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US

  • Review patient medical records and utilize clinical knowledge and payer requirements to determine denial reasons and complete comprehensive appeals.
  • Prepare compelling appeal arguments using clinical evidence, regulatory guidelines, and pre-existing criteria to overturn denials professionally and concisely.
  • Analyze data on denied claims, share trends with leadership, and provide feedback to hospitals while ensuring compliance with HIPAA regulations.

Utilization Review Regulatory Knowledge Written Communication

20 jobs similar to Clinical Appeals Analyst

Jobs ranked by similarity.

Europe 5w PTO 12w maternity

  • Own and oversee enterprise security monitoring capabilities, including SIEM, EDR/XDR, and alerting platforms.
  • Act as senior incident manager for significant security incidents, coordinating technical teams, IT operations, and business stakeholders.
  • Lead and develop Genus’s security operations capability, establishing clear roles, responsibilities, and expectations.

Genus is an agricultural biotechnology pioneer and a global FTSE 250 company headquartered in the UK. They are a worldwide leader in porcine and bovine animal genetics, partnering with farmers to transform how we nourish the world, employing over 3,000 employees.

US

  • Lead clinical workflow design across home and virtual care
  • Guide AI-assisted documentation and review workflows
  • Improve care gap closure and risk capture quality

They build the clinical layer behind last-mile value-based care. Fairness matters to them, so they use AI to review every application against the same clear requirements.

US

  • Design and implement standardized onboarding, training, certification programs for CDL drivers and attendants.
  • Ensure consistent compliance with FMCSA, DOT, and state-specific transportation requirements.
  • Identify and address process gaps across hiring, onboarding, training, and compliance; design scalable solutions.

Zūm is transforming the school transportation industry with technology-driven solutions, managing district systems and developing SaaS offerings. They are backed by industry leaders such as Sequoia Capital and SoftBank and have been recognized as a CNBC 50 disruptor and Financial Times 500 fastest-growing company.

Europe

  • Design, develop, and maintain scalable and robust features, ensuring seamless integration between front-end and back-end systems using modern frameworks.
  • Prioritize user experience and ensure that our products meet the needs and expectations of our user base.
  • Write clean, maintainable, and well-documented code, and participate in code reviews to uphold Mistral AI's high standards of quality.

Mistral AI believes in the power of AI to simplify tasks, save time and enhance learning and creativity; their technology integrates into daily working life. They are a dynamic, collaborative team passionate about AI, with a diverse workforce distributed between France, USA, UK, Germany and Singapore.

Europe

  • Design, implement, and maintain cloud-based infrastructure and services at the intersection of agentic AI and biomedical data.
  • Collaborate with software engineers, data engineers, researchers and data scientists to understand their needs and implement solutions that enhance their productivity.
  • Build and lead a high-performing platform engineering team, setting a high bar for technical excellence, ownership, and accountability in the organization.

Owkin is an AI company on a mission to solve the complexity of biology. They are building the first Biology Super Intelligence (BASI) by combining powerful biological large language models, multimodal patient data, and agentic software.

Paralegal

LSAC
$42–$46/hr
US

  • Drafting and revising legal documents as requested by Legal Counsel.
  • Provision of litigation support, including the updating of case tracker to reflect case activity.
  • Maintaining LSAC’s intellectual property organization system and working with internal stakeholders and outside counsel on the same.

LSAC's mission is to advance law and justice by promoting access, equity, and fairness in law school admission and supporting the learning journey from prelaw through practice. They oversee legal, governance and compliance matters for the organization.

US

  • Configure Fast Formulas to support in-scope HCM modules.
  • Provide ongoing technical support for the HCM application, including troubleshooting, enhancement and updates, patching, and user support.
  • Develop data extract routines for audits, analytics, and operational reporting.

Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions, clinically differentiated programs and unsurpassed customer service. With 160 years of clinical excellence and innovation, Hanger's vision is to lead the orthotic and prosthetic markets by providing superior patient care, outcomes, services and value.

$169,000–$212,000/yr
US Unlimited PTO 16w maternity 16w paternity

  • Design and optimize strategic People Systems suite, including Workday, to support scalable growth.
  • Manage a team and cross-functional partnerships to implement secure, intuitive system integrations and workflows.
  • Lead change adoption programs and continuously evaluate and improve People team service delivery and technology.

Headway is building a new mental healthcare system to make therapy accessible by solving insurance barriers. It is a Series D company with over $325M in funding, over 70,000 providers, and a mission-driven team focused on inclusion and professional growth.

US

  • Analyze new employee communications through the onboarding phase.
  • Assess information clarity and completeness for new employees.
  • Develop recommendations on findings and seek feedback from stakeholders.

The Nakupuna Companies seek to enhance early learning and engagement with new hires from offer acceptance. They have more than 1,300 employees and growing, and they require a skillful communicator with an understanding of curriculum design for adult learners.

Global

  • Own segment and horizontal narratives to develop cohesive messaging across institutional workflows like data distribution and payments.
  • Map end-to-end financial workflows and translate complex technical capabilities into compelling business value propositions.
  • Drive go-to-market strategy and enable sales teams with scalable assets like playbooks and competitive positioning.

