10,000+ Jobs Found

"telecommute appeals and grievances qa auditor" in "None"

Complaints and Grievances Coordinator I (Remote)

Home Nursing Agency Greensburg Pennsylvania United States
(No Timezone Provided)

Description UPMC Health Plan is hiring a full-time Complaints and Grievances Coordinator I to help support the Complaints and Grievances Department (Provider Appeals service line). This is a Monday through Friday daylight position. The team is based out of downtown Pittsburgh's US Steel Tower...

Complaints Grievances Appeals Liaison Medicare Advantage (Remote)

Oscar Health Tempe Arizona United States
(No Timezone Provided)

Hi, we're Oscar. We’re hiring a Complaints Grievances and Appeals (CGA) Liaison to join our Clinical team in our Tempe office.  Oscar is a technology-driven, consumer-focused health insurance startup founded in 2012 and headquartered in New York City. Our goal is to make health insurance simple, t...

Grievance & Appeals Nurse (CA) - Remote Available

Envolve Pharmacy Solutions None null United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...

Appeals Representative Associate - Remote

UnitedHealth Group Hartford Connecticut United States
(No Timezone Provided)

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...

Appeals Representative Associate - Remote

UnitedHealth Group Atlanta Georgia United States
(No Timezone Provided)

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...

Appeals Representative Associate - Remote

UnitedHealth Group Tampa Florida United States
(No Timezone Provided)

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...

Appeals Representative Associate - Remote

UnitedHealth Group Dallas Texas United States
(No Timezone Provided)

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...

Appeals Representative Associate - Remote

UnitedHealth Group Phoenix Arizona United States
(No Timezone Provided)

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...

Appeals Representative Associate - Remote

UnitedHealth Group Minneapolis Minnesota United States
(No Timezone Provided)

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...

Appeals Representative - Cypress, CA or WFH

UnitedHealth Group Cypress California United States
(No Timezone Provided)

This role is temporarily remote. Training is conducted virtually from your home. This role is an onsite role and you will transition once training is completed to work in the office in the future. If you are located at Chico, CA, you will have the flexibility to telecommute* (work from home) as you ...

Appeals Representative - Cypress, CA or WFH

UnitedHealth Group Chico California United States
(No Timezone Provided)

This role is temporarily remote. Training is conducted virtually from your home. This role is an onsite role and you will transition once training is completed to work in the office in the future. If you are located at Chico, CA, you will have the flexibility to telecommute* (work from home) as you ...

Administrative Appeals Representative (Work From Home)

American Specialty Health Bartlesville Oklahoma United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health New Smyrna Beach Florida United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Saginaw Michigan United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Kansas City Missouri United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Fort Pierce Florida United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Belleville Michigan United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Aberdeen Maryland United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Los Alamos New Mexico United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Avon Park Florida United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Seneca South Carolina United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Denison Texas United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Fort Smith Arkansas United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Carlsbad New Mexico United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Fallon Nevada United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Camden South Carolina United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Albertville Alabama United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Hopkinsville Kentucky United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Winchester Kentucky United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Panama City Beach Florida United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Elko Nevada United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Galveston Texas United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Greeneville Tennessee United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Henderson Kentucky United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Spartanburg South Carolina United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Somerset Kentucky United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Administrative Appeals Representative (Work From Home)

American Specialty Health Destin Florida United States
(No Timezone Provided)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue us...

Complaints Grievances Appeals Liaison Medicare Advantage (Remote)

Oscar Technology Tempe Arizona United States
(No Timezone Provided)

Hi, we're Oscar. We’re hiring a Complaints Grievances and Appeals (CGA) Liaison to join our Clinical team in our Tempe office. Oscar is a technology-driven, consumer-focused health insurance startup founded in 2012 and headquartered in New York City. Our goal is to make health insurance simpl...

Customer Service Representative- Telecommute LA

Equity Staffing Group Englewood Colorado United States
(No Timezone Provided)

Equity Staffing is looking for a Customer Service Representative in Louisiana for a Temporary Position. This position is with a Fortune 100 organization. Our client serves more than 85 million people and has a reputation for bold ideas. If you enjoy working with energetic people in a collaborative e...

Coding Quality Expert (Inpatient Auditor) - REMOTE - SIGN-ON BONUS!!

CorroHealth None null United States
(No Timezone Provided)

Overview The Coding Quality Auditor will be responsible for performing Diagnostic Related Group (DRG) validation and ensuring the coding quality of charts reviewed by the Physician Teams, a two-person team consisting of an MD Reviewer and a Coding Quality Expert (CQE). Coding Quality Auditor will do...

Remote Senior Provider Auditor

Novitas Jacksonville Florida United States
(No Timezone Provided)

SUMMARY STATEMENT The Provider Audit and Reimbursement Senior Auditor utilizes advanced knowledge of Medicare laws, regulations, instructions from the Centers for Medicare and Medicaid Services (CMS), and provider policies to perform desk reviews and audits of the annual Medicare cost reports, inte...

SQL/Python Data Analyst - Remote

UnitedHealth Group Dallas Texas United States
(No Timezone Provided)

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...

Claims Supervisor - Remote - 941604

UnitedHealth Group Tampa Florida United States
(No Timezone Provided)

You’ll enjoy the flexibility to telecommute* from anywhere within the Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join u...

Grievances and Appeals Representative 4 - Work at Home/Remote EST and CST

Humana Insurance Company Louisville Kentucky United States
(No Timezone Provided)

DescriptionResponsibilitiesThis position can be in office or work at home in EST or CST and will provide coverage for eastern time zone hours. Weekend work required. Schedules will be from Thursday - Monday. 5% Shift differential for working Saturday and SundayThe Grievances & Appeals Representative...

Arbitration and Mediation Specialist (Remote)

Oscar Health Tempe Arizona United States
(No Timezone Provided)

Hi, we're Oscar. We’re hiring an Arbitration and Mediation Specialist to join our Complaints Grievances & Appeals.  Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind o...

Claims Business Process Consultant Senior - Remote

UnitedHealth Group Phoenix Arizona United States
(No Timezone Provided)

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...

Claims Business Process Consultant Senior - Remote

UnitedHealth Group Dallas Texas United States
(No Timezone Provided)

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...

Claims Business Process Consultant Senior - Remote

UnitedHealth Group Hartford Connecticut United States
(No Timezone Provided)

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...

Claims Business Process Consultant Senior - Remote

UnitedHealth Group Atlanta Georgia United States
(No Timezone Provided)

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...

Claims Business Process Consultant Senior - Remote

UnitedHealth Group Minneapolis Minnesota United States
(No Timezone Provided)

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless...