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Highmark Health

64 Highmark Health Appeals Analyst Jobs Hiring Near You

Prudential

Senior Appeals Analyst - LTD

$66K - $110K/yr

... Appeals Analyst. This dynamic role requires the evaluation of disability claim appeals and the ... emotional and mental health, and career development. * Education Benefit to help finance ...

Prudential

Senior Appeals Analyst - LTD

Newark, NJ

$66K - $110K/yr

... Appeals Analyst. This dynamic role requires the evaluation of disability claim appeals and the ... emotional and mental health, and career development. * Education Benefit to help finance ...

TriHealth, Inc.

Coding Appeals Analyst

Norwood, OH · On-site

Join TriHealth as a Coding Appeals Analyst - Hospital Billing. TriHealth offers Coding Appeals ... As one of Cincinnati's most respected healthcare employers, TriHealth provides a supportive ...

TriHealth, Inc.

Coding Appeals Analyst

Norwood, OH · On-site

Join TriHealth as a Coding Appeals Analyst - Hospital Billing! TriHealth offers Coding Appeals ... As one of Cincinnati's most respected healthcare employers, TriHealth provides a supportive ...

TriHealth

Coding Appeals Analyst

Norwood, OH · On-site

Join TriHealth as a Coding Appeals Analyst - Hospital Billing! TriHealth offers Coding Appeals ... As one of Cincinnati's most respected healthcare employers, TriHealth provides a supportive ...

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Highmark Health Jobs Information

What is it like to work at Highmark Health?

Highmark Health is a mission-driven organization that prioritizes collaboration, innovation, and community involvement, fostering a culture of teamwork and mutual respect among its employees. The company's work environment is dynamic, with various teams working together to improve healthcare outcomes and advance population health, often incorporating cutting-edge technology and data-driven insights. Working at Highmark Health may appeal to individuals who are passionate about making a positive impact on people's lives, as the company offers opportunities for professional growth, development, and contributions to a broader mission of improving healthcare for all.

What makes Highmark Health an attractive place to work?

Highmark Health is a leading health insurance organization that plays a significant role in shaping the healthcare landscape through its commitment to improving the health and well-being of its members. The company fosters a collaborative work environment that encourages innovation, teamwork, and professional growth, with opportunities for employees to develop their skills and expertise in a dynamic and supportive setting. By joining Highmark Health, individuals can contribute to making a meaningful impact in the lives of millions of people, while also advancing their careers and achieving their personal and professional goals.

Do workers at Highmark Health get paid breaks?

Yes. Most people get paid breaks.
78% of people say they get paid breaks.
Based on data from 18 people who took the Breakroom Quiz between November 2024 and December 2025.

Does Highmark Health pay people when they’re sick?

Yes. Most people get paid when they’re sick.
83% of people say they would get paid if they were sick but scheduled to work.
Based on data from 23 people who took the Breakroom Quiz between November 2024 and December 2025.

At Highmark Health, are sick days and vacation days separate paid time off?

Sick days and vacation days are used from the same paid time off.
100% of people say they have to use vacation days when they’re out sick.
Based on data from 5 people who took the Breakroom Quiz between May 2025 and December 2025.

Is the health insurance from Highmark Health affordable enough for their workers?

Most people say the health insurance costs are okay.
94% of people say the health insurance costs are okay
Based on data from 16 people who took the Breakroom Quiz between March 2025 and December 2025.

Do people get paid time off at Highmark Health?

Most people get paid time off work.
100% of people say they get paid time off.
Based on data from 6 people who took the Breakroom Quiz between May 2025 and December 2025.

How far ahead of time do people find out their work schedule?

Only some people find out their schedule four weeks ahead of time.
  • 40% of people with changing schedules find out their shifts one week or less ahead of time.
  • 20% of people with changing schedules find out their shifts two weeks ahead of time.
  • 0% of people with changing schedules find out their shifts three weeks ahead of time.
  • 40% of people with changing schedules find out their shifts four weeks or more ahead of time.

Based on data from 10 people who took the Breakroom Quiz between January 2025 and July 2025.

Do workers at Highmark Health worry about hours?

Most people don’t worry about getting enough hours.
91% of people report they don’t worry about getting enough hours.
Based on data from 23 people who took the Breakroom Quiz between November 2024 and July 2025.

