Cigna Medicare Appeals Reviewer : We will depend on you to communicate some of our most critical information to the correct individuals regarding Medicare appeals and related issues, implications and decisions.The Case Management Analyst reports to the Supervisor / Manager of Appeals and will coordinate and perform all appeal related duties in a Medicare Advantage Plan. These appeals will include requests for decisions regarding denials of medica...
Delivers professional activities in the Case Management job family. Coordinates enrollee care needs across the continuum for assigned members who are medically stable, but require primary psychosocial support and acute intermittent medical support. Interviews members and relatives to obtain social history relevant to medical problems and care planning. Assists members with environmental difficulties that interfere with obtaining maximum benefits ...
Description. The Bilingual Case Management Analyst III is responsible for efficient and timely hands-on troubleshooting, remediation, coordination, escalation, tracking and management. Also responsible for conducting research, workflow investigations, business procedures and making recommendations for improvement. The analyst will interact with consumers, Agent Brokers and providers via phone and email. What will I get to do. Providing excellent ...
Job Description. BAE Systems is seeking Operations Support Analyst to support a client’s operational requirements in a challenging, dynamic setting located in the Washington Metropolitan Area, McLean. The position requires an Active Clearance with Polygraph. There is NO Exception to the clearance requirement. Successful candidates will work well in team environments and will be capable of operating independently with minimal supervision. Candidat...
