Grievance and Appeals Resolution Manager, Sr. Jobs

The Grievance and Appeals Resolution Manager, Sr. ensures that work activities are compliant with all regulatory guidelines and policy protocols. Directs the overall grievance and appeal process operations that encompass the review, investigation, negotiation and processing of disputed medical, insurance, and other claims. Being a Grievance and Appeals Resolution Manager, Sr. provides expert subject matter guidance and may represent the organization at hearings. Allocates resources to ensure an effective and efficient case workload that achieves operational objectives. In addition, Grievance a ... nd Appeals Resolution Manager, Sr. requires a bachelor's degree. Typically reports to a senior manager or head of a unit/department. The Grievance and Appeals Resolution Manager, Sr. typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Working as a Grievance and Appeals Resolution Manager, Sr. typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. More
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