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$21.1 - $40.9 per hour
...family and one community at a time. Position Summary The Quality Analyst applies in-depth knowledge of subject matter and independently... ...experience 1+ years of External Audit Experience 1+ years of Grievance and Appeals Experience 1+ Medicare and/or Medicaid experience...SuggestedRemote jobHourly payFull timeTemporary workLocal areaFlexible hours- ...thorough investigation of medical and pharmacy member appeals and grievances for Health Alliance Plan's (HAP's): Commercial, Medicare... ...Medicare-Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify trending issues on an ongoing basis and provide...SuggestedWork at officeFlexible hours
$72.36k - $90.46k
...Grievance & Appeals Resolution Partner Represents Partnership in the Grievance & Appeals Resolution process. Responsible for reviewing... .... # May serve as backup to absent Grievance & Appeals Case Analyst(s). # Attends meetings as needed including but not limited to...SuggestedWork experience placementPartnership HealthPlan of California
Fairfield, CA2 days ago$21 per hour
A leading staffing agency is seeking a Grievance/Appeals Analyst for a healthcare company in Downtown Indianapolis. This full-time position involves reviewing and processing grievances and appeals from various customer types in a fast-paced environment. The role offers...SuggestedHourly payFull timeFlexible hours$21 per hour
...openings at the Nissan manufacturing plant located in Canton, MS. Job Description Kelly Services is currently seeking a Grievance/Appeals Analyst for a leading health insurance company in Downtown Indianapolis, IN. This position will be full-time with an hourly pay rate...SuggestedHourly payFull timeFlexible hours$21.1 - $40.9 per hour
A leader in healthcare in Columbus, Ohio, is seeking a Quality Analyst who will apply expertise in compliance and quality assurance. The successful candidate will conduct audits, analyze complaints, and propose improvements. Requirements include experience in compliance...SuggestedHourly payFull time$73.5k - $104.4k
...serve over 650 senior participants. The Quality Assurance (QA) Analyst will ensure top notch healthcare standards for our geriatric... ...infection control, service delivery requests (SDR), appeals, and grievance resolutions. Schedule: M-F 8am-5pm. This position is onsite....SuggestedContract workWork at officeNeighborhood Healthcare
Oceanside, CA5 days ago- ...Data Intelligence - Analyst, Data Ld PURPOSE: The main purpose of a data analyst is to find meaning in data as a thought leader... ...Experience in healthcare industry (including Appeals and Grievances) Hands on experience with Big Data/NoSQL Platforms with experience...SuggestedWork experience placement
Mindlance
Baltimore, MD1 day ago - ...Coordinator will work closely with the Training Coordinator and Quality Assurance Manager and will be responsible for supporting grievances, assisting with staff productivity, and addressing any performance deficits for ongoing professional development. Reporting Relationship...SuggestedTemporary workWork at officeRelocation package
Ada S McKinley Community Services
Chicago, IL4 days ago $27 - $31.73 per hour
...substance abuse conditions. POSITION TITLE: Quality Assurance Analyst Clerk PAY RANGE : $27.00-$31.73 Per Hour REPORTS TO:... ...the facility’s handling and response to patient complaints/grievances and satisfaction surveys. The Quality Assurance Analyst Clerk...SuggestedHourly payTemporary workWork at officeRemote workNorthern California Behavioral Health System
Santa Rosa, CA1 day ago- ...Supervisory Program Analyst This position is located in the Chief of Staff - Clinic Practice Management Office at the Orlando VA... ...complaints from employees, and when necessary, will refer group grievances and more serious unresolved complaints to a higher-level...SuggestedPermanent employmentTemporary workSeasonal workWork at officeRemote workTrial periodRelocation packageMonday to Friday
US Department of Veterans Affairs
Orlando, FL2 days ago $102.18k
...Member Experience Analytics Solutions and Data Analyst III Job Category: Administrative, HR, Business Professionals Department... ...call center operations, enrollment services, and appeals and grievances. Experience translating multi-domain analytics into actionable...SuggestedFull timeL.A. Care Health Plan
Los Angeles, CA5 days ago$50 - $65 per hour
...Vision insurance 401(k) Tuition assistance See also QA Testing Analyst - Columbus, OH (W2 only) Quality Assurance Specialist - Hybrid,... ...Specialist - Onsite, OH Quality Assurance Specialist - night shift Grievance and Appeals- Quality Analyst - Fully Remote #J-18808-Ljbffr...SuggestedContract workLocal areaRemote workNight shift- ...Technician to support compliance with various regulations. Key responsibilities include assisting with audits, managing data related to grievances, and ensuring adherence to regulatory standards. Ideal candidates should have a degree in healthcare or business, a year of...SuggestedFull time
- ...motivated candidate to join our talented Team. Job Title: Data Analyst. Location: Baltimore, MD. Job Description: Purpose: ~... ...Experience in healthcare industry (including Appeals and Grievances). Hands on experience with Big Data/NoSQL Platforms with...SuggestedWork experience placementImmediate start
Ampcus
Baltimore, MD4 days ago $88.85k
...in days) to receive an alert: Member Experience Analytics Data Analyst III Job Category: Information Technology Location: Los Angeles... ...call center operations, enrollment services, and appeals and grievances. Experience analyzing and translating data into actionable insights...Full time$70.35k
Overview We are recruiting for a Data Analyst to join our team in Fresno, CA. This position is fully in-person and reports to our office... ...management, quality management, and patient and provider grievances, and assist in delivering superior customer service. Works with...Full timeWork experience placementWork at office- ...authorization request and coverage determination , Appeals and Grievances across all lines of business). This position is responsible... ...improvements. Collaborates with Customer Solution Center Business Analyst to track, trend, and analyze results of QA scorecards for...
