Description & Requirements Maximus is currently hiring for a Sr. Coordinator - Appeals to join our Fed NSA team.... This is a remote opportunity. The Sr. Coordinator - Appeals is responsible for reviewing payment determinations from the initiating...
Description As the Senior Appeals and Grievances Analyst, you will be responsible for: Assisting... with all operational aspects of appeals and grievances, in accordance with state and federal regulations. Assisting the unit Supervisor in...
Description As the Senior Appeals and Grievances Analyst, you will be responsible for: Assisting... with all operational aspects of appeals and grievances, in accordance with state and federal regulations. Assisting the unit Supervisor in...
Description As the Senior Appeals and Grievances Analyst, you will be responsible for: Assisting... with all operational aspects of appeals and grievances, in accordance with state and federal regulations. Assisting the unit Supervisor in...
Description As the Appeals and Grievances (A&G) Analyst, you will be responsible for assisting with all operational... aspects of appeals and grievances, in accordance with state and federal regulations. You will: Manage various weekly...
Description As the Appeals and Grievances (A&G) Analyst, you will be responsible for assisting with all operational... aspects of appeals and grievances, in accordance with state and federal regulations. You will: Manage various weekly...
audits and appeals. Leverage your expertise to support UCLA Health's commitment to accuracy and quality in claim processing.... As an Audit and Appeals Specialist, you will: Facilitate responses to regulatory audits related to billing, coding...
Description As the Appeals & Grievances Nurse, you will play a key role in managing and resolving New Century Health... Plan member appeals and grievances. You will: Ensuring timely, accurate, and thorough review of member and provider...
of member and provider appeals and grievances in compliance with CMS (Centers for Medicare & Medicaid Services) regulations... or more years of experience in healthcare operations, managed care, or Medicare Advantage, specifically in handling appeals...
key metrics and performance trends of seller and creator appeals and work with the governance team and service delivery... team to improve the service level and appeal handling quality. - Deep dive into the painpoints of seller/creator appeals...
of Appeals and Grievances Clinical Operations (A&G) RN is responsible for executing the day-to-day clinical operations of the A&G.../problems and forming resolutions within the scope of work/licensure. The Supervisor is a subject matter expert (SME) in Appeals...
Solution Center Appeals and Grievances is responsible for assisting with the development of a successful and cohesive Appeals... and/or exceed member satisfaction. Responsible for the day to day oversight of Appeals and Grievance Specialist by closely...
We are seeking a creative Manager, Marketing to join our team. What you'll do Office- first role, in office 4 days a week. Work closely with artists and their representatives to define marketing objectives and oversee campaign executi...
As the Manager, Sync you will: What you'll do Hybrid role. Actively pitch and market catalog to the Film, TV, Advertising and Gaming community, as well as respond to briefs, to effectively procure placements and increase sync revenue....
APPEALS FIRM™, is a law firm concentrating its practice in handling Social Security Disability cases at the Federal Court... level. We strive for excellence in Federal Court appeals. Compensation: $500 flat fee per case in which you appear...
experience in handling claims appeals with experience in communicating with external providers. Skills Required: Sound...
practice, consistently ranked among the top in California, is seeking to expand its team. We handle high-stakes appeals in... Los Angeles and was voted “Best Law Firms” for 2024. The firm handles high-stakes litigation, trial, and appeals for Fortune 500...
Los Angeles and was voted “Best Law Firms” for 2024. The firm handles high-stakes litigation, trial, and appeals for Fortune 500... matters from inception to resolution, including depositions, court appearances, settlement negotiations, trials, and appeals...
appeals process. - Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee... plans, providers and enrollees regarding case status, questions about the Program, and the appeals process...
of litigation, from law and motion to depositions, trials, and appeals, with strong oral and written advocacy skills. Proficiency...