The Grievance/Appeals Analyst I will be this is an entry level position in the Enterprise Grievance ... Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by ...
New
The Grievance/Appeals Analyst I will be this is an entry level position in the Enterprise Grievance ... Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by ...
New
The Grievance/Appeals Analyst I will be this is an entry level position in the Enterprise Grievance ... Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by ...
New
The Grievance/Appeals Analyst I will be this is an entry level position in the Enterprise Grievance ... Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by ...
New
The Grievance/Appeals Analyst I will be this is an entry level position in the Enterprise Grievance ... Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by ...
New
The Grievance/Appeals Analyst I will be this is an entry level position in the Enterprise Grievance ... Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by ...
New
The Grievance/Appeals Analyst I will be this is an entry level position in the Enterprise Grievance ... Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by ...
New
The Grievance/Appeals Analyst I will be this is an entry level position in the Enterprise Grievance ... Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by ...
New
The Grievance/Appeals Analyst I will be this is an entry level position in the Enterprise Grievance ... Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by ...
New
Conduct consultative needs analyses to tailor product recommendations for each prospective customer ... Grow Your Career Here We're committed to growing a workforce that reflects the customers and ...
Conduct consultative needs analyses to tailor product recommendations for each prospective customer ... Grow Your Career Here We're committed to growing a workforce that reflects the customers and ...
Conduct consultative needs analyses to tailor product recommendations for each prospective customer ... Grow Your Career Here We're committed to growing a workforce that reflects the customers and ...
Conduct consultative needs analyses to tailor product recommendations for each prospective customer ... Grow Your Career Here We're committed to growing a workforce that reflects the customers and ...
Communication: Ability to communicate clearly within a diverse workforce, from entry-level ... Effective analytical, problem solving and decision-making skills (can gather and analyze data and ...
Quick apply
Communication: Ability to communicate clearly within a diverse workforce, from entry-level ... Effective analytical, problem solving and decision-making skills (can gather and analyze data and ...
Communication: Ability to communicate clearly within a diverse workforce, from entry-level ... Effective analytical, problem solving and decision-making skills (can gather and analyze data and ...
Communication: Ability to communicate clearly within a diverse workforce, from entry-level ... Effective analytical, problem solving and decision-making skills (can gather and analyze data and ...
These journeys foster resilience, leadership and innovation, strengthening our workforce and ... This job is responsible for delivering analytical research and data-driven insights to support ...
New
These journeys foster resilience, leadership and innovation, strengthening our workforce and ... This job is responsible for delivering analytical research and data-driven insights to support ...
New
These journeys foster resilience, leadership and innovation, strengthening our workforce and ... This job is responsible for delivering analytical research and data-driven insights to support ...
New
These journeys foster resilience, leadership and innovation, strengthening our workforce and ... This job is responsible for delivering analytical research and data-driven insights to support ...
New
These journeys foster resilience, leadership and innovation, strengthening our workforce and ... This job is responsible for delivering analytical research and data-driven insights to support ...
These journeys foster resilience, leadership and innovation, strengthening our workforce and ... This job is responsible for delivering analytical research and data-driven insights to support ...
From entry-level to more experienced positions, we're actively recruiting individuals who are passionate, positive, and eager to learn. We then equip you for success, whether you're in the office, in ...
From entry-level to more experienced positions, we're actively recruiting individuals who are passionate, positive, and eager to learn. We then equip you for success, whether you're in the office, in ...
Indianapolis, IN · On-site
Analyze client needs and risk exposures to help developappropriate coveragestrategies and insurance ... FUNCTIONAL SKILLS * Entry-level, foundational knowledge of insurance products, risk concepts, and ...
Indianapolis, IN · On-site
Analyze client needs and risk exposures to help developappropriate coveragestrategies and insurance ... FUNCTIONAL SKILLS * Entry-level, foundational knowledge of insurance products, risk concepts, and ...
Morristown, IN · On-site
From entry-level to more experienced positions, we're actively recruiting individuals who are passionate, positive, and eager to learn. We then equip you for success, whether you're in the office, in ...
Morristown, IN · On-site
From entry-level to more experienced positions, we're actively recruiting individuals who are passionate, positive, and eager to learn. We then equip you for success, whether you're in the office, in ...
