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Appeals Analyst Jobs (NOW HIRING)

QualX Corporation

FOIA Appeals Analyst

Alexandria, VA · On-site

$95K - $105K/yr

Job Title FOIA Appeals Analyst Location Alexandria, VA 22311 US (Primary) Washington, DC 20301 US Category Information Management Job Type Full-Time Career Level Staff Education Bachelor's Degree ...

State Personnel Board

Merit Appeals Analyst

Sacramento, CA · On-site

$3.8K - $6.2K/mo

Merit Appeals Analyst Classification: ANALYST I $3,861.00 - $4,839.00 A $4,181.00 - $5,233.00 B $5,014.00 - $6,276.00 C # of Positions: 1 Work Location: Sacramento County Telework: Hybrid Job Type:

Spectrum Health

Member Appeal Analyst

Grand Rapids, MI · On-site

  • Medical

  • Vision

  • Retirement

Responsible for complex and thorough investigation of appeals, external complaints, and fair ... Support root cause analysis to determine corrective actions related to the appeals process by ...

Guidewell

Healthcare Appeals Analyst - RN

Jacksonville, FL

$71K - $115K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Reviews provider appeals to ensure medical necessity and experimental/investigational claims were processed correctly according to multiple coverage guidelines. Makes final determination based on ...

Guidewell

Healthcare Appeals Analyst - RN

Jacksonville, FL · On-site

$71K - $115K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Reviews provider appeals to ensure medical necessity and experimental/investigational claims were processed correctly according to multiple coverage guidelines. Makes final determination based on ...

WebTPA

Healthcare Appeals Analyst - RN

Jacksonville, FL

$71K - $115K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Reviews provider appeals to ensure medical necessity and experimental/investigational claims were processed correctly according to multiple coverage guidelines. Makes final determination based on ...

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Appeals Analyst information

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$71.2K

$110.5K

How much do appeals analyst jobs pay per year?

As of Aug 14, 2026, the average yearly pay for appeals analyst in the United States is $71,216.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,000.00 and $87,000.00 per year, depending on experience, location, and employer.

How does an appeals analyst typically collaborate with other departments during the appeals review process?

Appeals Analysts frequently work with departments such as claims, medical review, customer service, and compliance to gather necessary information and ensure a thorough, accurate evaluation of appeals. Collaboration may involve requesting documentation, clarifying policy interpretations, and discussing complex cases to reach a resolution. This cross-functional teamwork is essential for maintaining workflow efficiency and upholding regulatory requirements. Developing strong communication skills and a collaborative mindset will help you succeed in this role.

What are the key skills and qualifications needed to thrive as an appeals analyst, and why are they important?

To thrive as an Appeals Analyst, you need a strong understanding of healthcare regulations, claims processing, and analytical problem-solving, usually supported by a relevant degree in healthcare administration or a related field. Familiarity with claims management systems, medical coding software, and regulatory databases is commonly required, and certifications like Certified Professional Coder (CPC) can be advantageous. Attention to detail, strong written communication, and time management are crucial soft skills for effectively reviewing and resolving appeals. These skills ensure accurate, timely, and compliant resolution of appeals, which is vital for organizational efficiency and customer satisfaction.

What does an appeals analyst do?

As an appeals analyst, it’s your job to review the denial of an insurance claim by a health insurance company. If a customer disagrees or appeals the denial, it is your job to analyze their coverage, claims history, and medical records to decide if the decision is fair. Responsibilities include deciding whether to overturn the claim denial, issuing payment, and keeping reports. Qualifications are an understanding of health insurance and claims, as well as strong analytical skills. You may choose to pursue a bachelor’s degree in business, but many employers offer on-the-job training.

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Appeals Analyst jobs near you
Infographic showing various Appeals Analyst job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 86% Full Time, 6% Part Time, and 7% Contract. Highlights an 81% Physical, 9% Hybrid, and 10% Remote job distribution, with an average salary of $71,216 per year, or $34.2 per hour.

FOIA Appeals Analyst

QualX Corporation

Alexandria, VA • On-site

$95K - $105K/yr

Full-time

Re-posted 14 days ago

Job description

Job Title
FOIA Appeals Analyst
Location
Alexandria, VA 22311 US (Primary)
Washington, DC 20301 US
Category
Information Management
Job Type
Full-Time
Career Level
Staff
Education
Bachelor's Degree
Travel
Security Clearance Required
TS
Job Description
Duties and Responsibilities
  • Analyze unclassified and classified documents to determine the appropriate action and release procedures needed in accordance with the Freedom of Information Act (5 USC § 552), Privacy Act (5 USC § 552(a)), E.O. 13526, and applicable sections of the CFR and DoD Manuals and Instructions
  • Interpret regulations, agency enforcement codes, and organizational policies regarding release of agency documents upon receipt of an appellate request
  • Ensure released materials does not contain personal identifiers or directly or indirectly reveal trade secrets and other information exempted under the applicable statutes
  • Propose, redactions for both internal components and final external release to the requestor
  • Support the administrative processing of FOIA Appeal Requests including but not limited to:
    • Composition of official case correspondence
    • Perfect Requests with requestors
    • Negotiate additional response time
    • Make recommendations on fees and fee waivers
  • Coordinate with internal OSD offices and Subject Matter Experts on conducting searches and initial reviews for responsive documents
  • Demonstrate understanding of document markings and control procedures
  • Recognize lawfully protected marked and unmarked Nuclear and Intelligence Information

Job Requirements
Qualifications and Requirements
  • DoD Top Secret clearance Required - SCI Preferred
  • 1+ Years of FOIA/FOIA-like (MDR, FRUS) processing experience
  • Bachelor's Degree in information management related field or equivalent combination of education and/or experience

Preferred Skills
  • Knowledge and proficiency of Microsoft Office Suite and Adobe PDF
  • Demonstrate strong analytical skills, reading comprehension, and attention to detail
  • Ability to multi-task, work in a team environment, and adjust to established work patterns and processes as required
  • Possess exceptional leadership and communication skills (both oral and written)
Salary range for this is position is $95,000-$105,000 annually.
We are equal opportunity/affirmative action employers, committed to diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected veteran status, or any other protected characteristic under state or local law.
QualX logo

About QualX

Sourced by ZipRecruiter

Industry

Library and information services

Company size

51 - 200 Employees

Headquarters location

Springfield, VA, US

Year founded

2009

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