• Appeals Manager

    BronxCare Health System (Bronx, NY)
    Overview The Appeals Manager is responsible to assist in the analysis and preparation of response to denial notification letters that arrive in letter and ... to best respond to all hospital denials notification and documentation efforts. The Appeals Manager will provide timely tracking and trending of all denials and … more
    BronxCare Health System (06/21/25)
    - Related Jobs

  • Utilization and Appeals Manager

    Catholic Health Services (Melville, NY)
    …Health was named Long Island's Top Workplace! Job Details The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and appeals ... and/or escalates denial when appropriate. Submits all (initial and/or appeals ) reviews and/or letters within contractual or regulatory timeframes. Collaborates… more
    Catholic Health Services (07/24/25)
    - Related Jobs

  • Clinical Manager - Provider Appeals…

    Henry Ford Health System (Troy, MI)
    GENERAL SUMMARY: The Clinical Manager , Provider Appeals supports appeals team members to plan, direct, evaluate, coordinate, and manage the activities ... associated with the Provider Appeals as it relates to key HAP initiatives and...excellence. Ensure the efficient and timely processing of provider appeals , for all product lines (HMO, AHL, and Medicare… more
    Henry Ford Health System (08/02/25)
    - Related Jobs

  • Manager , Customer Solution Center…

    LA Care Health Plan (Los Angeles, CA)
    Manager , Customer Solution Center Appeals and Grievances Job Category: Management/Executive Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Manager , Customer Solution Center Appeals and Grievances is responsible for the centralized intake, logging… more
    LA Care Health Plan (07/08/25)
    - Related Jobs

  • Assistant Attorney 1/ Assistant Attorney 2/…

    New York State Civil Service (Liverpool, NY)
    …imposed by the Workers' Compensation Law* Assist in the assignment of cases when the Appeals Unit Manager is absent for extended periods* Assist the Legal ... Attorney 2/ Assistant Attorney 3 / Senior Attorney - Appeals (NY HELPS) Occupational Category Legal Salary Grade NS...requests* Prepare and timely file clearly written and persuasive appeals , rebuttals, and memos of law with reference to… more
    New York State Civil Service (07/31/25)
    - Related Jobs

  • Supervisor, Appeals and Grievances

    Point32Health (MA)
    …Point32Health (https://www.point32health.org/) . **Job Summary** Under the general direction of the Manager , Appeals and Grievances the Supervisor, Appeals ... and provide leadership for the daily operations of the Appeals and Grievances department. The supervisor represents the ...ensure all cases are processed timely. + Work with Manager to ensure that employees have the requisite information… more
    Point32Health (07/22/25)
    - Related Jobs

  • Appeals & Grievances QA Auditor

    Point32Health (MA)
    …Point32Health (https://www.point32health.org/) . **Job Summary** Under the direction of the A&G Manager , the Appeals & Grievances QA Auditor audits the quality ... of letters and keyed entries from the Grievance and Appeals systems. Checks cases built by other associates to ensure highest level of quality and timeliness.… more
    Point32Health (07/22/25)
    - Related Jobs

  • IRE Grievance & Appeals Mgr II

    Elevance Health (Durham, NC)
    ** Manager II Grievance/ Appeals ** **- Claims Support** **Office Locations:** _The selected candidate must reside within a reasonable commuting distance of the ... unless an accommodation is granted as required by law._ The ** Manager II Grievance/ Appeals ** responsible for management oversight of grievances and appeals … more
    Elevance Health (07/15/25)
    - Related Jobs

  • Paid Leave Judge - Compensation Attorney - Paid…

    State of Minnesota (St. Paul, MN)
    …join a legal team making a difference for Minnesotans! Reporting to the Paid Leave Appeals Manager , you're key to the overall success of our division. **Key ... + **Division/Unit** : Paid Family & Medical Leave / Appeals Hearings Unit + **Work Shift/Work Hours** : Day...that may be appealed to the Minnesota Court of Appeals . + **Timely Execution of Duties:** Must hold multiple… more
    State of Minnesota (07/03/25)
    - Related Jobs

  • Paid Leave Judge Principal - Compensation Attorney…

    State of Minnesota (St. Paul, MN)
    …join a legal team making a difference for Minnesotans! Reporting to the Paid Leave Appeals Manager , you're key to the overall success of our division. **Key ... + **Division/Unit** : Paid Family & Medical Leave / Appeals Hearings Unit + **Work Shift/Work Hours** : Day...that may be appealed to the Minnesota Court of Appeals . + **Timely Execution of Duties:** Must hold multiple… more
    State of Minnesota (06/28/25)
    - Related Jobs