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Responsibilities Investigate and triage job failures, fallouts, and reprocessing requests raised by L1 Perform initial analysis using application logs, database queries, monitoring tools, and upstream/downstream dependency checks to support root cause identification Work alongside L3, product, and other stakeholders to drive root cause identification and resolution, providing analysis, context, and coordination throu

HealthEdge is hiring a USRN to process and review complex member and provider appeals and grievances. The role evaluates medical necessity, prepares recommendations and correspondence, and maintains accurate documentation in line with service-level agreements and regulatory standards. Responsibilities Investigate and process complex grievances and appeals requests from members and providers Perform reviews of inpatie