Senior Lead Analyst

4 weeks ago


Middletown NY, United States Elevance Health Full time

Job Summary:

The Grievance and Appeals Lead will be responsible for leading and coaching a team of analysts in the Enterprise Grievance and Appeals Department. This role will involve reviewing, analyzing, and processing grievances and appeals requests related to clinical and non-clinical services, quality of service, and quality of care issues.

Key Responsibilities:

  • Lead and coach a team of analysts to ensure the correct utilization of guidelines and review tools to conduct extensive research and analyze grievances and appeal issues.
  • Monitor workflow and make assignments to ensure accreditation and regulatory compliance metrics are met in a quality manner.
  • Provide review and analysis of complex grievances and appeals requests from customers and multiple products related to clinical and non-clinical services, quality of service, and quality of care issues.
  • Coaches, trains, and audits team members to ensure they correctly utilize guidelines and review tools.

Requirements:

  • Minimum of 3 years of Grievance and Appeals Senior Analyst experience.
  • Strong leadership and coaching skills.
  • Ability to analyze complex data and make informed decisions.
  • Excellent communication and interpersonal skills.

About Elevance Health:

Elevance Health is a health company dedicated to improving lives and communities. 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.

What We Offer:

  • Market-competitive total rewards, including merit increases, paid holidays, Paid Time Off, and incentive bonus programs.
  • Medical, dental, vision, short and long-term disability benefits, 401(k) + match, stock purchase plan, life insurance, wellness programs, and financial education resources.
  • A culture that is designed to advance our strategy and lead to personal and professional growth for our associates.

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.


  • Senior Data Analyst

    4 weeks ago


    Middletown, Connecticut, United States Access Full time

    Job SummaryThe Senior Data Analyst will be responsible for analyzing and interpreting complex data to inform business decisions. This role will involve working with various data sources, developing reports and dashboards, and presenting findings to stakeholders.Key Responsibilities• Provide data analysis and insights to support business decisions•...


  • Long Island City, NY , USA, United States Citigroup Inc Full time

    Job Summary:Citigroup Inc. is seeking a highly skilled Balance Sheet Management Senior Lead Analyst to join its team in Long Island City, New York. The successful candidate will be responsible for developing global analytical and reporting solutions around liquidity for internal and regulatory liquidity stress metrics.Key Responsibilities:Develop global...

  • Senior Lead Analyst

    4 weeks ago


    Long Island City, NY , USA, United States Citigroup Inc Full time

    Job DescriptionThe Senior Lead Analyst position is a critical member of the Global Regulatory Reporting Group (GRR). The GRR Group is a high-profile function, providing financial information to regulators, including the Federal Reserve Bank (FRB) and Office of the Comptroller of the Currency (OCC). The position will have a high level of visibility within the...


  • Middletown, Rhode Island, United States Bellevue Capital Partners Full time

    Job DescriptionAt Bellevue Capital Partners, we are seeking a highly skilled Hospitality Senior Accountant to oversee all financial and accounting aspects of our business.Key Responsibilities:Conduct general cost accounting and other related duties to ensure accurate financial reporting.Prepare and manage cash flow projections to inform business...


  • Middletown, United States Robert Half Full time

    Job DescriptionJob DescriptionRobert Half is partnering with a Harrisburg, PA area company hiring for a Credit Analyst. This role involves investment credit risk analysis, complex financial analysis, risk assessment, and making credit recommendations. This role is primarily remote but must reside in PA. Responsibilities:• Conduct analysis and collaborate...


  • Oswego, NY, United States Novelis Oswego Manufacturing Facility Full time

    Job Summary:We are seeking a highly skilled Senior Financial Analyst to join our team at Novelis Oswego Manufacturing Facility. As a key member of our Finance & Accounting team, you will be responsible for overseeing several plant-based finance functions, including operating expenses, individual manufacturing units reporting, and plant-level...


  • Middletown, United States Soliant Full time

    Job DescriptionJob DescriptionMinimum 1+ years Behavior Specialist experience required.Position Title: Lead Board Certified Behavior Analyst (BCBA)Location: Middletown, CTPosition Type: Full-TimePay Range: 85,000-100,000/yearBenefits:Weekly PayCompetitive compensation packageResponsibilities:Conduct functional behavior assessments and develop behavior...


  • Middletown, United States Soliant Full time

    Job DescriptionJob DescriptionMinimum 1+ years Behavior Specialist experience required.Position Title: Lead Board Certified Behavior Analyst (BCBA)Location: Middletown, CTPosition Type: Full-TimePay Range: 85,000-100,000/yearBenefits:Weekly Paypetitive pensation packageResponsibilities:Conduct functional behavior assessments and develop behavior intervention...


