Grievance/appeals Analyst I (california Only)

✨ About The Role

- The Grievance/Appeals Analyst I is an entry-level position focused on reviewing and processing non-complex grievances and appeals.
- The role involves analyzing requests from various customer types, including members, providers, and regulatory bodies.
- Analysts will utilize guidelines and review tools to conduct research and analyze pertinent claims and medical records.
- The position requires strict adherence to accreditation and regulatory standards during the review process.
- Analysts may serve as liaisons between different departments, including medical management and legal teams.
                            

⚡ Requirements

- The ideal candidate for this position should have a high school diploma or GED.
- Strong analytical skills are essential for reviewing and processing grievances and appeals.
- Excellent written communication skills are necessary to convey determinations in clear and understandable language.
- A detail-oriented mindset is important for conducting extensive research and analyzing grievance and appeal issues.
- The candidate should be able to work independently while adhering to department guidelines and regulatory standards.
                            

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Grievance/appeals Analyst I (california Only) - Remote Eligible

Remote

Registered Nurse

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About Elevance Health

Elevance Health is a health insurance provider offering a range of healthcare services and insurance plans.