Appeal Resolution Manager jobs in Minnesota

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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Sr. Program Manager - Medical Device
  • Resolution Medical
  • Minneapolis, MN FULL_TIME
  • Description

    Job Summary

    The Sr Program Manager is responsible for the successful planning, management and execution of complex, usually multi-device product development projects and all applicable standard operating procedures. The Sr Program Manager will lead a cross-functional team consisting of product development, quality, manufacturing, and procurement personnel, through the Product Development cycle from concept to commercialization, as defined by customer development agreements.

    Essential Functions

    • Manage a portfolio of complex initiatives that span one or multiple lines of business
    • Provide on-site leadership for project team by building and motivating team members to meet project goals, adhering to their responsibilities and project milestones
    • Full project life cycle ownership: successful project delivery will include meeting or exceeding customer expectations with respect to project deliverables
    • Report on project success criteria results, metrics, test and deployment management activities
    • Work creatively and analytically within Resolution Medical’s problem-solving environment demonstrating teamwork, innovation and excellence
    • Participate in establishing practices, templates, policies, tools and partnerships to expand and mature these capabilities for the organization
    • Support preparation of estimates and develop detailed project plans for all phases of the project
    • Procure adequate resources to achieve project objectives in planned timeframes
    • Provide status reporting regarding project milestones, deliverable, dependencies, risks and issues, communicating across leadership
    • Demonstrate a functional acumen to support how solutions will address customer goals while maintaining alignment with Resolution Medical and industry best practices
    • Manage project scope and changes
    • Manage ongoing quality control and participate in quality issue resolution
    • Define the Statement of Work and Specifications for the requested goods and services
    • Develop and manage all aspects of project and program engagement from planning, external vendor relationships, communications, resources, budget, change, risks and issues
    • Provide progress reports as requested by key stakeholders
    • Coach, mentor, motivate and supervise project team
    • Ensure that projects and programs are proceeding according to scope, schedule, budget and quality standards
    • Support continued development of best practices, templates, policies, tools and partnerships to expand and mature these capabilities for the organization
    • Support company finance, accounting, human resources, and quality as necessary to ensure compliance with requirements

    Requirements

    Education, Experience, Required Skills

    • Minimum of a Bachelor level degree in a Scientific or Technical Field and 15 years or more experience in regulated industry, such as Pharmaceuticals or Medical Devices
    • Minimum of 10 years Project Management experience within a Regulated Industry such as Pharmaceuticals or Medical Devices.
    • Ability to handle and be trusted with confidential and/or sensitive information
    • Able to work in a fast-paced, constantly changing environment
    • Ability to be flexible and to handle multiple projects in an organized, timely manner
    • Able to problem-solve, work under pressure, and to effectively manage stress

    Physical Requirements

    • Prolonged periods of sitting at a desk and working on a computer
    • Must be able to lift up to 25 pounds at times
    • Must have excellent hand-eye coordination
    • Ability to differentiate between colored wires, tabs, and electronic components preferred
    • Must wear gown, gloves, ear protection and other personal protective equipment as applicable
  • 9 Days Ago

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Operator III - Medical Device
  • Resolution Medical
  • Minneapolis, MN FULL_TIME
  • DescriptionJob SummaryOperator III role will be responsible for conducting general manufacturing operations, technical support for R & D programs, testing of product, and product development activitie...
  • 3 Days Ago

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Sr. Process Development Engineer - Medical Device
  • Resolution Medical
  • Fridley, MN FULL_TIME
  • Job SummaryThe Senior Process Development Engineer works cross-functionally to lead process development of complex medical devices and ensures effective transfer of designs into production. This role ...
  • 4 Days Ago

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Sr Quality Engineer (Medical Device)
  • Resolution Medical
  • Minneapolis, MN FULL_TIME
  • DescriptionJob Summary:The Sr Quality Engineer is responsible for overseeing and supporting the quality control and assurance systems of the operations for transfers and existing manufacturing, conduc...
  • 4 Days Ago

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Process Development Technician II
  • Resolution Medical
  • Minneapolis, MN FULL_TIME
  • DescriptionThis position is primarily responsible for supporting the development, optimization and transfer of new medical devices, processes and technologies.Essential FunctionsBuild product through ...
  • 8 Days Ago

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Sr. Process Development Engineer - Med Device
  • Resolution Medical
  • Minneapolis, MN FULL_TIME
  • DescriptionJob SummaryThe Senior Process Development Engineer works cross-functionally to lead process development of complex medical devices and ensures effective transfer of designs into production....
  • 8 Days Ago

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Transportation Attorney
  • Elite Forces LLC
  • Rancho Cucamonga, CA
  • Our client prides themsleves on delivering excellence in transportation and logistics services. With a robust fleet and ...
  • 6/10/2024 12:00:00 AM

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Head of Legal
  • Raydar
  • Hybrid - New York City Our client, a Series A Health IT/SaaS platform, is revolutionizing the healthcare industry throug...
  • 6/10/2024 12:00:00 AM

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Resolution Manager
  • Gallagher
  • Mechanicsburg, PA
  • About Us: Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best pos...
  • 6/9/2024 12:00:00 AM

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Paralegal
  • Prinston Pharmaceutical Inc.
  • Somerset, NJ
  • Paralegal Prinston Pharmaceutical Inc. About Us: Prinston Pharmaceutical, Inc. is a fully integrated pharmaceutical comp...
  • 6/9/2024 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 ...
  • 6/9/2024 12:00:00 AM

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Baking Assistant (Part Time / As Need)
  • Resolute Management Group LLC
  • Hyattsville, MD
  • Sweet Almond, a premier French macaron shop is currently seeking a talented and dedicated PRN Baking Assistant to join o...
  • 6/8/2024 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...
  • 6/7/2024 12:00:00 AM

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Senior Litigation Attorney
  • TAULER SMITH
  • Los Angeles, CA
  • Tauler Smith LLP is a small litigation firm specializing in privacy, consumer rights, and class action cases. We are cur...
  • 6/7/2024 12:00:00 AM

Minnesota (/ˌmɪnɪˈsoʊtə/ (listen)) is a state in the Upper Midwest and northern regions of the United States. Minnesota was admitted as the 32nd U.S. state on May 11, 1858, created from the eastern half of the Minnesota Territory. The state has a large number of lakes, and is known by the slogan the "Land of 10,000 Lakes". Its official motto is L'Étoile du Nord (French: Star of the North). Minnesota is the 12th largest in area and the 22nd most populous of the U.S. states; nearly 60% of its residents live in the Minneapolis–Saint Paul metropolitan area (known as the "Twin Cities"). This area i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$96,184 to $125,003

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