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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... 
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    Remote job
    Flexible hours

    Elevance Health

    Las Vegas, NV
    3 days ago
  •  ...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... 
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    MANTECH

    Quantico, VA
    21 hours ago
  •  ...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... 
    Suggested
    Remote work

    Talentify.io

    Concord, CA
    3 days ago
  •  ...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... 
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    MSR Technology Group

    Springfield, IL
    28 days ago
  •  ...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... 
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    Vantor

    Herndon, VA
    1 day ago
  •  ...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... 
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    Full time
    Temporary work
    Relocation

    Infosys Technologies

    Richardson, TX
    11 hours ago
  •  ...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... 
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    MANTECH

    Quantico, VA
    8 hours agonew
  •  ...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... 
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    MANTECH

    Quantico, VA
    8 hours agonew
  •  ...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... 
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    Work at office

    Michigan Farm Bureau

    Lansing, MI
    4 days ago
  • 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...
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    Mindlance

    Charlotte, NC
    2 days ago
  • 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...
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    Summer work
    Night shift

    Lakeland Regional Health

    Lakeland, FL
    4 days ago
  • 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... 
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    3B Staffing LLC

    Norfolk, VA
    2 days ago
  •  ...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... 
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    Jobsultant Solutions

    United States
    2 days ago
  •  ...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... 
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    Work at office

    Michigan Farm Bureau

    Lansing, MI
    3 days ago
  • $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,... 
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    Full time
    Temporary work
    Work experience placement
    Work at office
    Local area
    Monday to Friday
    Shift work
    1 day per week

    Elevance Health

    Las Vegas, NV
    4 days ago
  •  ...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

    Solis Health Plans

    Miami, FL
    19 days ago
  • 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 time
    Temporary work
    Flexible hours

    USfalcon

    Omaha, NE
    4 days ago
  •  ...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

    MethodHub

    Waukegan, IL
    3 days ago
  •  ...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 work
    Work at office
    Remote work
    Overseas
    3 days per week

    The Moret Group

    New York, NY
    6 days ago
  • $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

    Northwestern Mutual

    Franklin, WI
    14 hours ago
  •  ...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... 
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    For contractors

    MANTECH

    Quantico, VA
    21 hours ago
  • 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...

    CSpring

    Springfield, IL
    5 days ago
  • 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 area
    Remote work

    Mindlance

    Quincy, MA
    1 day ago
  •  ...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,... 

    Interactive Resources - iR

    West Virginia
    3 days ago
  • $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 time
    Temporary work
    For contractors
    Work at office
    Remote work
    Flexible hours

    NTT DATA

    Albany, NY
    2 days ago
  •  ...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... 

    MANTECH

    Saint Louis, MO
    21 hours ago
  •  ...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

    Wellstar Health Systems, Inc.

    Hiram, GA
    3 days ago
  • 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 work
    Work at office
    Remote work
    Monday to Friday
    2 days per week
    3 days per week

    Independence

    Philadelphia, PA
    a month ago
  • $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 time
    Work experience placement
    Work at office
    Remote work
    Flexible hours

    Penn State

    Eastern, KY
    1 day ago
  • $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 time
    Temporary work
    Work visa

    Fortegra Financial

    Jacksonville, FL
    3 days ago