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- Position Summary The Grievance and Appeals Analyst I is responsible for the review, investigation, and resolution of member grievances and appeals within a managed‑care health plan. The analyst ensures all activities are conducted in compliance with regulatory requirements...SuggestedContract workWork at office
- Solis Health Plans is hiring for the Grievance and Appeals Analyst I position based in New York. This role involves reviewing member grievances and appeals, ensuring compliance with CMS and NCQA guidelines. Ideal candidates will have at least 2 years of experience in managed...SuggestedWork at office
- ...opportunities for lasting change. JOB PURPOSE The Quality Assurance Analyst supports the Director of Quality Assurance & Compliance in the... ...and trending of incidents, adverse events, medication events, grievances, safety concerns, and other quality indicators as assigned....SuggestedFull timeImmediate startWork from homeFlexible hours
- ...Job Title: Business Systems Analyst Web Portal Modernization Job Location: Coppell, TX/San Ramon, CA/NYC NY Job Type: Contract... ...alerts Digital documents and correspondence Appeals, grievances, and service requests Care-management and wellness...SuggestedContract work
Staffingine LLC
Coppell, TX1 day ago - ...Business Analyst The Business Analyst supports vendor performance management for Appeals operations by analyzing performance data,... ...Preferred Qualifications Experience in healthcare appeals or grievance operations Familiarity with compliance/regulatory...SuggestedContract workWork at officeRemote workMonday to Friday2 days per week3 days per week
Independence Blue Cross
Philadelphia, PA5 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- ...payroll issues, conducting labor-management meetings, representing the City at representation hearings, and handling all employee grievances and arbitration matters while also negotiating collective bargaining agreements with the City's 149 bargaining units. Under...SuggestedContract workWork at office
City of New York
New York, NY2 days ago $86.8k - $198k
...clearanceBachelor’s degreeNice If You Have:Experience as a 15A, FA49, or as an intelligence analystExperience in an operations research analyst roleKnowledge of the U.S. Space ForceTS/SCI clearanceMaster’s degreeClearance:Applicants selected will be subject to a security...SuggestedFull timeContract workPart timeWork at officeLocal areaRemote work$90.3k - $189.6k
Job Title: Sensitive Activities Operations Research Systems Analyst (ORSA)Job Category: IntelligenceTime Type: Full timeMinimum Clearance Required to Start: TS/SCIEmployee Type: RegularPercentage of Travel Required: Up to 10%Type of Travel: LocalAnticipated Posting End:...SuggestedContract workFor contractorsWork experience placementImmediate startFlexible hours$77.6k - $176k
Operations Research Systems Analyst, SeniorThe Opportunity: With all the information available today, it takes a skilled intelligence analyst to know how to find and interpret the best data to give their clients the right answers. With the critical decisions made in our...SuggestedFull timeContract workPart timeWork at officeLocal areaRemote workShift work$65k - $136.5k
Job Title: Operations Research System Analyst (ORSA)Job Category: IntelligenceTime Type: Full timeMinimum Clearance Required to Start: TS/SCIEmployee Type: RegularPercentage of Travel Required: Up to 25%Type of Travel: Continental US* * *The Opportunity:Join a team dedicated...SuggestedContract workWork experience placementFlexible hours$88.85k
...Business Analyst III-Encounters & Claims Data Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives... ...Department Specifics: Customer Solution Center Appeals and Grievances: This position requires work after hours, on weekends, holidays...SuggestedFull timeWork at officeRemote workShift workWeekend work- Celestar Corporation is seeking a Senior Operations Research Systems Analyst (ORSA) to support The Defense Intelligence Agency (DIA) under the Object Based Intelligence and Quality Assurance (OBIQUA) task order. The primary place of performance will be at DIA Facilities...SuggestedLocal area
$117k - $140k
OverviewAs an IT Business Systems Operations Analyst, you’ll get to serve as a strategic partner to our Sales organization. You’ll focus on understanding our end-to-end sales process, translating business needs into clear functional requirements, and drive process improvements...SuggestedDaily paidFull timeTemporary workWork at office$70k - $85k
...accommodation or an alternative application process. HEALTH DATA ANALYST Full Time 37.50 hours per week Non-Union Non Mgmt Washington,... ...in fact finding efforts concerning managerial actions or union grievance processing Reviews and makes recommendations for changes to collective...SuggestedFull timeShift workAfternoon shiftWhitman--walker-Health-1
Washington DC2 days ago- Overview The Member Experience Data Analyst plays a critical role in using data to improve how people experience healthcare. This position... ...not limited to CAHPS survey results, member complaints and grievances, call frequency metrics, disenrollment trends, and member...Work experience placementInterim roleWork at officeFlexible hours
- Company DescriptionArtech is the 10th Largest IT Staffing Company in the US, according to Staffing Industry Analysts' 2012 annual report. Artech provides technical expertise to fill gaps in clients' immediate skill-sets availability, deliver emerging technology skill-...Immediate start
- Job-ID28794626Reference26-18698Remote50% Remote DPH is executing large-scale data modernization across the agency as part of DMI. This includes creating a consolidated Enterprise Data Platform on modern cloud tools (including AWS & Snowflake,) and re-platforming existing...Local areaRemote work
- Company DescriptionSonsoft , Inc. is a USA based corporation duly organized under the laws of the Commonwealth of Georgia. Sonsoft Inc. is growing at a steady pace specializing in the fields of Software Development, Software Consultancy and Information Technology Enabled...Permanent employmentFull timeH1b
- A large financial services organization is seeking a Senior QA Analyst to support a growing cyber data and analytics environment. This role is focused on validating data quality, testing ETL workflows, and ensuring the reliability of data pipelines and dashboards used by...
