Reconsideration Analyst

Posted 5 days ago

virtual vocationsNew York (NY)

Regulatory Affairs Specialists Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

SENIORITY

Junior

Apply

About the role

Working remotely in a full-time capacity, the Reconsideration Analyst III will make second-level non-medical appeal decisions for beneficiaries, supplies, or providers while ensuring compliance with regulations and addressing all appeal issues raised.

Key responsibilities: Writes clear reconsideration decisions that support determinations made Conducts research using federal regulations and related resources to ensure accurate and well-supported decisions Organizes documents and ensures compliance with Privacy Act provisions

Required qualifications: High School Diploma or equivalent Three (3) years of general office experience Two (2) years of experience in high volume customer calls, appeals, or billing Medicare Part A knowledge preferred Resided in the United States for a minimum of three (3) years out of the last five (5) years

Before you apply

Applying takes about a minute. These four things decide how fast it moves after that.

Your profile is current

It's what we read first. Occupations, seniority and locations matter more than a long history.

Two examples you can talk through

Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.

A number in mind

What you're on now and what would make you move. We negotiate better when we know both.

Your notice period

Employers plan around it, and it's the question that stalls offers most often.

Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.