Become a part of our caring community The Grievances and Appeals Representative 4 role in the Internal Review Team is responsible for managing appeal denials, by reviewing clinical documentation, determining whether further action is needed, and validating final determinations in coordination with clinical and internal Humana partners. Key Responsibilities: Manage Level 1 appeal cases , ensuring accuracy, completeness, and compliance with CMS requirements Review clinical documentation to support appeal determinations and escalation decisions Coordinate with clinical teams and internal partners to finalize appeal outcomes Investigate and resolve member and provider issues with a focus on timely resolution Maintain high productivity and quality standards in a production-driven environment Ensure strict adherence to confidentiality and compliance regulations Independently prioritize and manage multiple high-volume case assignments Proactively embraces change and supports smooth transitions in a dynamic work environment Use your skills to make an impact Required Qualifications: 1+ year of grievance & appeals and/or customer service experience Strong data entry skills Proficiency in Microsoft Office Applications Experience in a production-driven environment Experience prioritizing and delivering multiple assignments Strong commitment to confidentiality and high-quality results Preferred Qualifications: Associate's or Bachelor's degree 2–4 years of grievance and appeals experience Medical claims processing experience Previous inbound call center experience Experience wi
Jobs in United States
Application Development Technical Lead Analyst in United States
2,555 active opportunities · Updated October 2026
Showing
5 jobs
Explore current application development technical lead analyst jobs across United States. Filter by work mode, employment type, experience, department, date posted and distance.
The Senior Financial Systems Analyst, OneStream owns the day-to-day support, administration, and continuous improvement of Topgolf’s OneStream platform across financial close, consolidation, reconciliations, transaction matching, cash flow reporting, FP&A, budgeting, forecasting, workforce planning, and management reporting. This role partners closely with Accounting, Financial Reporting, FP&A, Treasury, and Technology to translate business needs into reliable, scalable OneStream solutions. The position serves as the primary functional resource for business users while supporting new capabilities, process improvements, and stronger financial reporting outcomes. Support day-to-day administration of OneStream including metadata maintenance, security administration, workflow support, user provisioning, and platform monitoring and support. Develop and maintain CubeViews, QuickViews, dashboards, reports, and management reporting solutions to support Finance and Accounting users. Support financial close, consolidations, transaction matching, account reconciliations, and cash flow reporting processes within OneStream. Partner with FP&A to develop and maintain budgeting, forecasting, long-range planning, workforce planning, scenario modeling, and driver-based planning solutions within OneStream Develop CubeViews, QuickViews, dashboards, KPIs, scorecards, and executive reporting solutions supporting Finance and Operations leadership. Support integration validation and data quality management between OneStream, SAP S/4HANA, and other enterprise applications Assist with implementation, testing, and deployment of new OneStream modules, Marketplace solutions, and platform enhancements. Create user documentation, training materials, and provide end-user support for Finance, Acc
Where Performance Meets Purpose Join a team that values excellence and innovation, at a company known for its iconic golf brands. At Acushnet Company, your background and experience contribute to creating the best products for dedicated golfers worldwide. Here, your performance has purpose. What You Will Be Doing Titleist is seeking a dynamic, personable, and highly motivated Fitting Specialist to join our elite fitting team, supporting the Jacksonville, FL territory. In this role, you will deliver exceptional club fitting experiences at consumer events, tournaments, and Titleist fitting activations, helping golfers find the equipment that maximizes their performance. As a trusted Titleist brand ambassador, you will leverage industry-leading fitting technology and product expertise to provide personalized recommendations, coordinate event logistics, and build lasting relationships with golfers. This role supports approximately 130-150 events per season, primarily Tuesday through Saturday, and plays a key part in shaping the performance and loyalty of golfers across the region. What You Bring 2+ years of club fitting experience with a passion for golf performance and equipment technology Exceptional customer service, communication, and relationship-building skills Strong Titleist or golf equipment product knowledge with confident presentation abilities Experience using fitting technology, including TrackMan and mobile applications Highly re
Where Performance Meets Purpose Join a team that values excellence and innovation, at a company known for its iconic golf brands. At Acushnet Company, your background and experience contribute to creating the best products for dedicated golfers worldwide. Here, your performance has purpose. What You Will Be Doing Titleist is seeking a dynamic, personable, and highly motivated Fitting Specialist to join our elite fitting team, supporting the Hartford, CT territory. In this role, you will deliver exceptional club fitting experiences at consumer events, tournaments, and Titleist fitting activations, helping golfers find the equipment that maximizes their performance. As a trusted Titleist brand ambassador, you will leverage industry-leading fitting technology and product expertise to provide personalized recommendations, coordinate event logistics, and build lasting relationships with golfers. This role supports approximately 100-125 events per season, primarily Tuesday through Saturday, and plays a key part in shaping the performance and loyalty of golfers across the region. What You Bring 2+ years of club fitting experience with a passion for golf performance and equipment technology Exceptional customer service, communication, and relationship-building skills Strong Titleist or golf equipment product knowledge with confident presentation abilities Experience using fitting technology, including TrackMan and mobile applications Highly reliable, detail-oriented, and able to work independently Reliable transportation capable of carrying fitting and display equipment Ability to lift up to 40 lbs multiple times per day
Where Performance Meets Purpose Join a team that values excellence and innovation, at a company known for its iconic golf brands. At Acushnet Company, your background and experience contribute to creating the best products for dedicated golfers worldwide. Here, your performance has purpose. What You Will Be Doing The Senior Industrial Engineer plays a vital role in advancing manufacturing and distribution excellence by driving efficiency, innovation, and continuous improvement across operations. This position applies industrial engineering principles to optimize production processes, facility layouts, material handling systems, and labor utilization while supporting East Coast manufacturing and distribution teams. The role leads projects involving equipment installation, relocation, and workflow redesign; develops labor and capacity models for global golf ball manufacturing; and identifies opportunities for cost reduction, productivity gains, and operational improvements. Through data-driven analysis, reporting, and cross-functional collaboration, the Senior Industrial Engineer helps ensure safe, efficient, and scalable operations that support long-term business growth. What You Bring Bachelor’s degree in Industrial Engineering or a related Engineering discipline required Minimum of 5 years of Industrial Engineering experience Proficient in the use of computers and engineering software Ability to sit, stand, walk, crawl, and climb for extended periods as needed Proficiency with AutoCAD and Microsoft Office applications Experience with facility layout design and optimization Strong knowledge of capacity planning and capacity analysis Experience with Lean manufacturing, process simp
Other cities to consider
More places hiring for this role
Get new application development technical lead analyst jobs in United States by email
Daily job updates · Unsubscribe anytime