Appeals Analyst (Remote)

Freddie Mac; Raleigh (NC); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company in Healthcare Services is seeking an Appeals Analyst to manage complex claims and appeals. This role offers the opportunity for career advancement and the flexibility of remote work. Candidates will engage with pharmaceutical companies, conduct thorough research, and collaborate with teams to resolve issues. Strong analytical skills and experience in appeals analysis are essential for success in this position.

Qualifications

• Minimum of 2 years of experience in appeals analysis or a related field.
• Ability to work independently and manage multiple tasks effectively.

Responsibilities

• Analyze and manage complex appeals and claims for various healthcare providers.
• Conduct thorough research to support appeal decisions and processes.

Skills

Analytical skills

Problem-solving

Communication

Education

Advanced degree in a relevant field

Tools

Data management tools

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely, providing flexibility in your work environment
- Engage with diverse pharmaceutical companies and healthcare sectors
- Contribute to the analysis and resolution of complex appeals and claims
- Collaborative and supportive team culture

What to Expect (Job Responsibilities):
- Analyze and manage complex appeals and claims for various healthcare providers
- Conduct thorough research to support appeal decisions and processes
- Collaborate with internal teams and external stakeholders to resolve issues
- Maintain detailed records of appeal processes and outcomes
- Provide insights and recommendations based on data analysis

What is Required (Qualifications):
- Minimum of 2 years of experience in appeals analysis or a related field
- Strong analytical and problem-solving skills
- Excellent written and verbal communication abilities
- Ability to work independently and manage multiple tasks effectively
- Proficiency in relevant software and data management tools

How to Stand Out (Preferred Qualifications):
- Experience in the pharmaceutical industry or healthcare sector
- Familiarity with regulatory standards and compliance in appeals processes
- Advanced degree in a relevant field

#HealthcareServices #RemoteWork #CareerOpportunity #AppealsAnalysis #DataAnalysis

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