Chainlink Labs is the developer of Chainlink, the industry-standard oracle platform that brings capital markets onchain and powers the majority of decentralized finance (DeFi). The company operates globally as a remote-first organization, leveraging a team that is distributed across many time zones, with a culture focused on innovation, secure financial infrastructure, and institutional adoption.

US

  • Provides senior-level oversight and strategic direction for the planning, coordination, and execution of IT systems and engineering initiatives.
  • Responsible for managing complex information systems programs, aligning technology investments to agency mission objectives.
  • Accountable for resource allocation, risk identification and mitigation, and the quality of technical and programmatic deliverables.

DMI is a leading provider of digital services and technology solutions, headquartered in Tysons Corner, VA. With a focus on end-to-end managed IT services, DMI supports public sector agencies and commercial enterprises around the globe and is committed to delivering secure, efficient, and cost-effective solutions that drive measurable results. DMI values employees for their talents and contributions and takes pride in helping customers achieve their goals.

US Unlimited PTO

  • Own end-to-end product development from ideation through launch and iteration
  • Build and improve products across areas like high-yield savings, investing/crypto, peer-to-peer payments, and buy now, pay later (BNPL)
  • Partner closely with engineering, design, and data to ship high-quality, customer-facing features quickly

OnePay is a consumer fintech helping millions of Americans make money better by providing an all-in-one financial services platform. They partner with employers to deliver embedded financial services and are backed by Walmart and Ribbit Capital with a fast-moving culture.

  • Works with BIM/VDC Manager, Project Management, and Field Leadership to understand specifications and contract documents, and establishes a plan within the BIM budget.
  • Applies knowledge of mechanical and plumbing systems, code interpretation, and company best practices to produce accurate, annotated installation and layout drawings.
  • Oversees the management of models and drawings throughout the project lifecycle, from initial setup to continuous updates of all linked files.

ENFRA blends a rich history with a forward-looking vision, having been in the energy infrastructure industry for over 100 years and a leader in innovative energy solutions. They value growth for both the business and their people, fostering a supportive environment that embraces inclusion and innovation.

US

  • Guide the Care Partner Team, ensuring efficient completion of monthly programs and fostering a positive environment.
  • Assist management by identifying and addressing areas of need within the CCM/RPM process.
  • Support hiring and training, using training programs effectively to ensure all team members excel.

Medsien is revolutionizing healthcare with its cutting-edge remote care management solutions. They aim to enhance patient outcomes through seamless integration of technology, allowing healthcare providers to deliver exceptional care with ease.

$60,000–$75,000/yr
US

  • Serve as the internal point person for all team member technical issues.
  • Manage day-to-day administration of our Microsoft 365 environment.
  • Collaborate with the people team to deliver a consistent, high-quality onboarding experience.

Surefire Cyber redefines the incident response model by delivering a swifter, stronger response to cyber incidents. Their client-centric approach reduces stress and provides clients the confidence needed to prepare, respond, and recover from cyber incidents and fortify their cyber resilience after an event. They foster a culture of collaboration, innovation, and unwavering commitment to their clients, partners, and colleagues.

US

  • Own the full post-sale revenue lifecycle for a portfolio of clients, managing renewals, expansions, and long-term account growth.
  • Serve as a trusted advisor, translating compliance gaps and regulatory milestones into clear business value and revenue opportunities.
  • Build strategic account plans, manage an expansion pipeline, and collaborate cross-functionally to execute account strategy and drive revenue outcomes.

On Call Computer Solutions (OCCS) is a cybersecurity and compliance-focused Managed Service Provider (MSP) that helps defense contractors and regulated organizations achieve and maintain compliance with frameworks like CMMC, NIST 800-171, and DFARS. It operates in a fast-paced, entrepreneurial environment focused on long-term client partnerships and recurring revenue.

$63,600–$111,300/yr
US

  • Completes a variety of assignments such as drawings, specifications, and other materials suitable for procurement and construction purposes, utilizing CAE/CAD.
  • Prepares standard engineering computations, material quality takeoffs, estimates, surveys, and designs, and provides technical guidance to CAD Designer/Drafters and lower-level Engineers.
  • Prepares detailed requisitions for equipment and materials, reviews supplier drawing submittals, and prepares and issues specifications, data sheets, and other construction documents.

Parsons Corporation is a digitally enabled solutions provider focused on creating the future of the defense, intelligence, and critical infrastructure markets. The company has over 80 years of history, employs a resilient workforce ready for the future, and cultivates an innovative culture that empowers employees to achieve their full potential.

US

  • Build working prototypes using off-the-shelf and novel AI techniques to deliver higher optimization levels for the company.
  • Work with large, complex data sets and solve difficult, non-routine analysis problems to harvest data.
  • Implement techniques for fine-tuning and adapting pre-trained generative models to specific healthcare domains or tasks.

Aledade empowers primary care physicians with technology to keep their patients healthy and prevent unnecessary hospitalizations. They partner with other engineering and analytics teams, bringing AI technology into existing products and workflows, leveraging their extensive data sets of medical records, diagnoses, claims, and prescriptions.

$80,000–$90,000/yr
US

  • Strategically build, manage, and close deals in sales pipeline
  • Be responsible for closing a quota of new business
  • Strategically plan for account penetration

FiscalNote is a leader in policy and global intelligence, combining data, technology, and insights to empower customers. They help organizations stay ahead of political and business risk with brands like CQ and VoterVoice, valuing diversity and inclusion.