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)
Interested in working in a high-impact, mission-oriented organization? UJA-Federation of New York is looking for a motivated and talented Project Manager to support the initiatives of its new Growth Department. If you thrive in a cross-functional environment collaborating with multiple teams and have a proven track record of successfully managing multiple projects or initiatives from conception to completion, this position could be a perfect fit.
Primary responsibilities include planning, executing, and monitoring projects to meet defined requirements while controlling budget, scope, and timeline. The ideal candidate will also have experience coordinating with multiple stakeholder teams to ensure deliverables are being met on time and providing visibility to leadership teams on progress of business-critical projects. Sound judgment, ability to influence, analytical talent, exceptional communications, and leadership are essential to success in this role.
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Salary Information:
The salary range for this role is $100,000 to $105,000; commensurate with experience and qualifications listed above.