- Corewell Health (Grand Rapids, MI)
- …departments. Serves as a mentor/trainer to other team members. The Senior Appeals Analyst makes decisions on moderately complex issues regarding technical ... Degree or equivalent + 5 years of relevant experience Grievance & or Appeal Analyst or related...E Beltline - Grand Rapids Department Name PH - Grievance And Appeals Medicare Employment Type Full… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeal and Grievance Compliance Advisor Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances ... and categorization, service authorization request and coverage determination , Appeals and Grievances across all lines of business). This...requirements for all product lines The position will take lead in all of the audit situations and be… more
- Elevance Health (Palo Alto, CA)
- …Two (2) years of experience in health care, including prior authorization process and grievance and appeals process. * Two (2) years of experience with ... **IT Business System Analyst Sr Advisor** [AID020] **Location:** This position will...partners. * Identify opportunities to support business activities. * Lead the high-level requirements development process. * Support elicitation… more
- CVS Health (Lansing, MI)
- …Position Summary + Lead a team of Medicaid Provider Data Services Analyst responsible for loading and maintaining Medicaid Provider data within Aetna QNXT. + ... Team will also include provider operations analyst and potential pre-cred support for implementation activities. +...or required information from Providers, such as HEDIS, Credentialing, Grievance and Appeals , SIU, etc. + Coordinates… more
- CVS Health (Austin, TX)
- …in Texas** - Lead a team of Medicaid Provider Data Services Analyst responsible for loading and maintaining Medicaid Provider data within Aetna QNXT.- Team will ... also include provider operations analyst and pre-cred support for implementation activities.- Provides assistance...or required information from Providers, such as HEDIS, Credentialing, Grievance and Appeals , SIU, etc.- Coordinates provider… more