Administrative Law Judge Analyst
Listed on 2026-03-15
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Administrative/Clerical
Healthcare Administration, Business Administration -
Government
Healthcare Administration
Overview
C2C INNOVATIVE SOLUTIONS. Visit and the Career Center to Apply and View the Full Job Description. Apply at (Use the "Apply for this Job" box below). Please ensure your application is complete, including your education, employment history, and any other applicable sections. Initial screening is based on the minimum requirements as defined in the job posting, such as education, experience, licenses, and certifications. Your experience should address the knowledge, skills and abilities needed for the role.
Incomplete applications will not be considered. This position is located Remote United States.
Monitors the contractors interactions with and support of reconsideration decisions rendered to the higher-level appeal authority
Essential Responsibilities- Assists in reviewing Administrative Law Judge (ALJ) Remand Orders along with their associated case files and determines the appropriate steps necessary to resolve the issues.
- Assists in performing data analysis on cases returned to higher-level appeal authority and documents the percentage of cases affirmed verses overturned and the reasons for cases that are overturned.
- Assists in developing a formal document that includes findings from data analysis and provides recommendations as to how guidelines, policy and coverage decisions could be strengthened or changed to reduce the number of appeals cases overturned at the ALJ level.
- Assists in tracking and monitoring requests and ensures their timely return to the appropriate higher-level appeal authority
- Assists in contacting the higher-level appeal authority field office immediately for cases that are not within the contracts jurisdiction or for cases already sent.
Education
High School Diploma or equivalent
Experience
Three (3) years of general office experience
- College education or technical training in analytics, administration, healthcare, or related areas may be substituted for experience on a year per year basis. (Education requirements may be satisfied by full-time education or the prorated part-time equivalent.)
- One (1) year Medicare appeals
- Managed Care, preferred
- Resided in the United States for a minimum of three (3) years out of the last five (5) years? (Per Contract Requirement)
C2C offers an excellent benefits package, including:
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