- Henry Ford Health System (Troy, MI)
- …prompt and thorough investigation of medical, transportation, and pharmacy member appeals and grievances for Health Alliance Plan's (HAP's): Commercial, Medicare ... Advantage, Medicare-Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify trending issues on an ongoing basis and provide root/cause analysis… more
- Elevance Health (Richmond, VA)
- **Title: Grievance / Appeals Analyst II** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 ... miles of one of our PulsePoint locations. The ** Grievance / Appeals Analyst II** will be...to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by… more
- Elevance Health (Los Angeles, CA)
- **Title: Grievance / Appeals Analyst I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 ... miles of one of our PulsePoint locations. The ** Grievance / Appeals Analyst I** is an...to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by… more
- Elevance Health (Mendota Heights, MN)
- …needs to be made regarding medical necessity. + Provides expert analysis to dental Grievance and Appeals and Customer Service as requested. + Participation in ... **JR128234 Dental Service Analyst ** Responsible for performing utilization review of dental...to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by… more