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...
Job Description JOB SUMMARY: The Operations Correspondence Analyst is part of the Operations Compliance team, reporting to the Operations Correspondence & Support Supervisor. Implements and maintains the templates utilized for correspondence required based on operational activity and driv...
Please note that remote positions require that you live within 25 miles of the job site.About us:Morgan Stephens represents the nation’s top healthcare systems offering the highest compensation and benefits to our top candidates. We are created and managed by experienced industry professionals in ...
Job DescriptionCustomer Service Representative is the face of Aetna and impacts members' service experience by manner of how customer service inquiries and problems via telephone, internet or written correspondence are handled. Customer inquiries are of basic and at times complex nature. Engages, co...
Company DescriptionDigital Risk's mission to Make Mortgages Safe relies on the perfect blending of human experience and state-of-the-art technology to serve its workforce and clients.Digital Risk's 1,500+ team members make us one of the largest mortgage outsource providers in the U.S., supplying app...
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 ...
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 ...
Job Description Security Analyst maintains security posture of Steward Health Care through active monitoring of the infrastructure and participation in projects designed to implement security technologies. Monitors work request queue and assumes (or delegates to other team members) responsibil...
About RoleThe Americas Benefits Analyst will serve as a center of excellence (COE) analyst on the Guidewire's Global Talent Rewards team responsible for administering Americas benefits programs, including medical, dental, vision, life insurance, employee assistance, short- and long-term disability, ...
Open to remote within the United States with preference to Minnesota. Careers that Change Lives A career at Medtronic is like no other. We’re purposeful. We’re committed. And we’re driven by our Mission to alleviate pain, restore health and extend life for millions of people worldwide. In ...
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. ...
*Medical Device Product Complaint Associate-**Remote**Schedule: Full Time **Mon-Fri, Standard Working Hours- Some flexibility * This is a Remote position working West Coast hours *Pay Rate: $20-25 DOE**1 year Contract possibility to Convert or Extend* The Complaint Associate provides complaint suppo...
Medical Device Product Complaint Associate-Remote Schedule: Full Time Mon-Fri, Standard Working Hours- Some flexibility This is a Remote position working West Coast hours Pay Rate: $20-25 DOE 1 year Contract possibility to Convert or Extend The Complaint Associate provides complaint support ...
DescriptionSecurity Analyst shall be responsible for monitoring, assessing, and remediating cybersecurity events to secure and protect proprietary, personal, and privileged electronic data. Utilize cybersecurity tools to monitor and detect attacks and vulnerabilities in the network. Monitor SIEM ale...
DescriptionSecurity Analyst shall be responsible for monitoring, assessing, and remediating cybersecurity events to secure and protect proprietary, personal, and privileged electronic data. Utilize cybersecurity tools to monitor and detect attacks and vulnerabilities in the network. Monitor SIEM ale...
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...
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...
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...
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...
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...
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...
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. ...
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...
Responsibilities: Documents existing processes Designs new processes Identify process improvement opportunities Lead small/medium tactical projects to meet scope, timelines, and budget Act as liaison for Care/Sales on process and system projects Gather, identify and document business requ...
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...
Job Description The Denials Coordinator is responsible for working assigned denials and appeals claims by communicating with all necessary departments to identify and resolve denials trends and issues. Essential Duties and Responsibilities: include the following. Other duties may be assigned....
Quality Analyst II with a great Pharmaceutical company in the Parsippany, NJ. * This position is Partially Remote - 2 days onsite in Parsippany, NJ and 3 days are REMOTE (Work From Home)* Job Title: Quality Analyst II Location: Parsippany, NJ Duration: long term contract Position Sum...
CCRC prides itself as a workplace of choice for passionate talent, driven by our mission to cultivate child, family and community well-being. Whether the position works directly with the public or supports our programs, every position is vital to our mission's success and reputation as a leader. We ...
Job Description The SUR Application Analyst is responsible for analysis, design, testing, documentation, training, report writing and daily user support. Ability to interpret and develop project plans, functional/operational specifications, flowcharts, input and output specifications (includin...
Job Title : Engineer – Biopharma Medical Device Complaint Trending – Remote (JP9349) Location: Thousand Oaks, CA. Remote within the US, PST Employment Type : Contract. Business Unit: Complaint Trending Duration : 12 months with likely extensions. Posting Date: 10/25/2021 3 Key Consulting i...
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...
[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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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...