Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible... as needed. The Analyst is responsible for the accurate coordination, efficient administration and resolution of member appeals...
SUMMARY Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst... as needed. The Analyst is responsible for the accurate coordination, efficient administration and resolution of member appeals...
: Conduct the primary investigation and resolution of member appeals and grievances following established guidelines from: The... Information Organization: HAP (Health Alliance Plan) Department: Appeals and Grievances Henry Ford Health Location: HAP...
Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible... as needed. The Analyst is responsible for the accurate coordination, efficient administration and resolution of member appeals...
Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst... as needed. The Analyst is responsible for the accurate coordination, efficient administration and resolution of member appeals...
Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible... as needed. The Analyst is responsible for the accurate coordination, efficient administration and resolution of member appeals...
Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible... as needed. The Analyst is responsible for the accurate coordination, efficient administration and resolution of member appeals...
Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible... as needed. The Analyst is responsible for the accurate coordination, efficient administration and resolution of member appeals...
& Appeals Case Analyst(s). Attends meetings as needed including but not limited to Case Conferences, Case Forum Meetings...’s degree or four (4) years of related work experience, preferably in Grievances & Appeals, health care customer service, case...
Administration or related field (required) 2-4 years experience in managed care, appeals, grievances, utilization management...
Job Description. Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance... Analytical thinker & Research Skills Grievance and Appeals experience. Experience in analyzing a claim Experience...
Job Description The Resolution Analyst is responsible to identify the applicable laws and regulations related... to complaints, while also performing research, investigation, negotiation, and resolution of all types of customer appeals...
’ experience in Medical Management (Utilization Management, Appeals and Grievances, and/or Concurrent Review). Over 2 years..., as necessary. 14. Support the Delegation Oversight Analyst in the development and validation of reports regarding audits...
’ experience in Medical Management (Utilization Management, Appeals and Grievances, and/or Concurrent Review). Over 2 years..., as necessary. 14. Support the Delegation Oversight Analyst in the development and validation of reports regarding audits...