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Appeals Analyst Jobs (NOW HIRING)

LIBERTY DENTAL

$23 - $28.50/hr

Lead root cause analysis activities, develop corrective action strategiesstrategies, and partner ... Minimum 3 years of experience in grievance and appeals, healthcare law, dental law, or a related ...

State of Maryland

APPEALS COORDINATOR

Baltimore, MD · On-site

$67K - $87K/yr

Strong analytical, organizational, and communication skills, with experience developing process improvements, interpreting complex regulations, and participating in the implementation or enhancement ...

UHS

APPEALS SPECIALIST

Las Vegas, NV · On-site

... analysis, and customer service. Our dedication to associate satisfaction and growth is recognized by industry leaders, exemplifying our commitment to fostering a positive and inclusive workplace ...

CERiS

Appeals Representative II

Fort Worth, TX · Remote

$18.80 - $30.34/hr

Ability to appropriately interpret provider appeals and apply analytical thinking skills * Ability to interpret client policy and CMS guidelines as it relates to reviews done by CERiS such as ...

CERiS

Appeals Representative II

Fort Worth, TX · On-site +1

$18.80 - $30.34/hr

Ability to appropriately interpret provider appeals and apply analytical thinking skills * Ability to interpret client policy and CMS guidelines as it relates to reviews done by CERiS such as ...

CorVel

Appeals Representative II

Fort Worth, TX · On-site

$20.08 - $30.06/hr

Receiving and analyzing appeal documentation to determine appropriate actions * Accurately setting up and initiating the appeals process timely, ensuring information aligns with provided documents

CERiS

Appeals Representative II

$18.80 - $30.34/hr

Ability to appropriately interpret provider appeals and apply analytical thinking skills * Ability to interpret client policy and CMS guidelines as it relates to reviews done by CERiS such as ...

PFS Group

Insurance Appeals Rep

Houston, TX

The Appeals Representative will be responsible for reviewing basic clinical documentation and ... Basic analytics, to include Microsoft Excel. EDUCATION AND EXPERIENCE * At least 6 months as an ...

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Appeals Analyst information

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$37K

$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.

Grievance & Appeals Manager

LIBERTY DENTAL

On-site, Remote

$23 - $28.50/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Job description

Lead with Purpose. Drive Quality. Make a Meaningful Impact as a Manager, Grievance & Appeals.
At Liberty Dental Plan, the Manager, Grievance & Appeals plays a vital leadership role in ensuring members and providers receive fair, timely, and compliant resolution of concerns and disputes. This is an opportunity to influence quality, compliance, operational excellence, and regulatory readiness across multiple lines of business while leading a high-performing team and collaborating with stakeholders across the organization.
About the Role
The Manager, Grievance & Appeals is responsible for overseeing the Plan's grievance system, including member grievances, appeals, and provider disputes. This leader ensures all cases are managed in accordance with state and federal regulations, client requirements, and organizational standards. The role serves as a subject matter expert responsible for supporting regulatory compliance, quality outcomes, policy governance audit readiness and continuous improvement initiatives.
What You'll Do
  • Lead and manage all activities and functions of the Grievance & Appeals department.
  • Ensure grievances, appeals, and provider disputes are processed accurately and within required regulatory and contractual timelines.
  • Monitor and interpret federal, state, client and regulatory changes impacting grievance and appeals operations.
  • Lead root cause analysis activities, develop corrective action strategiesstrategies, and partner with business leaders to address issues and drive improvements.
  • Evaluate workflows and delegated activities for existing health plan partnerships and support implementation of processes for new partnerships.
  • Develop and present performance reports, trend analyses, and regulatory insights to leadership teams, clients, auditors and regulatory agencies.
  • Manage administrative and operational support for Quality Management committees, including the Potential Quality Issues Committee, Peer Review Committee, and Public Policy Committee.
  • Assist with regulatory filings, including Evidence of Coverage documents, benefit updates, service area expansions, and other plan-related submissions.
  • Respond to regulatory inquiries, comment letters, and compliance-related requests.
  • Create and validate audit universes, case files, and supporting documentation.
  • Serve as Liberty Dental Plan's primary presenter and representative during internal and external Grievance & Appeals audits.
  • Foster positive, professional relationships with internal and external stakeholders.
  • Perform additional duties as assigned.
What You'll Bring
Education & Experience
  • Bachelor's degree preferred.
  • Minimum 5 years of experience in health insurance, preferably within dental insurance.
  • Minimum 3 years of experience in grievance and appeals, healthcare law, dental law, or a related regulatory environment.
  • Minimum 2 years of leadership experience managing cross-functional operations, including hiring, training, coaching, and performance management.
  • At least 6 years of overall relevant professional experience.
Skills & Knowledge
  • Strong collaborative leadership style.
  • Excellent verbal and written communication skills.
  • Effective presentation and facilitation abilities.
  • Proficiency with Microsoft Office applications.
  • Ability to analyze complex situations and make sound business decisions.
  • Strong organizational skills with the ability to manage multiple priorities simultaneously.
  • Demonstrated ability to work independently while contributing as a key member of a team.
  • Professional presence with the ability to build confidence and trust across stakeholder groups.
Why Join Liberty Dental Plan?
This is an opportunity to lead an essential function that directly impacts member experience, regulatory compliance, quality outcomes, and organizational success. You'll work across departments, influence strategic initiatives, support executive leadership, and play a visible role in audit readiness and quality management activities.
If you're a collaborative leader who thrives in a dynamic healthcare environment and enjoys solving complex operational and regulatory challenges, we'd love to hear from you.
Apply Today
Bring your expertise in grievance and appeals operations, compliance, and team leadership to Liberty Dental Plan and help drive excellence in service, quality, and regulatory performance. Apply today and become part of a team committed to delivering exceptional support to members, providers, and clients.
Location
Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.
What Liberty Offers
Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That's why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.
Our first-class benefits package supports employees and their dependents with:
  • Competitive pay structure and savings options to help you reach your financial goals.
  • Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.
  • Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.
  • 100% employer-paid dental coverage for employees and eligible dependents.
  • Vision insurance with low-cost premiums for employee-only coverage and dependents.
  • Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage.
  • Flexible Spending Accounts for healthcare and dependent care expenses.
  • Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance.
  • Long-term disability coverage.
  • Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts.
  • Employee Assistance Program (EAP) to support mental health and well-being.
  • Generous vacation and sick leave policies, with the ability to roll over unused time.
  • 10 paid company holidays.
  • Tuition reimbursement for eligible educational expenses.
  • Remote or hybrid work options available for various positions.

Compensation
In the spirit of pay transparency, the base salary range for this position is $85,000 - $95,000, not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.
Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth.
Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture.
Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.
We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.
Sponsorship and Relocation Specifications
Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.
No relocation assistance or sponsorship available at this time.

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