Appeal Resolution Manager jobs in the United States

Appeal Resolution Manager plans, organizes, and directs the work activity of the appeal and grievance team consistent with organizational policies and procedures and which is compliant with state and federal guidelines. Oversees research, investigation, negotiation and resolution of all types of appeals and grievances. Being an Appeal Resolution Manager prepares formal briefs and appears at hearings as a representative of the organization. Requires a bachelor's degree. Additionally, Appeal Resolution Manager typically reports to a manager or head of a unit/department. The Appeal Resolution Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be an Appeal Resolution Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2021

Sales Supervisor - Part Time
  • Los Angeles, CA
  • Identify current and future trends that appeal to the consumer. * Ensure that the fitting rooms are ... Manager on coaching and conflict resolution. * Perform all other duties as assigned and required
  • just now

WC Complex Medical Only Representative
  • Selective Insurance
  • Charlotte, NC
  • If that sounds appealing, we think you would feel inspired on our team to achieve and be rewarded ... Manage administration of benefits and claim resolution. Investigates claims to determine coverage ...
  • 16 hours ago

Claims Business Process Consultant - Remote
  • UnitedHealth Group
  • Phoenix, AZ
  • ... management and other internal business partners, as well as, delegated provider partners, to ... Appeals/grievance or claims rework experience * Experience with provider practices, billings and ...
  • yesterday

HR Technology Services Analyst, Benefits Administration
  • CSH System Office Support Ctrs
  • Phoenix, AZ
  • Conduct research on escalated issues as appropriate and provide resolution in a timely manner ... appeals in a timely manner. * Test script development and completion * Manages the upload of mass ...
  • 2 days ago

Appeals Officer - TEFRA
  • Department Of The Treasury
  • Seattle, WA
  • ... determine the appropriate resolution based upon relevant factors including reasonableness ... directed by management. OTHER INFORMATION * Must be a U.S. Citizen or National. * A 1-year ...
  • 3 days ago

Nurse Appeals or Nurse Appeals Sr.
  • Anthem, Inc
  • Walnut Creek, CA
  • Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for ... Requires minimum of 2 years of experience in a managed care healthcare setting; or any combination ...
  • 6 days ago

Resident Service Specialist - Kirtland AFB Military Housing
  • Hunt Companies Finance Trust, Inc.
  • Albuquerque, NM
  • Coordinates and assists with all requests from resident with the property management tea by ... All fees and rent are charged correctly in Yardi. * Assist with ensuring community curb appeal and ...
  • 6 days ago

Asset Manager
  • Northwest Housing Alternatives
  • Milwaukie, OR
  • ... appeal; ensure properties are well maintained and meet NHA standards. * Plan and supervise ... Knowledge and experience in conflict resolution techniques and best practices. * Advanced skills in ...
  • 6 days ago

Income Estimation for Appeal Resolution Manager jobs
$84,274 to $110,339