- ...recommends appointments, promotions, or reassignments to such positions. Hears and resolves complaints from employees referring group grievances and more serious unresolved complaints to a higher-level supervisor or manager. Effects minor disciplinary measures--such as...Temporary work
US Army
Carson City, NV3 days ago $86.6k - $181.8k
...to 10%Type of Travel: Local* * *The Opportunity: We are seeking an experienced ITIL Network Knowledge Management Quality Assurance Analyst to join our IT service management team. The ideal candidate will ensure the quality, accuracy, and effectiveness of our network knowledge...Contract workWork experience placementLocal areaFlexible hours- ...Summary This position is for a MANAGEMENT ANALYST, PD#D1913000, part of the Nevada Army National Guard. The purpose of this position... ...Hears and resolves complaints from employees referring group grievances and more serious unresolved complaints to a higher-level...Permanent employmentFull timeTemporary workPart timeWork at officeLocal areaRelocationRelocation package
Army National Guard Units
Carson City, NV1 day ago $86.6k - $181.8k
...Travel: Local* * *The Opportunity: We are seeking an experienced and detail-oriented ITIL Network Event Management Quality Assurance Analyst to ensure the highest standards of quality in our IT event management processes. The ideal candidate will develop and implement...Contract workWork experience placementLocal areaFlexible hours$86.6k - $181.8k
...Required: Up to 10%Type of Travel: Local* * *The Opportunity: We are seeking a detail-oriented Configuration Management Quality Assurance Analyst to join our team. The successful candidate will be responsible for ensuring the quality and integrity of our configuration...Contract workWork experience placementLocal areaFlexible hours$39 - $45 per hour
DescriptionKforce has a client that is seeking a Business Analyst/QA Analyst. This is a 100% remote position supporting a collaborative, cross-functional team.Summary:In this role, you will work closely with business users, development teams, and other stakeholders in an...Remote work$86.6k - $181.8k
...to 10%Type of Travel: Local* * *The Opportunity: We are seeking a detail-oriented ITIL Network Problem Management Quality Assurance Analyst to support our IT service management processes. The successful candidate will be responsible for ensuring the quality and...Contract workWork experience placementLocal areaImmediate startFlexible hours$101.4k - $169k
...an inclusive, adaptable, and forward-thinking organization, apply now.We are currently seeking a Quality Assurance Senior Security Analyst to join our team in Albany, New York (US-NY), United States (US).This position requires being on-site 50% of the time. MECM Quality...Full timeTemporary workFor contractorsWork at officeRemote workFlexible hours- ...Summary The position serves as a Management Analyst in the Office of the Director. Develops recommendations for program officials... ...employee and labor relations issues such as local negotiations, grievance responses, and disciplinary/performance action drafts and files...Full timeTemporary workPart timeSecond jobWork at officeLocal areaRemote workRelocation packageMonday to FridayFlexible hours
Veterans Benefits Administration
Philadelphia, PA2 days ago - ...recommend appointment, promotion or reassignment to such positions. # Hear and resolve complaints from employees, refer group grievances and/or more serious unresolved complaints as appropriate. # Effect minor disciplinary measures, such as warnings and reprimands...Temporary work
Internal Revenue Service
Memphis, TN2 days ago