  • New York, NY, United States TEKsystems Full time

    Description:Overview: A large bank's Global Risk Management business is looking for a Senior Quantitative Finance Analyst within the Market Behavior Analytics group. This group is responsible for developing surveillances and other sophisticated controls over activities in our Global Markets business. These controls detect potentially suspicious activities...


  • Long Island City, NY, United States JetBlue Full time

    Job SummaryWe are seeking a highly skilled Senior Pricing Analyst to join our Revenue Management team at JetBlue. As a key member of our team, you will be responsible for managing revenue performance for a portfolio of JetBlue routes, driving revenue growth, and implementing market strategies to maximize revenue potential.Key ResponsibilitiesProactively...


  • Long Island City, NY, United States Hispanic Technology Executive Council Full time

    Job SummaryWe are seeking a highly skilled Finance Solutions Lead to join our team at the Hispanic Technology Executive Council. This is a full-time position that requires a strong background in finance and leadership.Key ResponsibilitiesDevelop and implement financial solutions to drive business growth and improve financial performance.Lead a team of...


  • Liberty, NY, United States Dotdash Meredith Full time

    About the Role:Dotdash Meredith is seeking a highly skilled Senior SEO Analyst, Growth to join its Growth & Content Strategy team. This individual will work closely with the Commerce team to develop and execute strategies that drive growth and engagement across the company's premium lifestyle brands. The ideal candidate will have a strong background in SEO...

  • Caregiver Assistant

    4 weeks ago


    Middletown, United States Sunrise Senior Living Full time

    Job Summary:As a Certified Nursing Assistant at Sunrise Senior Living, you will play a vital role in providing exceptional care to our residents. Your responsibilities will include participating in the development of Individualized Service Plans (ISPs) and monthly updates, being responsible for a designated group of residents during your shift, and...


  • Middletown, United States Sunrise Senior Living Full time

    Job Title: LPN Medication Care ManagerSunrise Senior Living is a leading provider of senior care services, and we are seeking a highly skilled LPN Medication Care Manager to join our team.Responsibilities:Administer medications and treatments to residents in a safe and organized manner.Review and document medication administration records to ensure accuracy...


  • Middletown, Connecticut, United States Sunrise Senior Living Full time

    Job Title: LPN Medication Care ManagerAt Sunrise Senior Living, we are committed to providing the highest quality care and services to our residents. As an LPN Medication Care Manager, you will play a vital role in ensuring the safe and effective administration of medications to our residents.Responsibilities:Administer medications and treatments to...

  • SAP BRIM Data Analyst

    3 weeks ago


    Middletown, United States Domino Technologies, Inc. Full time

    SAP BRIM Data Analyst / Full-Time / Hybrid / Middletown, PABecome a member of a growing team of Information Technology professionals making an impact and providing solutions for Government and Commercial clients since 1996 – Join the Domino Tech Team!Accepting Candidates Until 11/06/2024 at 2:00 PMThe Position:Client: Commonwealth of Pennsylvania –...


  • Middletown, United States Liberty Bank (Connecticut) Full time

    Digital Operations Analyst Middletown, CT 06457, USA Req #1623 Wednesday, October 2, 2024 At Liberty, we are proud to integrate our Diversity, Equity, and Inclusion (DE&I) throughout all functions and areas of the Bank to maximize our impact and exceed goals. We believe deepening our DE&I strategies in the workplace and communities we serve creates a much...

  • Wellness Nurse

    4 weeks ago


    Middletown, Ohio, United States Bickford Senior Living Full time

    Job SummaryWe are seeking a skilled and compassionate Wellness Nurse to join our team at Bickford Senior Living. As a key member of our care team, you will play a vital role in ensuring the health and well-being of our residents.ResponsibilitiesAccurately administer medications to residents in accordance with physician orders and Bickford's policies and...

  • Data Analyst

    2 weeks ago


    New York, NY, United States RiVi Consulting Group L.L.C Full time

    We would like to hire hands on business analyst that will be responsible for requirement discussions, data analysis and business engagement for delivery of technology solutions for transaction monitoring, customer activity review, Optimization of scenarios and other associated transformation activities. Candidate will be collaborating with senior stakeholder...


  • Middletown, Connecticut, United States Sunbelt Staffing Full time

    **Job Opportunity:** Sunbelt Staffing is seeking a highly skilled Senior Behavior Intervention Specialist to join our team in Middletown, DE. As a Senior Behavior Intervention Specialist, you will play a key role in implementing behavior intervention plans, conducting assessments, and collaborating with school staff and families to support students with...