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- Elevance Health is seeking an entry-level Grievance/Appeals Analyst I to review and process non-complex grievances and appeals for multiple product types and customer categories. This remote role supports flexible, compliant handling of clinical and non-clinical issues...SuggestedRemote jobFlexible hours
- ...MANTECH seeks a motivated, career and customer-oriented OPERATIONS RESEARCH SYSTEMS ANALYST (ORSA) to join our team in QUANTICO, VA This role supports the execution of complex wargaming events, leveraging analytical methodologies to assess future force capabilities...Suggested
- ...Dental, Vision ++ a fun company to work!!! Role: Business Systems Analyst Location: Indianapolis, IN – (100% remote) Top Skills:... ...knowledge (ideally having worked at payor) Experience with Grievance and Appeal data process Strong SQL skills/data analysis (experience...SuggestedRemote work
- ...Job Description Job Description Medicaid Business / QA Analyst ~7–12+ Month Contract | Remote | No ThirdParty Firms | Medicaid SME Required ~ Candidates with previous State Medicaid program experience will be given strong consideration. ~ Drug screen and background...SuggestedContract workRemote work
- ...person status as defined by 8 U.S.C. 1324b(a)(3). Please review the job details below. Vantor is currently seeking a Big Data Analyst to join our team. This role will be performed in our Vantor facility located in Herndon, Virginia and the customer site in...Suggested
- ...Solutions Lead with deep expertise in Healthcare Payer operations, Care Management, Prior Authorization, Utilization Management, Grievances & Appeals, and Digital Transformation initiatives.Preferred Skill and ExperienceLead implementation and enhancement initiatives involving...SuggestedFull timeTemporary workRelocation
- ...MANTECH seeks a motivated, career and customer-oriented RESEARCH ANALYST to join our team in QUANTICO, VA. The research analyst will research, assess and create products related to specific CG MCWL/ Futures Directorate designated topic(s), including rigorously analyzing...SuggestedWork at office
- ...MANTECH seeks a motivated, career and customer-oriented RESEARCH ANALYST to join our team in QUANTICO, VA. The successful candidate will serve as the principal research analyst and structural architect for an upcoming Force Design blueprint and conduct service...SuggestedWork at office
- ...Quality Assurance Analyst To be responsible for the quality, technical feasibility, and reliability of software and systems that are utilized by internal and external customers. To provide quality assurance expertise and direction on the functionality and usability...SuggestedWork at office
- Job-ID29295404Reference26-25733In this contingent resource assignment, you may: Consult on complex initiatives with broad impact and large-scale planning for Systems Quality Assurance. Review and analyze complex multi-faceted, larger scale or longer-term Systems Quality...Suggested
- Full-Scope OB/GYN | NO NIGHT CALL | Community-Based Teaching Role Lakeland Regional Health is seeking a Board-Certified/Board-Eligible OB/GYN to join our growing women's health team as Core Faculty & Research Advisor . This position offers the opportunity to practice...SuggestedSummer workNight shift
- Job Description - We have few urgent openings (3 to 4) for Anthem account in Appeals and Grievances areas (Medicare) & Provider area. So, if we have the BSA profiles with HC knowledge on Medicare or Medicaid, Provider, Data Analysis and Agile we can consider and share...Suggested
- ...About the job Remote Data Analyst - Entry Level This position reports to the Human Resources and Risk Manager. Receives general supervision... ...records, benefit enrollments, workers compensation claims, grievance records, investigation documentation, and other similar records...SuggestedPermanent employmentContract workTemporary workLocal areaRemote workVisa sponsorship
- ...Quality Assurance and Automation Analyst To be responsible for the quality, technical feasibility, and reliability of software and systems that are utilized by internal and external customers. To provide quality assurance expertise and direction on the functionality...SuggestedWork at office
$19.92 - $24.9 per hour
...Grievance/Appeals Analyst I Shift: Monday-Friday Location: Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity,...SuggestedFull timeTemporary workWork experience placementWork at officeLocal areaMonday to FridayShift work1 day per week- ...Job Description Job Description Position Summary The Grievance and Appeals CTM Analyst is responsible for reviewing, investigating, tracking, and resolving member complaints. This position supports regulatory compliance by ensuring complaints received through the...Work at office
- USfalcon is seeking an Operations Research/Systems Analyst (ORSA), Senior to support USSTRATCOM at Offutt AFB, NE. JOB SUMMARY: The ORSA applies advanced quantitative methods and operations research techniques to resolve complex analytical problems in direct support of...Full timeTemporary workFlexible hours
- ...Job Description Business Systems Analyst (EHS Systems Implementation) \n \n Location: Waukegan, IL (Onsite) \n Duration: Long-term Contract \n \n Position Summary \n The client is seeking an experienced Senior Business Systems Analyst (BSA) to support...Long term contract
- ...Job Description Business Systems Analyst \n Supply Chain & Enterprise Systems \n \n Location: New York/New Jersey metro - hybrid: 3 days/week on-site at our Manhattan office, 2 days remote. Occasional travel to warehouse and distribution-center sites. \n...Seasonal workWork at officeRemote workOverseas3 days per week
$81.28k
...underwriting and issue value chain through a portfolio of foundational business capabilities and legacy components. As a Technical Business Analyst III supporting the Post Approval domain, you will help drive the discovery, planning, and delivery of initiatives that advance NM's...Flexible hours- ...MANTECH seeks a motivated, career and customer-oriented Acquisition Security Risk Analyst to support our USMC contract out of Quantico, VA. The Acquisition Security Risk Analyst will serve as a strategic author and systems security architect capable of conceptualizing...Contract workFor contractors
- Job Description Job Description Description: At CSpring, we believe in the power of people and data to drive real-world impact. We’re a purpose-driven consulting firm that helps organizations solve complex problems, gain insights, and achieve measurable results. Our...
- 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
- ...Job Description Position Summary \n \n The Business Operations Analyst is responsible for driving operational efficiency across the organization. This role leads process improvement initiatives, develops performance metrics, supports cross-functional projects,...
$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- ...MANTECH seeks a motivated, career and customer-oriented Geospatial Analyst to join our team in St Louis, MO ! The Geospatial Analysts for the Airfield Foundation Data program will extract specific feature data in accordance with the customer's data and product...
- ...healthcare industry, and in people's lives. Work Shift Wellstar Paulding in Hiram, Georgia is seeking FT Clinical Charge Audit Analyst. The Clinical Charge Audit Analyst provides clinical documentation improvement, auditing, coding and charge entry for all...Shift work
- The Business Analyst supports vendor performance management for Appeals operations by analyzing performance data, identifying root causes... ...Preferred Qualifications Experience in healthcare appeals or grievance operations Familiarity with compliance/regulatory requirements...Contract workWork at officeRemote workMonday to Friday2 days per week3 days per week
$109.3k - $191k
...**### **POSITION SPECIFICS**We are searching for self-motivated, detail-oriented, positive, and quality-conscious Undersea System Analysts to join our Operations Research and Systems Analysis Department at the Applied Research Laboratory (ARL), Penn State. Operations Research...Full timeWork experience placementWork at officeRemote workFlexible hours$90k - $115k
Operations and Data Quality AnalystJob DescriptionWe are looking for an Operations and Data Quality Analyst to join our Data Engineering team. As an Operations and Data Quality Analyst, you will help lay the foundation for a Data Operations pillar within Data Engineering...Full timeTemporary workWork visa





