RN APPEALS ANALYST jobs in USA, United Kingdom

Regulatory Adherence Utilization Management Sr. Clinical Quality RN is responsible for monitoring and reporting compliance issues... and CMS. This position requires a current unrestricted nursing license (i.e. RN) in the applicable state, who is a subject...

UnitedHealth Group

Regulatory Adherence Utilization Management Sr. Clinical Quality RN is responsible for monitoring and reporting compliance issues... and CMS. This position requires a current unrestricted nursing license (i.e. RN) in the applicable state, who is a subject...

UnitedHealth Group

Sr Payer Policy Analyst At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs... and change lives! Basic Purpose: The Senior Payer Policy Analyst for Specialty Testing is responsible for supporting...

Labcorp

Sr Payer Policy Analyst At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs... and change lives! Basic Purpose: The Senior Payer Policy Analyst for Specialty Testing is responsible for supporting...

Labcorp

and effectively. You Are: The Sr. Medicare Compliance Analyst position is responsible for a variety of functions, including... departmental reporting and project related tasks accurately and within all required timeframes. Additionally, the Sr. Analyst...

UST

(Tuesday ALT Day). Must have experience in Medicare Appeals, Utilization Case Management or Compliance in Medicare Part C... Ability to differentiate different types of requests Appeals, Grievances, coverage determination and Organization Determinations in order...

Cigna

(Tuesday ALT Day). Must have experience in Medicare Appeals, Utilization Case Management or Compliance in Medicare Part C... Ability to differentiate different types of requests Appeals, Grievances, coverage determination and Organization Determinations in order...

The Cigna Group

, Data Analyst and report writers to develop reports to meet the department's annual objectives. Uses technology to enhance... direction for Appeals, Retrospective Review and Emergency Department Review (as applicable) and Enrollee Grievances. Ensures...

MedStar Health