Alliance Health
Grievance & Appeals Analyst (Full-time Remote, North Carolina Based)
This job is now closed
Job Description
- Req#: GRIEV002574
Employer Industry: Healthcare Services
Why Consider this Job Opportunity:
- Salary up to $32.50/Hourly
- Opportunity for career advancement and growth within the organization
- Flexible work schedules including hybrid/remote options
- Generous fringe benefits package including medical, dental, vision, life insurance, and retirement savings plan
- Dress flexibility
- Chance to make a positive impact on consumer safety and provider compliance
What to Expect (Job Responsibilities):
- Monitoring and managing information related to provider quality assurance issues
- Analyzing data to identify trends within grievance, appeal, and clinical data sources
- Creating actionable analysis and identifying effective solutions with minimal supervision
- Reviewing policies and procedures to make recommendations for changes in alignment with guidelines
- Training internal and external customers on quality assurance reporting requirements
What is Required (Qualifications):
- Bachelor's degree in mental health, public health, psychology, sociology, public administration, management information systems, statistics, or related field
- Minimum of two years working in human services/behavioral health post-bachelor’s degree or analyzing data sets
- Knowledge of Federal and State regulations on Behavioral Healthcare grievances and appeals processes
- Proficiency in personal computer use and MS Excel
- Good oral, written, and graphic presentation skills
How to Stand Out (Preferred Qualifications):
- Experience with customer service, provider relations, or similar activities
- Experience working with individuals with mental health, substance abuse issues, and/or intellectual disabilities
#HealthcareServices #RemoteWork #CareerGrowth #CompetitivePay #EmployeeBenefits
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
We are the managed care organization for public behavioral healthcare for the citizens of Cumberland, Durham, Johnston, Mecklenburg, Orange, and Wake counties.
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