Medicare Part B Appeals RN Analyst
CGS Administrators LLC
A healthcare service provider in Tennessee is seeking an Appeals Analyst to manage and document complex appeal requests. This full-time role requires a valid RN license, significant clinical experience, and proficiency in Microsoft Office. You will research appeals and ensure compliance with regulations while working within a diverse team. The position offers flexibility with the option to work from home or on-site in Nashville, TN. Comprehensive benefits include 401(k), life insurance, paid leave, and tuition assistance. #J-18808-Ljbffr CGS Administrators LLC
- ...Appeals Analyst We are currently hiring for an Appeals Analyst to join BlueCross BlueShield... ...and Certificate: An active, unrestricted RN license from the United States and in... ...experience. MCS System Knowledge. Medicare Part B. CMS Knowledge. Knowledge of...SuggestedFull timeFor contractorsCurrently hiringWork at officeLocal areaMonday to Friday
- BlueCross BlueShield of South Carolina is seeking an Appeals Analyst. This role requires researching complex appeal requests, conducting clinical reviews, and ensuring compliance with medical necessity guidelines. Candidates should have an Associate's degree, nursing license...SuggestedFull timeWork from homeMonday 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...SuggestedRemote jobWork at office
- Summary We are currently hiring for a RN Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as a RN Appeals Analyst, you will research the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal...SuggestedFull timeFor contractorsWork experience placementCurrently hiringWork at officeLocal areaRemote workMonday to Friday
- BlueCross BlueShield of South Carolina is seeking a RN Appeals Analyst to join their team in a fully remote role. The analyst will handle complex appeal requests, ensuring compliance with medical necessity guidelines. This full-time position requires an Associate's degree...SuggestedRemote jobFull time
$129.3k - $177.8k
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...prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person... ...with progress through actuarial exams near ASA. Previous Medicare Part D or pharmacy experience. Education Bachelors Degree required...Hourly payFull timeTemporary workLocal area$83.43k - $185.4k
Hispanic Alliance for Career Enhancement is looking for an Actuary role focused on developing and maintaining Part D models. Candidates should have a Bachelor's degree, 3+ years of actuarial experience, and skills in SAS, GCP, SQL, and Python. This full-time position in...Full time$70.35k - $150.4k
...Innovators As a Workday Integration Senior Analyst, you should expect to be supported by an... ...records of conviction or arrest as part of the hiring process. Further, at Accenture... ...to a formal complaint or charge, (b) in furtherance of an investigation, proceeding...Work experience placementLive inWork at officeLocal area3 days per week- ...move people and goods from Point A to Point B, we create connections that transform our... ...We're looking for a Senior Noise Analyst to support our Mid-Atlantic Traffic Noise... ...are bonus eligible. Actual compensation for part-time roles will be pro-rated based on the...Full timeContract workTemporary workPart timeCasual workWork at officeLocal areaFlexible hours
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$70.35k - $150.4k
...An experienced Epic Certified Inpatient Analyst The Work: Depending on the client... ...expunged records of conviction or arrest as part of the hiring process. Further, at Accenture... ...to a formal complaint or charge, (b) in furtherance of an investigation, proceeding...Work experience placementLive inWork at officeLocal area3 days per week$70.35k - $150.4k
...Innovators As a Workday Integration Senior Analyst, you should expect to be supported by an... ...records of conviction or arrest as part of the hiring process. Further, at Accenture... ...response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding...Work experience placementLive inWork at officeLocal area3 days per week$48 - $55 per hour
...two years of experience as an Epic Willow Analyst with a strong background in managing day to... ...records of conviction or arrest as part of the hiring process. Further, at Accenture... ...response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding...Hourly payLive inWork at officeLocal areaFlexible hours$47.37 - $57.37 per hour
...Hospital Billing and Claims Certified Senior Analyst. Responsibilities Document current state... ...records of conviction or arrest as part of the hiring process. Further, at Accenture... ...response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding...Hourly payWork experience placementLive inWork at officeLocal areaFlexible hours3 days per week- Senior Analyst, Real Property Tax page is loaded## Senior Analyst, Real Property Taxlocations... ...from various jurisdictions.* Track appeal deadline dates and provide necessary property... ...to work both independently and as part of a team with professionals at all levels...Work at office
- ...and completing coordination of client care, the Registered Nurse RN Home Health is the point of contact for all disciplines involved... ...meetings are key responsibilities of this role. This part-time salaried position works 24 hours/week, over 4 days in the week...Full timePart timeWork at officeFlexible hours
$1,550 - $1,750 per week
...your chances of landing your perfect assignment. That includes developing your résumé, skills checklist and references. Travel O.B. RN Weekly Gross Pay: $1550 - $1750 Location: Nashville, TN, United States Start date: 07-06-2026...Weekly payShift workNight shift- ...sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional... ...Quality Health Plan Options ~ Dental and /or vision plan ~403 (b) retirement plan ~ Paid Time off (flex PTO) ~ Tuition Reimbursement...Temporary workPart timeWork experience placementFlexible hoursShift work
$36 - $48 per hour
...dynamic healthcare team in the heart of Downtown Nashville as a Part‑Time Registered Nurse in Pre‑Op and PACU! In this hands‑on role,... ...instructions for optimal patient outcomes. Requirements Valid RN license with current registration in Tennessee. Proven...Hourly payDaily paidPart time- ...and completing coordination of client care, the Registered Nurse RN Home Health is the point of contact for all disciplines involved... ...manager meetings are key responsibilities of this role. This part-time salaried position works 24 hours/week, over 4 days in the week...Full timePart timeWork at officeFlexible hours
- ...RxBenefits is hiring! As part of the Revenue Operations organization, the Manager, Strategic Pharmacy Analyst (SPA), will manage a team of diverse and highly skilled analysts... ...guarantees, discount schedules, channel management, B/G classifications, specialty designations,...Contract workTemporary workLocal areaRemote work
- ...Job Summary and Qualifications The Cardiovascular RN is an individual who, after comprehensive training, is qualified... ...career! We are interviewing candidates for our EKG Stress Test Nurse Part Time opening. Apply today and a member of our Talent Acquisition...Temporary workPart timeFlexible hours
- ...more than 80% of our hospitals earn an A or B Leapfrog safety grade, rank in the top 5%... ...positive outcomes for your patients as a (an) RN Medical Surgical. We want your knowledge... ...and other uncompensated expenses. Be a part of an organization that leverages our size...Temporary workFlexible hoursShift work
- At Kenco Logistics, you’re more than just a team member—you’re part of a company that values innovation, integrity, and a strong commitment... ...disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or...For contractors
- ...2026 • Tuition reimbursement • 401(a) retirement plan and 403(b) savings plan Work with us as we build toward a full scope of anesthesia... ...high-acuity or community-based setting, we offer many full- and part-time options tailored to fit your career aspirations and...Full timePart timeRelocation package
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