Regulatory Grievances & Appeals Specialist (Hybrid NY)
Phaxis
Phaxis in New York, NY seeks experienced Grievance & Appeals Coordinators to support intake, investigation, processing, and resolution of member and provider grievances and appeals while ensuring CMS, Medicare, Medicaid, and New York State regulatory compliance. Responsibilities include reviewing and documenting cases, coordinating with Medical Directors, Claims, Provider Relations and other departments, preparing written communications, monitoring deadlines, and contributing to quality #J-18808-Ljbffr Phaxis
- MJHS seeks an A&G Specialist in New York, NY to handle department correspondence, log and route mail, and provide back-up support... .... The role emphasizes timely processing of grievances and appeals within regulatory timeframes. Responsibilities include opening and date...Regulatory
$81.1k - $116.48k
Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist - 100% Remote Join to apply for the Appeals... ...cases, and manage work within regulatory timeframes. Communicate effectively... ...Hiring Range: Greater NYC Area (NY, NJ, CT): $81,099 - $116,480 Other...RegulatoryRemote jobFull timeMonday to FridayShift work- ...legal and compliance functions within the FinTech sector. This hybrid role requires a proactive individual adept at managing legal documentation... ...applicant will assist legal teams with contract preparations, regulatory filings, and effective coordination across various stakeholders...RegulatoryContract workFlexible hours
$190k - $215k
Investment Risk Manager - Private Assets | Hybrid | $190k -$215k + bonus | New York, NY Join one of the world's leading global asset managers in a high... ..., scenario analysis, and support governance and regulatory reporting Help improve risk measurement methodologies...RegulatoryWork at officeVisa sponsorship3 days per week- ...New York seeks a Behavior Intervention Specialist to develop, deliver, and evaluate behavior... ...aligned with agency mission and regulatory standards. The role requires a Master’s... ...relevant experience, with a part-time, hybrid and #J-18808-Ljbffr Little Flower Children...RegulatoryPart time
$81.1k - $116.48k
Position Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member... ...manner. The A&G Clinical Specialist is the subject matter expert... ...Manage all duties within regulatory timeframes Communicate effectively... ...Greater New York City Area (NY, NJ, CT residents): $81,099...RegulatoryRemote jobContract workTemporary workWork experience placementLocal areaMonday to FridayShift work- A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching...Remote work
- Firstsource Healthcare is seeking a detail-oriented Claims & Appeals & Grievances (A&G) Specialist to join our Healthcare Operations team. The candidate... ...claims, research issues, coordinate appeals, ensure regulatory compliance, and maintain accurate documentation in the...RegulatoryRemote job
- ...delivering accurate information, handling exceptions, escalations, and technical issues while upholding regulatory guidance and the company’s policy. This is a full-time hybrid role with on-site days 1-2 per quarter and remote work after training. Base pay ranges from $30,00...RegulatoryFull timeRemote work
- ...seeks a Director, Legal Counsel - Equity Derivatives in New York, NY, hybrid, to support the equity derivatives business. You will provide... ...and related structured product agreements. You will advise on regulatory developments, collaborate with front office, risk, and...Regulatory
- ...in-house legal team in Manhattan. This role offers exposure to regulatory, fund, corporate, and investment advisory matters within a fast... ...organization and a collaborative environment. Based in New York with a hybrid schedule (4 days in the office, 1 remote), the attorney will...RegulatoryWork at officeRemote work
- ...and Injury Prevention. The Public Health Specialist will be responsible for evaluating New... ...training courses and assessing compliance with regulatory and program requirements, this position... .... For additional information about NY HELPS Program, please refer to: Position...RegulatoryPermanent employmentFull timeTraineeshipWork at officeVisa sponsorshipShift workNight shift
$79.72k - $119.58k
Description Revenue Integrity Specialist-(Audits & Denials) Revenue Integrity-Corporate 42nd Street- Full-Time- Days- Hybrid The Revenue Integrity Specialist for the Mount Sinai... ..., and operationalizing complex clinical, regulatory, and reimbursement frameworks impacting...RegulatoryFull timeContract workTraineeship$83.1k - $120.36k
Position Summary The Appeals & Grievances Clinical Specialist is responsible for receiving, investigating, and responding verbally and in writing to... ...appeals and grievances. Prepare for and participate in regulatory site visits. Perform additional duties as assigned. Minimum...Regulatory$22 - $23 per hour
