ZipRecruiter

Log In

1

Internship Dispute Resolution Analyst Jobs in Delaware

W3Global Inc.

Associate Attorney

Wilmington, DE

$120K - $160K/yr

Manage a caseload from inception through resolution * Conduct legal research, analysis, and ... Participate in settlement negotiations and alternative dispute resolution proceedings * Collaborate ...

Pbf Energy

Procurement Coordinator

Delaware City, DE · On-site

... market analysis, or other strategic Procurement activities (core procurement activities). The ... and dispute resolution. * Review, approve, and maintain contractor rates and other relevant ...

All JobsDispute Resolution Analyst JobsInternship Dispute Resolution Analyst JobsInternship Dispute Resolution Analyst Jobs in Delaware

Internship Dispute Resolution Analyst information

What are the key skills and qualifications needed to thrive as an Internship Dispute Resolution Analyst, and why are they important?

To thrive as an Internship Dispute Resolution Analyst, you typically need a background in law, business, or a related field, along with strong analytical and research abilities. Familiarity with case management software, legal databases, and document review tools is often required. Excellent communication, negotiation, and problem-solving skills help you resolve conflicts and present findings effectively. Mastering these skills is crucial for ensuring fair, efficient resolution of disputes and maintaining organizational integrity.

What types of tasks and responsibilities can I expect as an Internship Dispute Resolution Analyst?

As an Internship Dispute Resolution Analyst, you’ll typically assist with reviewing and analyzing disputes, preparing case summaries, and supporting senior analysts in mediation or arbitration processes. Your daily work may involve gathering relevant documentation, conducting research on regulations and precedents, and helping draft reports or recommendations. You’ll also collaborate closely with legal teams, compliance officers, and sometimes directly with clients to ensure effective resolution of disputes. This hands-on experience offers valuable insights into conflict management and often serves as a stepping stone to more advanced roles within compliance, legal, or risk management teams.

What is the difference between Internship Dispute Resolution Analyst vs Internship Coordinator?

AspectInternship Dispute Resolution AnalystInternship Coordinator
CredentialsTypically requires a bachelor's degree in law, human resources, or related fields; certifications in dispute resolution are a plusUsually requires a bachelor's degree in education, human resources, or related fields; experience in program management is common
Work EnvironmentFocuses on mediating disputes, analyzing conflicts, and providing resolution strategies, often in office settingsManages internship programs, recruits interns, and coordinates activities, often in educational or corporate environments
Employer & Industry UsageUsed by legal, HR, and corporate sectors to handle internship-related conflictsCommon in educational institutions, nonprofits, and corporations managing internship programs

The Internship Dispute Resolution Analyst specializes in resolving conflicts involving interns, often requiring legal or HR dispute resolution skills. In contrast, the Internship Coordinator manages the overall internship program, focusing on recruitment and program logistics. Both roles are essential in internship management but serve different functions within organizations.

What is an Internship Dispute Resolution Analyst?

An Internship Dispute Resolution Analyst is an intern who assists in resolving conflicts or disputes within an organization, often focusing on workplace issues or contractual disagreements. They support senior analysts or managers by researching cases, analyzing data, preparing reports, and helping to facilitate negotiations or mediation sessions. This role provides valuable experience in conflict resolution, communication, and legal or regulatory procedures, which are important skills for a career in human resources, law, or business management. Interns may work in corporations, law firms, government agencies, or specialized dispute resolution organizations.
What are popular job titles related to Internship Dispute Resolution Analyst jobs in Delaware? For Internship Dispute Resolution Analyst jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Internship Dispute Resolution Analyst jobs in Delaware look for? The top searched job categories for Internship Dispute Resolution Analyst jobs in Delaware are:
What cities in Delaware are hiring for Internship Dispute Resolution Analyst jobs? Cities in Delaware with the most Internship Dispute Resolution Analyst job openings:
Internship Dispute Resolution Analyst jobs near you
Medicare Clinical Appeals Reviewer III

Medicare Clinical Appeals Reviewer III

St. George Tanaq Corporation

Dover, DE • On-site

Other

Posted 6 days ago

Job description

Medicare Clinical Appeals Reviewer III

Fully Remote•United States

Job Type

Full-time

Description

Overview

Tanaq Support Services (TSS) delivers professional, scientific, and technical services and information technology (IT) solutions to federal agencies in health, agriculture, technology, and other government services. TSS is a subsidiary of the St. George Tanaq Corporation, an Alaskan Native Corporation (ANC) committed to serving Federal customers while also giving back to the Tanaq native community and shareholders.

