Grievance Case Analyst

LIBERTY Dental Plan of California, Inc.
Irvine, CA
Why Join LIBERTY Dental Plan, Inc.? Now serving over 2 million members nationwide, LIBERTY strives to provide the best customer service for not only our external customers, but our employees; who cont...

Posted: 2 days ago

Program Analyst 2 (Ombudsman)

State of Oregon
Salem, OR
Description Benefits Supplemental Questions DHS14-1111 - Extended Close Date - Open Competitive The Department of Human Services (DHS) is about safety, health and independence for all Oregoni...

Posted: 7 days ago

Grievance & Appeals Analyst

Molina Healthcare Inc
Long Beach, CA
Job Summary Responsible for reviewing, classifying, researching and resolving member complaints (grievances and/or appeals) and communicating resolution to members or their authorized representativ...

Posted: 2 days ago

Quality Analyst II

Beacon Health Strategies, LLC
Cypress, CA
JOB DESCRIPTION: The Quality Analyst II position includes working with the Quality Manager and Beacon staff on quality improvement activities, analysis, and reporting of key quality indicators and,...

Posted: 6 days ago

Grievance & Appeals Analyst

Molina Healthcare
Long Beach, CA
Job Summary Responsible for reviewing, classifying, researching and resolving member complaints (grievances and/or appeals) and communicating resolution to members or their authorized representatives ...

Posted: 12 days ago

Grievance/Appeals Analyst -Job Family)-Woodland Hills, CA

WellPoint, Inc.
Woodland Hills, CA
Anthem Blue Cross is a proud member of the WellPoint family of companies and is one of California’s oldest and largest health insurers. At Anthem, we are working together to transform health care with...

Posted: 7 days ago

Grievance/Appeals Analyst -Job Family)-Woodland Hills, CA-91468

WellPoint Inc
Woodland Hills, CA
Anthem Blue Crossis a proud member of the WellPoint family of companies and is one of California#x2019;s oldest and largest health insurers. At Anthem, we are working together to transform health care...

Posted: 10 days ago

Senior HR Analyst

California State University
Long Beach, CA
CSU Job Listing Details Printable version E-Mail this listing Campus: Chancellor's Office Job ID: 1011536 Job Title: Senior HR Analyst Appointment Type: Probationary T...

Posted: 34 days ago

Associate Appeals Analyst

Highmark
Pittsburgh, PA
General Overview: The Appeals Analyst reviews inquiries to determine if they meet the definition of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals; initi...

Posted: 3 days ago

Complaint and Appeal Analyst

Aetna
Blue Bell, PA
Fundamental Components: In the position, the following functions will be performed: - Review of contract materials to determine if coverage criteria met. - Interpret Medicare Regulations - Draft lette...

Posted: 17 days ago

Complaint and Appeal Analyst

Aetna Inc.
Pittsburgh, PA
POSITION SUMMARY Responsible for managing to resolution complaint/appeal scenarios for all products, which may contain multiple issues and, may require coordination of responses from multiple busin...

Posted: 11 days ago

Program Integrity Analyst

CareSource
Dayton, OH
Job Summary: This person is responsible for complex Program Integrity requirements for all product lines in all states to ensure delivery on commitments. Key responsibilities include drafting polic...

Posted: 32 days ago

Complaint and Appeal Analyst

Aetna Inc.
Blue Bell, PA
POSITION SUMMARY Responsible for managing to resolution complaint/appeal scenarios for all products, which may contain multiple issues and, may require coordination of responses from multiple busin...

Posted: 11 days ago