$80k - $125k
...Operations Research Analyst / Senior Computer Systems Analyst GVI Inc., a subsidiary of Three Saints Bay, LLC, and a Federal Government Contractor industry leader, is seeking a Operations Research Analyst / Senior Computer Systems Analyst in Port Hueneme, CA. Position...For contractorsLocal areaThree Saints Bay
Port Hueneme, CA2 days ago- ...Operations Research and Systems Analyst (Temporary Position for Employee on Leave) Reports To: Program Manager Clearance Type: Top Secret/SCI Work Location: Camp Lejeune, North Carolina Estimated Start Date: ASAP Advantage SCI is a leading provider of National...Temporary workImmediate start
ClearanceJobs
Camp Lejeune, NC4 days ago - ...Job Description We are currently seeking an Operations Research Analyst to join our team at Fort Meade, MD. As a cornerstone of strategic decision-making, an Operations Research Analyst leverages advanced analytical and mathematical expertise to optimize organizational...
TEKsystems c/o Allegis Group
Maryland2 days ago $67.4k - $129.3k
...Operations Research Systems Analyst (ORSA) / Level 2 Orlando, Florida Lockheed Martin is seeking an Operations Research and Systems Analyst (ORSA) to work in a dynamic and challenging environment. We are seeking candidates who can use rational, systematic, science...Full timeTemporary workWork experience placementRemote workFlexible hours3 days per weekPhenom People
Orlando, FL2 days ago- ...Job Description GCI's Quality Assurance Analyst II will provide professional IT quality assurance support by testing, evaluating, assessing, investigating, and troubleshooting IT systems and integrations. Write, revise, and verify quality standards and test procedures...Work experience placementImmediate startRemote workWork from homeHome officeShift workWeekend work
GCI
Anchorage, AK2 days ago $22.94 - $34.4 per hour
...about who we are at Point32Health . Job Summary Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and compliant management and...Full timeWork at officeWork from homeAfternoon shift- ...Economics, Business Analytics, Information Systems, or a related field. Experience : ~5+ Years of IT Experience as Data Analyst or in similar role. ~ Proven experience in data requirements gathering, data profiling, and data analysis. ~ Experience...
Yochana
Austin, TX2 days ago $85k - $100k
2nd shift position from 12:30am-9:30pm This Jobot Consulting Job is hosted by: Holly Leahy Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $85,000 - $100,000 per year A bit about us: We are seeking a dedicated...Long term contractLocal areaFlexible hoursAfternoon shift- ...business consulting firm delivering advisory and execution services across multiple industries and complex business domains. QA / Test Analysts at S&A are embedded within client delivery teams to ensure solution quality, reliability, and fitness for purpose across custom-...Contract workWork from homeFlexible hours
Starr and Associates LLC
Atlanta, GA1 day ago - ...IT Business System Analyst / Operations Analyst Sparkill, NY 10976 Full Time 110K to 115K Responsibilities: You will serve as the Subject Matter Expert and primary contact for existing WMS solution and related IT ecosystem. You will also support and actively...Full timeWork at officeFlexible hours
Zobility
Sparkill, NY2 days ago $86.8k - $198k
...Operations Research Analyst, Senior As an operations research analyst (ORSA), you're passionate about exploring the root cause of an issue and then analyzing, reporting, and developing recommendations for a creative solution. We need a seasoned research analyst like...Full timeContract workPart timeFor contractorsLocal areaRemote workClearanceJobs
Tampa, FL2 days ago- ...Supervisory Management & Program Analyst Located in the Phoenix VAMC, Office of the Deputy Director, Group Practice Management section... ...and resolves minor complaints from employees; refers group grievances and more serious unresolved complaints to a higher-level...Temporary workPart timeSeasonal workWork at officeLocal areaRemote workTrial periodMonday to FridayFlexible hours
