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Elevance Health Greivance & Appeals Risk Analyst I in Glendale, California

Greivance & Appeals Risk Analyst I

  • Job Family: Claims

  • Type: Full time

  • Date Posted:Jun 20, 2022

  • Req #: PS67042

Location:

  • California, California

Description

$500 Sign on BONUS

G&A Risk Analyst I

Responsible for responding to inquiries received from regulatory agencies for one or more states or functions and/or for responding to inquiries/complaints received by Plan Presidents and/or ELT members. Responsible for providing support to legal, management and executive level associates through a variety of assignments and projects which utilize knowledge specific to the company.

Primary duties may include, but are not limited to :

  • Analyzes and evaluates inquiries, complaints, reports, and/or filings

  • Prepares and organizes case research, notes, and documents

  • Conducts research and analysis, and recommends appropriate course of action and next steps for management review

  • Performs fact checking, gathers documents, researches, and responds to inquiries and records requests and assists with investigative and discovery activities and processes

  • Corresponds with attorneys both internal and external in grievances and appeals regulatory cases

Must live in the California area

Requirements:

  • Requires a HS diploma

  • Minimum of 2 years of G&A or related experience; or any combination of education and experience which would provide an equivalent background

  • BA/BS in a related field a plus

Preferred Qualifications:

  • Paralegal certification and experience a plus.

  • Pricing experience

  • WGS experience

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

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

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?

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.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealthinc.com. 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 may contact ability@icareerhelp.com for assistance.

EEO is the Law

Equal Opportunity Employer / Disability / Veteran

Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.

  • EEO Policy Statement

  • EEO is the Law Postero

  • EEO Poster Supplement-English Version

  • Pay Transparency

  • Privacy Notice for California Residents

Elevance Health, Inc. is an E-verify Employer

Need Assistance?

Email us (elevancehealth@icareerhelp.com) or call 1-877-204-7664

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