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Per Diem Appeals Analyst Jobs (NOW HIRING)

Prudential

Senior Appeals Analyst - LTD

Newark, NJ · On-site

$66K - $110K/yr

... Appeals Analyst. This dynamic role requires the evaluation of disability claim appeals and the ... 20 hours per week. Prudential Financial, Inc. of the United States is not affiliated with ...

Prudential

Senior Appeals Analyst - LTD

$66K - $110K/yr

... Appeals Analyst. This dynamic role requires the evaluation of disability claim appeals and the ... 20 hours per week. Prudential Financial, Inc. of the United States is not affiliated with ...

Integrated Resources

Appeal Analyst RN I

Pennington, NJ · On-site

$40 - $42/hr

Appeal Analyst RN I Job Location: Hopewell, NJ Job Duration: 6 Months (possibility of extension ... The position performs and finalizes audits related to per diem billing, bill verification, DRG ...

Prudential

Senior Appeals Analyst - STD

Newark, NJ · On-site

$66K - $110K/yr

... Appeals Analyst. This dynamic role requires the evaluation and management of a caseload of fully ... 20 hours per week. Prudential Financial, Inc. of the United States is not affiliated with ...

Prudential

Senior Appeals Analyst - STD

$66K - $110K/yr

... Appeals Analyst. This dynamic role requires the evaluation and management of a caseload of fully ... 20 hours per week. Prudential Financial, Inc. of the United States is not affiliated with ...

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Per Diem Appeals Analyst information

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$71.2K

$110.5K

How much do per diem appeals analyst jobs pay per year?

As of Sep 2, 2026, the average yearly pay for per diem 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.
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Per Diem Appeals Analyst jobs near you
Infographic showing various Per Diem Appeals Analyst job openings in the United States as of August 2026, with employment types broken down into 89% Full Time, 6% Part Time, and 5% Contract. Highlights an 82% Physical, 7% Hybrid, and 11% Remote job distribution, with an average salary of $71,216 per year, or $34.2 per hour.

Grievance/Appeals Analyst I (US)

Elevance Health

Salt Lake City, UT • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Elevance Health rating

7.5

Company rating: 7.5 out of 10

Based on 354 frontline employees who took The Breakroom Quiz

215th of 315 rated insurance

Job description

Anticipated End Date:

2026-09-28

Position 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-Exempt

Workshift:

Job Family:

CLM > Claims Support

Please 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.

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About Elevance Health

Sourced by ZipRecruiter

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?

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Indianapolis, IN, US

Year founded

2004

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