Indianapolis, IN · On-site
Analyze client needs and risk exposures to help develop appropriate coverage strategies and ... FUNCTIONAL SKILLS * Entry-level, foundational knowledge of insurance products, risk concepts, and ...
Indianapolis, IN · On-site
Analyze client needs and risk exposures to help develop appropriate coverage strategies and ... FUNCTIONAL SKILLS * Entry-level, foundational knowledge of insurance products, risk concepts, and ...
Morristown, IN · On-site
From entry-level to more experienced positions, we're actively recruiting individuals who are ... within a diverse workforce and leads through conflict constructively with a drive towards ...
Morristown, IN · On-site
From entry-level to more experienced positions, we're actively recruiting individuals who are ... within a diverse workforce and leads through conflict constructively with a drive towards ...
Morristown, IN · On-site
From entry-level to more experienced positions, we're actively recruiting individuals who are ... within a diverse workforce and leads through conflict constructively with a drive towards ...
Morristown, IN · On-site
From entry-level to more experienced positions, we're actively recruiting individuals who are ... within a diverse workforce and leads through conflict constructively with a drive towards ...
Indianapolis, IN · On-site
$21 - $23/hr
... workforce solutions firm providing services and support to Fortune 500 and government clients ... Perform off-line analyses using viscometers, centrifuges, spectrophotometers, and pH meters.
Indianapolis, IN · On-site
$21 - $23/hr
... workforce solutions firm providing services and support to Fortune 500 and government clients ... Perform off-line analyses using viscometers, centrifuges, spectrophotometers, and pH meters.
Fort Wayne, IN · On-site
$53K - $106K/yr
We continue to lead because of our world-class, inclusive workforce that puts the customer at the ... analysis of component selections and layouts to ensure a robust and cost competitive panel design.
Fort Wayne, IN · On-site
$53K - $106K/yr
We continue to lead because of our world-class, inclusive workforce that puts the customer at the ... analysis of component selections and layouts to ensure a robust and cost competitive panel design.
Qualifications We are seeking an Entry-Level Field Engineer who will be responsible for ... Review and analyze construction material field and laboratory data during construction * Help ...
Qualifications We are seeking an Entry-Level Field Engineer who will be responsible for ... Review and analyze construction material field and laboratory data during construction * Help ...
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 3 days ago
New
7.7
Based on 348 frontline employees who took The Breakroom Quiz
183rd of 281 rated insurance
Anticipated End Date:
2026-08-24Position Title:
Grievance/Appeals Analyst I (US)Job Description:
Grievance/Appeals Analyst I
Shift: Tuesday-Saturday
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 promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.
The Grievance/Appeals Analyst I will be this is an entry level position in the Enterprise Grievance & Appeals Department that reviews, analyzes and processes non-complex pre service and post service grievances and appeals requests from customer types (i.e. member, provider, regulatory and third party) and multiple products (i.e. HMO, POS, PPO, EPO, CDHP, and indemnity) related to clinical and non clinical services, quality of service, and quality of care issues to include executive and regulatory grievances.
How you will make an impact:
Reviews, analyzes and processes non-complex grievances and appeals in accordance with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable language
Utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to nursing and/or medical staff for review
The grievance and appeal work is subject to applicable accreditation and regulatory standards and requirements As such, the analyst will strictly follow department guidelines and tools to conduct their reviews
The file review components of the URAC and NCQA accreditations are must pass items to achieve the accreditation
Analyzes and renders determinations on assigned non-complex grievance and appeal issues and completion of the respective written communication documents to convey the determination
Responsibilities exclude conducting any utilization or medical management review activities which require the interpretation of clinical information
The analyst may serve as a liaison between grievances & appeals and /or medical management, legal, and/or service operations and other internal departments
Minimum Requirements:
Requires a HS diploma or GED and a minimum of 3 years experience working in grievances and appeals, claims, or customer service; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
Demonstrated business writing proficiency, understanding of provider networks, the medical management process, claims process, the company's internal business processes, and internal local technology is strongly preferred
For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills
Job Level:
Non-Management Non-ExemptWorkshift:
Job Family:
CLM > Claims SupportPlease be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words - the job is posted until 3/13, not through 3/13.
Get the full story on Breakroom
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Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
Health care and social assistance
10,000+ Employees
Indianapolis, IN, US
2004