Remote Grievance & Appeals Analyst II

Elevance Health; Latham (NY); Hybrid; USD 29,000 - 48,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) + match

Stock purchase plan

Job summary

Elevance Health seeks a Grievance/Appeals Analyst II to review and process non-complex and some complex grievances and appeals across multiple products, ensuring alignment with clinical and quality standards. The role involves research, documentation, and cross‑functional collaboration to support regulatory and accreditation requirements.

The position supports a hybrid/virtual work model with in-person onboarding and training as required, and offers a comprehensive benefits package consistent

Qualifications

• HS diploma or equivalent.
• Minimum of 1 year of Grievance & Appeals analyst experience and a minimum of 3 years experience working in grievances and appeals, claims, or customer service; or any combination of education and experience which would provide an equivalent background.

Responsibilities

• Reviews, analyzes and processes non-complex and some complex grievances and appeals for multiple products.
• Ensures work complies with URAC and NCQA accreditation standards and requirements.
• Follows department guidelines and tools to convey determinations in written communications.
• Contributes to file review components for accreditation.
• Acts as liaison with medical management, legal, service operations and other internal departments as needed.
• Identifies opportunities for improvement and provides support to junior analysts.

Skills

Oral communication

Written communication

Interpersonal skills

Problem solving

Facilitation

Analytical skills

Federal Employees Program experience

Education

HS diploma or equivalent

Associates degree preferred

Job description

Elevance Health seeks a Grievance/Appeals Analyst II to review and process non-complex and some complex grievances and appeals across multiple products, ensuring alignment with clinical and quality standards. The role involves research, documentation, and cross‑functional collaboration to support regulatory and accreditation requirements.

The position supports a hybrid/virtual work model with in-person onboarding and training as required, and offers a comprehensive benefits package consistent