Appeal Resolution Manager jobs in West Virginia

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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Research Analyst (HubZones in West Virginia)
  • Strategic Resolution Experts, Inc.
  • Logan, WV FULL_TIME
  • Are you looking for an entry-level, part-time position that will teach you a unique skill in a lucrative industry? Are you looking for an opportunity, a hand-up, to use a stepping stone to a full-time position with SRE or another employer where you can take your training and apply it to support the Federal Government's mission? SRE has a position for Research Analysts, who reside in HUBZone communities within the United States. This program is designed to provide historically economically disadvantaged communities with job opportunities that will result in earning a higher wage. SRE is committed to working with individuals within these communities to provide sustainable employment opportunities.

    Please check this link and enter your address. If you are in a designed HUBZone, you may apply. If you are not in a HUBZone please visit our website for other opportunities.

    The Research Analyst position in an entry level position. It is a part-time corporate level support position working 10 hours per week. The Research Analyst position is a multi-faceted position that requires stellar communication, analytical, and data entry and writing skills. The Research Analyst will support the high-value federal government contract pursuits for Strategic Resolution Experts (SRE) brand and capabilities. Duties associated with this role may include, but are not limited to:

    • Participating with team members in delivering time-sensitive intelligence.
    • Reviewing solicitation (RFP, RFI, RFQ, etc.) documentation as part of the opportunity analysis and proposal development process.
    • Contributing to our mission of providing customized, accurate, real-time capture intelligence, uniquely available with SRE.
    • Supporting SRE's business development and capture processes and practices by ensuring pipeline data is consistently updated and Standard Operating Procedures (SOPs) are documented and maintained.
    • Supporting various proposal development activities, such as resume formatting, compliance reviews, and coordination with teaming partners.
    • Conducting market research regarding new business opportunities using sam.gov and related publicly available websites and databases.
    • Maintaining and continually enhancing SRE's pipeline management platform, collaborating with stakeholders to identify needs and opportunities for improvement and performing the necessary modifications to make new capabilities available to end-users.
    • Supporting various inter-departmental projects and initiatives as an extension of business development and capture.

    MUST BE US CITIZEN AND CLEARABLE

    Requirements: Must live in an SBA designated HUBZone area.

    Education: High School Diploma, GED, or six (6) months experience using a computer.

    Required Skills:

    • Advanced computer skills in data entry, presentations, and spreadsheets (MS Office suite)
    • Ability to read and research large amounts of information and synthesize that information into a digestible format for executive leaders
    • Ability to use web based internet research tools
    • Advanced writing skills
    • Critical thinking skills
    • Business Acumen
    • Ability to take initiative and work independently.
    • Ability to be well-organized and self-directed.
    • Ability to provide accurate information and/or ask questions to clarify information received
    • Ability to apply and demonstrate strong organizational skills.
    • Ability to maintain a harmonious and effective working relationship with SRE employees and federal contracting industry staff.
    • Ability to work well with groups within SRE and the federal contracting industry.
    • Ability to communicate effectively orally and in writing.
    • Ability to uphold high ethical standards and an appropriate professional image.

    SKILLS SRE will teach you:

    • Knowledge of business development and capture methods and practices.
    • Knowledge of procedures and techniques used in organizing and conducting research and analyses of business development and capture operations.
    • Knowledge of word processing, database, spreadsheet, and graphic computer software applications.
    • Knowledge of SAM.gov, Govwin, and Salesforce.
    • Skill in conducting market research regarding new business opportunities.
    • Ability to review solicitation (RFP, RFI, RFQ, etc.) documentation.
    • Perform competitive analysis

    Experience: No minimum work experience required.


    SRE, Inc. is an equal opportunity employer and does not discriminate against any employee or applicant for employment bcause of race, color, religion, sex/gender or gender identity, national origin, veteran status, sexual orientation, or marital status.


     

  • 28 Days Ago

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Freight Resolution Associate
  • MRC Management Co
  • WV,CORP CHS, WV FULL_TIME
  • MRC Global serves the oil and gas industry across the upstream, midstream and downstream sectors as well as the chemical and gas distribution market sectors worldwide. Job Purpose: To ensure that invo...
  • 7 Days Ago

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AE - Merchandising Team Leader (Assistant Manager) - US
  • Merchandising Team Leader (Assistant Manager) - US - American Eagle Outfitters Careers
  • United States, WV FULL_TIME
  • BE PART OF SOMETHING REAL YOUR ROLE As the full-time Merchandising Team Leader, you are the Store Team Leader's "go-to" in developing and implementing the Merchandising strategy for the store. Your pa...
  • 7 Days Ago

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AE - Store Team Leader (Store Manager) - US
  • Store Team Leader (Store Manager) - US - American Eagle Outfitters Careers
  • United States, WV FULL_TIME
  • BE PART OF SOMETHING REAL YOUR ROLE As the full-time Store Team Leader, you are the CEO of your store! You are an entrepreneurial-minded business owner who takes pride in maximizing the daily operatio...
  • 18 Days Ago

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Patient Accounts Resolution Specialist -- Patient Accounts -- General Hospital
  • CAMC Health System
  • Charleston, WV FULL_TIME
  • Responsible for the effective follow-up and collection of high dollar, delinquent, and problem account receivable claims. Responsibilities • Follow up on accounts $300.00 and over having received one ...
  • 23 Days Ago

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Patient Accounts Resolution Specialist -- PA-Financial Assistance -- General Hospital
  • CAMC Health System
  • Charleston, WV FULL_TIME
  • Review unpaid and underpaid claims to ensure that claims are paid accurately and timely according to company policies, payer contracts, and governmental regulations. Perform follow up on unpaid or und...
  • 2 Months 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...
  • 4/19/2024 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

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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...
  • 4/17/2024 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...
  • 4/17/2024 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...
  • 4/16/2024 12:00:00 AM

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Coordinator, Legal Affairs
  • Universal Orlando
  • Orlando, FL
  • JOB SUMMARY: Responsible for maintenance of digital files for merchandise vendor contracts. Responsible for file managem...
  • 4/16/2024 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...
  • 4/15/2024 12:00:00 AM

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General Counsel
  • Gotham Technology Group
  • Montvale, NJ
  • We are a privately held technology consulting firm with 20+ years of solid performance and growth. We service corporate ...
  • 4/15/2024 12:00:00 AM

West Virginia (/vərˈdʒɪniə/ (listen)) is a state located in the Appalachian region in the Southern United States and is also considered to be a part of the Middle Atlantic States. It is bordered by Pennsylvania to the north, Maryland to the east and northeast, Virginia to the southeast, Kentucky to the southwest, and Ohio to the northwest. West Virginia is the 41st largest state by area, and is ranked 38th in population. The capital and largest city is Charleston. West Virginia became a state following the Wheeling Conventions of 1861, after the American Civil War had begun. Delegates from so...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$84,200 to $109,429

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