Sample Job Description for Grievance and Appeals Resolution Manager, Sr.
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Grievance and Appeals Resolution Manager, Sr. Job Overview
Grievance and Appeals Resolution Manager, Sr. Job Description Sample
Directs the overall grievance and appeal process operations that encompass the review, investigation, negotiation and processing of disputed medical, insurance, and other claims.
JOB LEVEL
M03
EDUCATION/DEGREE
Bachelor's Degree
REPORTS TO
Senior Manager or Head of a Unit/Department
Salary Range
BASE 50%
$144,100
TOTAL 50%
$168,100
Job Responsibilities for Grievance and Appeals Resolution Manager, Sr.
Ensures that work activities are compliant with all regulatory guidelines and policy protocols. Allocates resources to ensure an effective and efficient case workload that achieves operational objectives. Provides expert subject matter guidance and may represent the organization at hearings.
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Grievance and Appeals Resolution Manager, Sr. Skills & Proficiency Level
| Skills | Proficiency Level |
|---|---|
| Industry Knowledge | Level 2 |
| Standard Operating Procedures (SOP) | Level 3 |
| Planning and Organizing | Level 4 |
