1 - 10 of 125

complaint and appeal analyst jobs

  • Denials / Appeals Coding Analyst - CODING & COMPLIANCE (72390)

    Advocate Health Care Network

    - Aurora, IL

    and procedures. 3. Identifies, analyzes and researches denials root causes and ... and third parties. *Ability to listen to and understand information and ideas...

    30+ days ago from Advocate Health Care
  • Grievances & Appeals Nurse Specialist



    - Los Angeles, CA

    that clinical grievances, complaints and complex issues are investigated and ... requirements/standards. Computer literacy and adaptability to computer learning. Time...

    22 hours ago from MiracleWorkers.com
  • Grievances and Appeals Manager

    Magellan Health Services

    - Brooklyn, NY

    JOB SUMMARY Manage the staff and the appeal and comment functions within the Quality and ... and analysis of reports regarding appeal and complaint activity as well as preparation...

    13 days ago from Professional Diversity Network
  • Grievance Analyst


    Remx Specialty Staffing

    - Scottsdale, AZ

    Analyst. This position reviews, analyzes and processes non-complex pre service and ... experience: 1-3 years of member appeal and provider claim dispute resolution...

    18 hours ago from CareerBuilder
  • Principal Analyst 2-Employee & Labor Relations


    University of California - Santa Cruz

    - Santa Cruz, CA

    and appeal hearings. The Principal Analyst 2, will consult and advise on a wide ... 45 Union Relations/Grievance and Complaint Handling Manage formal grievances and complaint...

    2 days ago from JOFDAV
  • Patient Account Analyst

    Rml Specialty Hospital

    - Illinois

    with patients, families and co-workers, and as identified in departmental and ... and customers in understanding PFS processes and hospital policies, procedures and...

    5 days ago from A Mighty River
  • Complaint and Appeal Analyst

    Department of Workforce Services

    - Sandy, UT

    Responsible for managing to resolution complaint-appeal scenarios for all ... to complaints-appeals. Identify trends and emerging issues and report and recommend...

    15 days ago from Department of Workforce Services
  • Appeals & Grievance Analyst


    Providence Health & Services

    - Beaverton, OR

    liaison between the member, the Health Plan, and its representatives and is accountable ... clinics, senior services, supportive housing and other health and educational services.

    2 days ago from Providence Health & Services
  • Grievance/Appeals Representative II


    - New York City, NY

    and entitlement. * Conducts investigation and review of customer grievances and appeals ... types (i.e. member, provider and regulatory) and multiple products (i.e. HMO, POS, and...

    7 days ago from WellPoint
  • Denials Appeals Coding Analyst

    Advocate Health Care System

    - Fox Valley, IL

    and third parties. Ability to listen to and understand information and ideas ... settling disputes, resolving grievances and conflicts, and/or negotiating with...

    6 days ago from TAOnline
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