Appeal Resolution Manager jobs in Georgia

Appeal Resolution Manager manages the grievance process to review, investigate, document, process, negotiate, and resolve disputed medical, insurance, and other claims. Oversees work activity that is compliant with all regulatory guidelines and policy protocols. Being an Appeal Resolution Manager allocates team resources to ensure an effective and balanced case workload. Applies industry standards and uses best practices in the preparation of legal briefs. Additionally, Appeal Resolution Manager may represent the organization at hearings. Requires a bachelor's degree. Typically reports to a senior 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. To be an Appeal Resolution Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Technical Delivery Manager - Lead Infrastructure Project Manager
  • Resolution Technologies
  • Atlanta, GA FULL_TIME
  • Job Details

    Technical Delivery Manager - Lead Infrastructure Project Manager

    ***Position will be onsite daily in Atlanta***

    Technical Delivery Manager - Sr. Infrastructure Project Manager Responsibilities
    • Responsible for running internal technical projects from concept to implementation for Development, Enterprise Applications and Infrastructure.
    • Build complex project plans and can construct project artifacts.
    • Will lead project management initiatives dealing with Windows, UNIX, Networks, Databases, Storage and Backups, Data Centers, Security, Application and Cloud technologies.
    • Create PowerPoint presentations / decks and present to business unit leaders and C-level executives about IT initiatives and results.
    • Responsible for a portfolio of IT projects and leading major IT global initiatives across multiple lines of business.
    • Able to effectively work cross functionally.
    • Defines requirements and plan project lifecycle.
    • Defines resources and schedule for project/program implementation.
    • Create strategies for risk mitigation and contingency planning.
    • Plans and schedule project deliverables, goals and milestones.
    • Efficiently identifies and solves project issues.
    • Demonstrates leadership to define requirements for project risk.
    • Designs and maintain technical and project documentation.
    • Strong organizational, presentation, and customer service skills.
    • Proven ability to keep IT teams adhering to agreed project milestones.
    • Comfortable working with a large and diverse team of IT associates (with 35 members) ranging from the helpdesk level to C-level and executive management.

    IT Program Delivery Leader Qualifications:
    • Bachelors Degree or higher in Engineering, Technology or related field or commensurate work experience.
    • PMP (Project Management Professional) Certification or equivalent preferred.
    • ITIL certification preferred.
    • Formalized Six Sigma training or certifications is a plus
    • 10 years of project management or IT Management experience
    • Experience leading global IT initiatives in a structured PMO or consulting practice.
    • Experience moving Infrastructure and Applications to the Cloud. AWS and Azure are preferred.
    • Any experience with Unified Communications a major plus.
    • Substantial project management experience dealing with Windows, UNIX, Networks, Databases, Storage and Backups, and Security.
    • Big 4 Consulting background preferred.
    • Advanced Finance and Excel background
    • Excellent project management skills, including experience in the development of management reports, time management and organization skills, and ability to delegate authority and tasks
    • Software application proficiency with Microsoft Office Suite, ServiceNow, Jira (other EPM/PPM tools) with extensive experience with MS Excel and MS Project
    • Experience in handling multiple concurrent complex projects within a technical environment
    • Ability to develop and maintain positive working relationships with all levels
    • Strong communication skills with both internal staff and clients
    • Solid experience with Process Improvement/Re-Engineering, as well as documentation
    • Solid knowledge of project delivery workflows/work streams


    CANDIDATE PROFILE:

    The ideal candidate will need to bring a mix of hard and soft skills in order to ensure his/her success.

    Given the scope of contribution of this role, it will be imperative that qualified candidates bring experience in the large consulting firms. A background including B2B services, transaction / payment processing, and credit card services would be strongly preferred.

    Qualified candidates will have a background and comfort level working with diverse systems. The candidate will bring an appetite for keeping current with new technology solutions, and be incredibly passionate about solving business problems through the use of technology.

    This person will need to bring a track record of hands-on, doing - being personally responsible for the strategy, execution and success of systems that have been global in nature and have impacted the bottom line efficiency and success of an organization. Ideally, qualified candidates will have an experience base that involves multi-national Infrastructure and software development.

    This doing will very likely include and require travel, both domestically and internationally, which could fluctuate depending on areas of business focus, acquisition due diligence, etc.

    The candidate will know how to quickly craft a written proposal and solution strategy, in addition to being comfortable with the responsibility of the hands-on execution work involved. In addition, qualified candidates will bring executive level communication, decision, and presentation skills with all levels of global business management.

    This should be an individual with a sense of both independence and urgency. The candidate should have a solid background of autonomy and seeing initiatives through from beginning to end, with business impact and ROI defined. Our culture is fast-paced and dynamic. Someone who is looking for a lean, swift moving environment will be a good match. Additionally, someone looking for an army of support and a great deal of hand holding will not likely be the best fit.

    This position will require an individual who is very comfortable operating in a global environment with a company that is experiencing growth both organically and through acquisitions. This will require a high degree of interpersonal and influencing skills and an ability to work cross-culturally to improve collaboration within IT at the global level.