Do Highmark Health workers get to choose the shifts they work?

Some people don’t get to choose which shifts they work.
41% report that they don’t have enough control over which shifts they work.
Based on data from 17 people who took the Breakroom Quiz between November 2024 and July 2025.

How easy is it for Highmark Health workers to change shifts?

Most people find it easy to change shifts.
75% of people report that it’s easy to change shifts if they need to.
Based on data from 16 people who took the Breakroom Quiz between November 2024 and July 2025.

How easy is it to get time off at Highmark Health?

Most people find it easy to get time off.
85% of people report it’s easy to get time off.
Based on data from 20 people who took the Breakroom Quiz between November 2024 and December 2025.

Do Highmark Health managers change schedules at the last minute?

Most managers don’t change people’s schedules at the last minute.
91% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 23 people who took the Breakroom Quiz between November 2024 and July 2025.

Do jobs at Highmark Health spill into time workers aren’t paid for?

Rarely. The job doesn't usually spill into unpaid time.
8% of people report that their job takes up time that they don’t get paid for.
Based on data from 24 people who took the Breakroom Quiz between November 2024 and July 2025.

How easy is it to take sick days at Highmark Health?

Most people find it easy to take sick days.
79% of people report that it’s easy to take time off if they are sick.
Based on data from 24 people who took the Breakroom Quiz between November 2024 and December 2025.

Is working at Highmark Health good if you’re a parent or caregiver?

Most parents and caregivers say this is a good place to work.
89% of people who care for a child or other relative report this is a good place to work.
Based on data from 9 people who took the Breakroom Quiz between December 2024 and December 2025.

Do people at Highmark Health feel treated with respect by their managers?

Most people feel treated with respect by their managers.
87% of people say they’re treated with respect by their managers.
Based on data from 23 people who took the Breakroom Quiz between November 2024 and December 2025.

Do people at Highmark Health get to take their breaks without interruption?

Most people get breaks without interruption.
87% of people report that they get to take their breaks without interruption.
Based on data from 23 people who took the Breakroom Quiz between November 2024 and December 2025.

Is it stressful to work at Highmark Health?

Most people feel stressed here.
83% of people say they often feel stressed at work.
Based on data from 23 people who took the Breakroom Quiz between November 2024 and December 2025.

Do people at Highmark Health enjoy their jobs?

Only some people enjoy their job.
41% of people report they don’t enjoy their job.
Based on data from 17 people who took the Breakroom Quiz between November 2024 and December 2025.

Do people at Highmark Health recommend working with their team?

Only some people recommend working with their team.
46% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 28 people who took the Breakroom Quiz between November 2024 and December 2025.

Do people get enough training when they start at Highmark Health?

Most people got enough training when they started.
72% of people report they got enough training when they started working here.
Based on data from 25 people who took the Breakroom Quiz between November 2024 and December 2025.

Do people get support to advance at Highmark Health?

Most people aren’t given support to advance their career here.
In the last year, 68% of people report not being given support to advance their career here.
Based on data from 19 people who took the Breakroom Quiz between November 2024 and December 2025.

Do people think Highmark Health’s headquarters understands what’s happening where they work?

Most people think headquarters doesn’t understand what’s happening where they work.
87% of people think that this employer’s headquarters or owners don’t have a good understanding of what’s really happening where they work.
Based on data from 23 people who took the Breakroom Quiz between November 2024 and December 2025.

Do workers feel well informed about how Highmark Health is doing?

Only some people feel well informed about how the company is doing.
37% of people feel that they aren’t kept well informed about how the company is doing as a whole.
Based on data from 27 people who took the Breakroom Quiz between November 2024 and December 2025.

What other companies are hiring for Appeals Analyst jobs?

What are the most popular jobs at Highmark Health?

What are the most popular categories at Highmark Health?

Infographic showing various Appeals Analyst job openings at Highmark Health in the United States as of August 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution.

Grievance/Appeals Analyst I (US)

Elevance Health

Indianapolis, IN • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

Elevance Health rating

7.6

Company rating: 7.6 out of 10

Based on 352 frontline employees who took The Breakroom Quiz

213th of 311 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.

What Elevance Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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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

Social media

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