Grievance Case Analyst Jobs

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Description Benefits Supplemental Questions We Value... service excellence, leadership, integrity, health equity, innovation and partnership. The Oregon Health Authority (OHA) is a state agency dedicated to helping people and communities achieve optimum physical, mental and social well-being through partnerships, prevention and access to quality, affordable health care. We are absolutely commit...
This position is responsible for the review and resolution of patient complaints and grievances; and/or the adjudication of claims or provider audits as applicable. Duties include: · Reviews and analyzes documentation related to patient complaints. · Corresponds with QA or QM Analysts regarding case analysis and resolution. · Prepares draft responses pertaining to enrollee and provider grievan...
Aetna Inc. Moon, PA
This position will be in-office in the Moon, PA office. Potential for telework will be evaluated after a certain period of employment, typically after 1 year (subject to availability, business needs, and performance). POSITION SUMMARY Seeking organized, self managing and motivated individuals to join the Medicare Grievance and Appeal team as a Complaint and Appeal Analyst focused on Medicare Adv...
Alegent Creighton Health Little Rock, AR
Medical Director - QualChoice - 1400026148 Description The Medical Director oversees medical policy and implementation of medical policy as it pertains to Utilization Management, Quality Improvement, Credentialing, Recredentialing, and Chairs the Credentialing Committee. Principal Duties and Responsibilities: · Conducts initial review of provider credentialing and recredentialing applications ...
Catholic Health Initiatives Little Rock, AR
Medical Director - QualChoice - 1400026148 Description The Medical Director oversees medical policy and implementation of medical policy as it pertains to Utilization Management, Quality Improvement, Credentialing, Recredentialing, and Chairs the Credentialing Committee. Principal Duties and Responsibilities: · Conducts initial review of provider credentialing and recredentialing applications ...
Catholic Health Initiatives Rock County, WI, WI
Job Description: The Medical Director oversees medical policy and implementation of medical policy as it pertains to Utilization Management, Quality Improvement, Credentialing, Recredentialing, and Chairs the Credentialing Committee. Principal Duties and Responsibilities: • Conducts initial review of provider credentialing and recredentialing applications prior to submission to Credentials Comm...
Catholic Health Initiatives Little Rock, AR, 72215
The Medical Director oversees medical policy and implementation of medical policy as it pertains to Utilization Management, Quality Improvement, Credentialing, Recredentialing, and Chairs the Credentialing Committee. Principal Duties and Responsibilities: · Conducts initial review of provider credentialing and recredentialing applications prior to submission to Credentials Committee; approves cl...
Los Angeles County Department of Health Services Los Angeles, CA, 90009
Job details Job 1 of 1 Apply to job   Send to friend Save to cart View similar jobs Bulletin Number 39354BR Type of Recruitment Transfer Opportunity Department Health Services Position Title PHYSICIAN SPECIALIST/MANAGED CARE (NON-MEGAFLEX) Filing Type Open Continuous General Information Appointees may be required to work any shift including evenings, nights, weekends, and holidays. Interested...

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Healthcare Career Tools

Grievance Case Analyst

Salaries

$29,120.00 - $65,000.00
Typical Salary for Grievance Case Analyst
(6 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
40.8%
Master's
20.7%
Some College Coursework Completed
16.2%
High School
7.8%
Associates
5.6%
Some High School Coursework
2.2%
Certification
2.2%
Doctorate
2.2%
(179 Respondents)
Source: Monster.com Careerbenchmarking Tool
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