About the Role

We are seeking a Medicare Clinical Appeals Reviewer III (Dispute Resolution Reviewer III) to support our federal client. The Medicare Clinical Appeals Reviewer III is a licensed clinician who independently evaluates complex Medicare appeals and dispute cases, reviews clinical documentation, interprets federal regulations, and issues appeal determinations supported by medical evidence and policy.

They will also provide independent second-level determinations and dispute resolutions based on documentation, facts, laws, regulations, and applicable guidelines. This role works under general supervision with moderate latitude for initiative and independent judgment.

This is a remote position. Candidates must be based in the United States and able to work Eastern, Central, or Mountain Time Zone business hours.

Required: Active, unrestricted license in good standing as an RN, PT, RT, OT, or other qualifying licensed healthcare professional. Licenses with restrictions or encumbrances are not eligible.

Responsibilities

  • Review the medical records/case file, write a reconsideration/dispute resolution decision that is clear, concise, and impartial, supports the determination made, and documents the review.

  • Make fair, impartial, and independent decisions based on current medical evidence, statutes, regulations, rulings, policies, and procedures.

  • Respond to and ensure that all appeal/dispute issues raised by the beneficiary/patient, representative, and provider/supplier have been addressed.

  • Conduct research using online federal regulations, contract policy, standards of medical practice, contract manuals, coverage issues manuals, medical literature, and other related resources to make an accurate, well-supported decision.

  • Stay abreast of changes in regulations, medical and healthcare practices, policies, and procedures.

  • Participate in case-specific verbal discussions.

  • Conduct reviews of appeals/disputes involving multiple beneficiaries/services in a single case.

  • Plan responses to statistical analysis challenges with assistance from statisticians.

  • Attend meetings and participate in workgroups at management's direction.

  • Serve as a subject matter expert.

  • Mentors and/or trains staff.

  • Conduct quality reviews and audits, as needed.

  • Participate in special projects and perform other duties as assigned.

Requirements

Required Experience and Skills

  • Must have 2-3 years of experience in medical dispute resolution, Medicare appeals, medical review, clinical review, or a related healthcare setting.

  • Must have Nursing, Physical Therapy, Respiratory Therapy or Occupational Therapy experience. Licensed candidates with closely related clinical or medical experience may be considered.

  • Demonstrated experience writing or making appeal or payment determinations

  • Experience using Microsoft 365, including Excel and Word.

  • Must be able to pass Federal and state criminal background checks, as required by client.

  • Must be able to pass education, certification and license verification, as well as other professional background checks, as required by client.

  • Must be able to pass drug screen, as required by client.

  • Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future.

Preferred Qualifications

  • Medicare appeals, medical review, healthcare compliance review, or independent dispute resolution.

  • Experience making determinations on appeals, payments, billing, or dispute resolution.

  • Experience working with or supporting a federal public health agency environment.

  • Patient-Provider Dispute Resolution or Independent Dispute Resolution experience.

  • Coding certification.

Education and Training

  • Must be an actively licensed healthcare professional with Nursing, Physical Therapy, Respiratory Therapy, Occupational Therapy, or closely related clinical experience.

Physical Requirements

  • Prolonged periods of sitting at a desk and working on a computer. May need to lift 25 pounds occasionally.

Who We Are

Tanaq Support Services (TSS) is a public health contractor and certified 8(a) business owned by St. George Tanaq Corporation, an Alaska Native Corporation (ANC). We listen to our stakeholders and leverage our science, technology, communication, and program expertise to develop effective solutions.

Our commitment to non-discrimination

Tanaq Support Services is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to disability, protected veteran status, or any other status protected by applicable federal, state, or local law. Tanaq complies with the Drug-Free Workplace Act of 1988 and participates in E-Verify.

If you are an individual with a disability and need assistance completing any part of the application process, please email accommodation@tanaq.com to request a reasonable accommodation. This email is for accommodation requests only and cannot be used to inquire about the status of applications.

Notice on candidate AI usage

Tanaq is committed to ensuring a fair and competitive interview process for all candidates based on their experience, skills, and education. To protect the integrity of the interview process, candidates may not use artificial intelligence (AI) tools to generate or assist with responses during phone, in-person, or virtual interviews. Candidates who require a reasonable accommodation that may involve AI must contact us before their interview at accommodation@tanaq.com.

To view this and all our job postings, visit us at:

https://recruiting.paylocity.com/recruiting/jobs/All/a4712c9f-f074-40e8-9a14-bee06660bd81/Tanaq-Support-Services-LLC

Apply