grow a first‑in‑class therapy... ...stakeholders with clear, credible, data‑driven clinical discussions to competitively... ...Patient Services partners. Share field insights and work cross‑functionally across the...Data- Job Title Judicial Specialist 2 #00000918-24400, Full-Time, Perm in Albuquerque, NM # of Positions... ...ensure timely action, enter and access data utilizing the Court docketing and case... ..., tapes, logs, and exhibits for cases on appeal to higher courts. Ensures the office,...DataPermanent employmentFull timeTemporary workWork at officeFlexible hoursShift work
$40.72k - $57.07k
Judicial Specialist 2 or Judicial Specialist Sr. #00000880-24000, Full-Time, Perm in Albuquerque... ...determine appropriate event codes, enter data, scan documents, and link related scanned... ..., tapes, logs, and exhibits for cases on appeal to higher courts. Ensures the office,...DataHourly payPermanent employmentFull timeTemporary workWork at officeLocal areaRemote workFlexible hoursShift work- ...clinical leadership in Medical Staff Services, Regulatory Compliance, Risk Management, and Quality... ..., providing guidance on measurements, data collection, analysis, conclusions, and... ...reporting, investigative follow‑up, grievances, root cause analysis, provide notices of...DataRegulatory
$60 per hour
...DescriptionPurposeThe Storytelling and Events Specialist serves as part of a collaborative... ...email, social media, grant reports and donor appeals.Contribute to a shared team media library... ..., graphic design, photo/video backup, data entry, giving tours, public speaking, translation...DataContract workWork experience placementWork at officeNight shift- ...healthcare provider in Albuquerque is seeking a Patient Accounting Denials Specialist I. This full-time role focuses on performing root cause analysis and resolving denials, handling A/R follow-up, appeals, and customer service tasks. Candidates should possess a high school...Full timeWork at office
- ...Project Manager, NERC Regulatory Compliance I-Sr Location: Albuquerque, NM, United States... ...Operations & Coordination (IRO), and/or Modeling, Data, and Analysis (MOD) strongly preferred.... ...modeling capabilities to provide ongoing insight into the business and to make...DataRegulatoryWork at officeLocal area
$93k - $139k
...Requirements WHO WE ARE Relativity is a leading legal data intelligence company building technology that helps... ...volumes of complex information into actionable insights for litigation, investigations, regulatory inquiries, data breach responses, and other high-...DataRegulatoryRemote workHome office$74k - $110k
...Overview Who We Are Relativity is a leading legal data intelligence company building technology that helps... ...volumes of complex information into actionable insights for litigation, investigations, regulatory inquiries, data breach responses, and other highstakes...DataRegulatoryWork at officeRemote workHome office$38.1k - $80k
.... This role focuses on supporting provider services, enhancing internal and external relationships, and ensuring compliance with regulatory standards. Candidates should have a Bachelor's degree and relevant experience. The position offers a hybrid work model, requiring...RegulatoryWork at office3 days per week$88k - $132k
...teams. This role partners closely with IT to ensure data quality, integrity, and seamless integration across Salesforce... ...volumes of complex information into actionable insights for litigation, investigations, regulatory inquiries, data breach responses, and other high-...DataRegulatoryRemote workHome office- ...quickly to evolving expansion, technology, regulatory, operational, and market conditions.... ...business development, operational technology, data analytics, cybersecurity, and advanced... ...decision-making and real-time workforce insights. Implement advanced analytics to...DataRegulatoryFull timeFor contractorsImmediate startShift work
- ...flawless delivery of marketing, service, and regulatory communications to WI customers.... ...intended audience Work with large and varied data sets, from multiple data sources, to... ...reporting, contact lists, and relevant insights (experience with data visualization tools...DataRegulatory
- ...integrate, and sustain a scalable, federated data ecosystem that enhances interoperability... ...& Budget Utilization Report, providing insights on expenditures, budgetary adjustments,... ...methodologies, compliance audits, and regulatory requirements, including DoD RMF, NIST 80...DataRegulatoryContract workPart timeRemote workWorldwide
$224k - $336k
...Overview WHO WE ARE Relativity is a leading legal data intelligence company building technology that helps... ...volumes of complex information into actionable insights for litigation, investigations, regulatory inquiries, data breach responses, and other highstakes...DataRegulatoryRemote work- ..., and support leadership with financial insights that drive operational and strategic decision... ...compliance with accounting standards, regulatory requirements, and internal policies... ...financial forecasts Analyze financial data and identify cost-saving opportunities...DataRegulatory
- ...with clients, internal stakeholders, and regulatory bodies. Prepare and proofread emails,... ...Prior experience in administrative roles, data entry, or office management preferred. Familiarity... ...to discuss ongoing projects, share insights, and address any challenges. The goal is...DataRegulatoryWork at officeRemote workFlexible hours
$133.2k - $174.8k
...mild AD. TheNeurology Account Specialist (NAS) will be part of a... ...pharmaceutical manufacturer compliance & regulatory requirements preferred.... ...market and customer insights, and strategic and tactical planning... ...Customers & Partners, Sales Ops & Data Analytics, Sells Effectively...DataRegulatoryWork at officeLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Regulatory Appeals & Grievance Specialist — Data Insight. Be the first to apply!
- regulatory officer Albuquerque, NM
- compliance consultant Albuquerque, NM
- healthcare compliance officer Albuquerque, NM
- regulatory affairs consultant Albuquerque, NM
- regulatory compliance specialist Albuquerque, NM
- risk and compliance analyst Albuquerque, NM
- aml compliance analyst Albuquerque, NM
- compliance officer Albuquerque, NM
- compliance coordinator Albuquerque, NM
- research compliance officer Albuquerque, NM