    #RT
    #DICEJOBS
  • 10 Days Ago

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ERP Financials Project Manager (Microsoft Dynamics)
  • Resolution Technologies
  • Atlanta, GA FULL_TIME
  • Job DetailsERP Financials Project Manager (Microsoft Dynamics) The candidate we are looking for should have a background in Finance and Accounting. This candidate should be able to leverage their know...
  • 5 Days Ago

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Business Insurance Sr. Account Manager (P & C)
  • Resolution Technologies
  • Peachtree, GA FULL_TIME
  • Business Insurance Sr. Account Manager (P&C) Description : The main goal and... 3 days ago
  • 2 Months Ago

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Site Manager
  • Clear Resolution Consulting, LLC
  • Ft Eisenhower, GA FULL_TIME
  • OPPORTUNITIES TO IGNITE YOUR PASSION, CRC services include Intelligence Analysis, Business Management, Cyber Operations, and Information Technology Consulting Services to the Department of Defense (Do...
  • 30 Days Ago

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Senior Mentor (Mission Manager)
  • Clear Resolution Consulting, LLC
  • Ft Eisenhower, GA FULL_TIME
  • OPPORTUNITIES TO IGNITE YOUR PASSION, CRC services include Intelligence Analysis, Business Management, Cyber Operations, and Information Technology Consulting Services to the Department of Defense (Do...
  • 30 Days Ago

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Senior Manager – Construction Dispute Resolution
  • Socotec
  • Atlanta, GA FULL_TIME
  • Company DescriptionSOCOTEC Advisory, LLC., is a subsidiary of Socotec USA, an industry leader in dispute resolution, project advisory, building envelope design, structural failure analysis and energy ...
  • 1 Month Ago

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Policy Search Analyst
  • Resolute Management Inc.
  • Boston, MA
  • Resolute Management, Inc. is a Third-Party Administrator hired by clients to handle complex environmental, asbestos, and...
  • 4/22/2024 12:00:00 AM

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Personal Injury Attorney
  • Rob Levine Law
  • Myrtle Point, OR
  • Personal Injury Attorney in RI, MA - Remote Position - Great Base Pay and Training Are you ready to take your career and...
  • 4/22/2024 12:00:00 AM

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Legal Intern
  • Prinston Pharmaceutical Inc.
  • Somerset, NJ
  • Job description Prinston Pharmaceutical Inc. ABOUT US Prinston Pharmaceutical, Inc. is a fully integrated pharmaceutical...
  • 4/22/2024 12:00:00 AM

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Summer Intern
  • Resolute Management, Inc.
  • Chicago, IL
  • Resolute Management, Inc. is a Third-Party Administrator hired by clients to handle complex environmental, asbestos, and...
  • 4/21/2024 12:00:00 AM

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Associate Attorney
  • Donaldson Stewart Pc
  • Chandler, AZ
  • Donaldson Stewart, PC is seeking a Family Law Attorney to join our Chandler, Arizona team. If you or someone you know ma...
  • 4/21/2024 12:00:00 AM

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Litigation Associate
  • Honcho Executive Search Group, LLC
  • Honcho, acting as the search firm on behalf of an East Coast based law firm is currently seeking a Civil Litigation Atto...
  • 4/20/2024 12:00:00 AM

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Policy Search Analyst
  • Resolute Management, Inc.
  • Boston, MA
  • Resolute Management, Inc. is a Third-Party Administrator hired by clients to handle complex environmental, asbestos, and...
  • 4/19/2024 12:00:00 AM

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Associate Attorney
  • Donaldson Stewart, PC
  • Chandler, AZ
  • Donaldson Stewart, PC is seeking a Family Law Attorney to join our Chandler, Arizona team. If you or someone you know ma...
  • 4/18/2024 12:00:00 AM

Georgia is a state in the Southeastern United States.Beginning from the Atlantic Ocean, the state's eastern border with South Carolina runs up the Savannah River, northwest to its origin at the confluence of the Tugaloo and Seneca Rivers. It then continues up the Tugaloo (originally Tugalo) and into the Chattooga River, its most significant tributary. These bounds were decided in the 1797 Treaty of Beaufort, and tested in the U.S. Supreme Court in the two Georgia v. South Carolina cases in 1923 and 1989. The border then takes a sharp turn around the tip of Rabun County, at latitude 35°N, thou...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$90,468 to $117,575

Appeal Resolution Manager in Bergenfield, NJ
The appeals conference is an informal meeting in which an impartial officer settles the dispute in the same way a judge does between a plaintiff and defendant in court.
January 01, 2020
Appeal Resolution Manager in Concord, NH
A number of local governments have already passed the resolutions and others are expected to consider the measures.
January 04, 2020
Appeal Resolution Manager in Appleton, WI
If your tax return was recently under examination and you received written notification of an adjustment the IRS is making to your tax return, such as disallowing a deduction or credit, you have the right to disagree and the right to appeal its decision.
December 23, 2019