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DateMore Than 30 Days Ago
Coordinator, P2P Appeals
  About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable ach......
Hiring In US - Remote
Remote Sourced Diploma General CorroHeal... United States Of America
DateMore Than 30 Days Ago
Supervisory Market Place Medical Director, Inpatient UM & Appeals
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.   Position Purpose: ......
Hiring In Remote-MO
Remote Sourced MBA 5-years Centene C... United States Of America
Certified Coder (Remote) - Neurology Appeals
Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CP......
Hiring In Fully Remote
Remote Sourced Other 1-year WashU United States Of America
DateMore Than 30 Days Ago
Medical Coding Appeals Analyst
Anticipated End Date: 2026-02-28 Position Title: Medical Coding Appeals Analyst Job Description: Sign On Bonus: $1,000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This app......
Hiring In IN-INDIANAPOLIS, 220 VIRGINIA AVE
full-time Sourced Associate 2-years Elevance ... United States Of America
DateMore Than 30 Days Ago
Appeals Specialist
Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including den......
Hiring In Milwaukee, Wisconsin
full-time Sourced Associate 1-years Sun Life ... United States Of America
Senior Appeals Analyst
Job Classification: Operations - Insurance Operations At Prudential, we believe talent is key to achieving our vision. When you join Prudential, you’ll unlock a motivating and impactful career – all while growing your skills and advancing your profession at one of the world’s leading financial servi......
Hiring In Newark, NJ, USA
full-time Sourced OND 5-years Prudentia... United States Of America
DateMore Than 30 Days Ago
Grievance/Appeals Representative I
Anticipated End Date: 2026-02-13 Position Title: Grievance/Appeals Representative I Job Description: Title: Grievance/Appeals Representative I Locations: Woburn, MA and Manchester, NH This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, whil......
Hiring In MA-WOBURN, 500 UNICORN PARK DR
full-time Sourced Associate 1-years Elevance ... United States Of America
Medicare Non Contracted Provider Appeals Analyst
This position will support our non-contracted provider post claim appeals submitted to the health plan. Job Summary Responsible for the analysis, research and completion of complex member appeal investigations. Effectively administer all steps of the member appeal and fair hearing review processes f......
Hiring In Grand Rapids, MI
full-time Sourced Associate 5-years Corewell ... United States Of America
Appeals Nurse
Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same l......
Hiring In Work at Home
full-time Sourced OND 3-years Evolent H... United States Of America
DateMore Than 30 Days Ago
Senior Medical Director Appeals, National Physical Health UM Team
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.   Position Purpose: ......
Hiring In Remote-MO
Remote Sourced General 7-years Centene C... United States Of America
DateMore Than 30 Days Ago
Remote Medical Director, Appeals
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.   Position Purpose: ......
Hiring In Remote-TX
Remote Sourced OND General Centene C... United States Of America
DateMore Than 30 Days Ago
Clinical Review Clinician - Appeals
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.   RN Strongly Prefer......
Hiring In Remote-TX
Remote Sourced Vocational 4-years Centene C... United States Of America
DateMore Than 30 Days Ago
Clinical Review Clinician - Appeals
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.   RN Strongly Prefer......
Hiring In Remote-TX
Remote Sourced Vocational 4-years Centene C... United States Of America
DateMore Than 30 Days Ago
Nurse Appeals Senior
Anticipated End Date: 2026-01-28 Position Title: Nurse Appeals Senior Job Description: Nurse Appeals Senior Location: Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promot......
Hiring In OH-MASON, 4361 IRWIN SIMPSON RD
full-time Sourced Associate 4-years Elevance ... United States Of America
Grievances & Appeals Specialist
Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you! Modivcare is looking for an experienced Grievances & Appeals Specialist to join our team! This position is responsible for establ......
Hiring In Ridgeland, MS
full-time Sourced Diploma General Modivcare United States Of America
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