Immediate need for a Grievance & Appeals Coordinator . This is a 12+ Month Contract opportunity with long-term potential and is US ( Remote... ...grievance cases in accordance with company policies and regulatory requirements Ensure accurate documentation and case tracking...RegulatoryContract workWork at officeLocal areaImmediate startRemote work- UNFCU is seeking a hybrid, NYC-based Social Media Content Specialist to craft and publish engaging posts across social media and web. You will translate complex... ..., and proficiency with tools like Hootsuite. Familiarity with regulatory content is a plus. #J-18808-Ljbffr UNFCURegulatory
- ...Listed Clearing Specialist Location: New York, NY (Hybrid - 3 days onsite/week) Schedule: 8:00 AM - 6:00 PM Contract Key Responsibilities... ...and services. Coordinate responses to audit and regulatory requests. Required Qualifications ~3+ years of...RegulatoryContract workLocal area3 days per week
- ...Experience Location: Remote/Hybrid with 10% travel nationwide Position... ...PAHub & Prior Authorization Specialist serves as a trusted... ...supports their business and regulatory requirements. Support onboarding... ...D star ratings & adherence, grievances, and formulary benefit...RegulatoryLocal areaRemote work
$200k - $350k
...COMMERCIAL TITLE UNDERWRITING COUNSEL ATTORNEYLocation: New York, NY (Midtown Manhattan)HYBRID*PLEASE NOTE THIS IS FOR TITLE INSURANCE, NOT PROPERTY,... ...risk and ensure compliance with company policies and regulatory requirements.Provide guidance to internal teams on...Regulatory- BCG Attorney Search in New York is seeking a mid-level Insurance Regulatory and Transactional Associate. This full-time, hybrid role offers exposure to clients across diverse industries nationwide and opportunities to work on regulatory and transactional matters. The ideal...RegulatoryFull time
$250k - $300k
Position: Head of North American Compliance (NY)Entity: KBRA Holdings, LLCEmployment Type... ...Department is also responsible for regulatory reporting, regulatory examinations, certain... ...and other job-related factors.Benefits:A hybrid work schedule (Tuesday, Wednesday and Thursdays...RegulatoryFull timeTemporary workWork at office- ...their work, and produce credit analyses for committee review. This hybrid, full-time role requires strong leadership and credit expertise... ...NYC is required, with travel as needed to support meetings and regulatory activities. Advanced finance credentials are highly valued. #J...RegulatoryFull timeWork at office
- Hinshaw & Culbertson LLP in New York seeks a Cannabis attorney with 4+ years of experience to support our NY practice. You will handle regulatory matters, license applications, and advisory work across cannabis operations, real estate, and governance, with significant responsibilities...Regulatory
$44.23 - $69.71 per hour
...seeking an Associate Executive Specialist to deliver high-level... ...Expectations: This position offers a hybrid work schedule. This... ...~150 E 42nd St - New York, NY 10017 Job posting may come... ...meet and comply with ongoing regulatory obligations, which include periodic...RegulatoryFull timeWork experience placementWork at office- Build the career you want and make a powerful impact.NursingAs a professional and skilled home care nurse with VNS Health, you will flourish in an environment which encourages growth and provides opportunities to advance your nursing career. While using your expertise to...Live in
- ...for international benefits, troubleshooting issues, and ensuring regulatory compliance across countries. You will collaborate with Benefits... ...system expertise and driving process improvements in a hybrid New York office environment. #J-18808-Ljbffr Skadden,-Arps,-Slate...RegulatoryWork at office
- ...transactional documents, providing legal advice, and assisting with regulatory changes impacting asset management. Qualified candidates must... ...in contract negotiation and securities law. This is a hybrid position offering competitive compensation. #J-18808-Ljbffr Nomura...RegulatoryContract work
- ...quality of our health plan members' lives. The A&G Specialist will process the department correspondence,... ...Coordinators and Director, inorder to insure that grievances and appeals are processed within established regulatory time frames and in accordance with Agency and...Regulatory
- ...Hybrid Law Firm Partner Privacy Salary Range of 225K-250K Plus Yearly Bonus Offered,... ...compensation package plus benefits New York, NY A nationally recognized law firm... ...response, breach notification, and regulatory investigations Familiarity with privacy...RegulatoryFlexible hours
- ...A&G Analyst to support the A&G Department in New York, NY. The A&G Analyst will be responsible for preparing and submitting External Appeals and QIO case files, ensuring compliance with State and Federal Regulatory Requirements. Qualified candidates will have a BA/BS degree...RegulatoryWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Regulatory Grievances & Appeals Specialist (Hybrid NY). Be the first to apply!
- compliance coordinator New York, NY
- compliance data analyst New York, NY
- regulatory specialist New York, NY
- compliance associate New York, NY
- quality compliance specialist New York, NY
- risk compliance officer New York, NY
- risk and compliance analyst New York, NY
- regulatory officer New York, NY
- compliance officer part time New York, NY
- compliance specialist New York, NY


