Senior Clinical Appeals Manager
Health Business Solutions LLC
A healthcare solutions company seeks a Manager of Clinical Appeals in New York. The role involves overseeing clinical appeals operations with commercial and government payers, leading a team, and ensuring compliance with payer guidelines. Ideal candidates should have significant experience in clinical appeals and team leadership, particularly in managing remote teams. The position requires strong writing skills and a thorough understanding of medical coding and payer processes. Competitive salary and benefits offered. #J-18808-Ljbffr Health Business Solutions LLC
$130k - $155k
...Jobgether on behalf of a partner company. We are currently looking for a Principal Data Manager - REMOTE. In this critical role, you will oversee data management throughout clinical trials, ensuring high-quality deliverables and compliance with industry standards. You will...SeniorRemote jobFlexible hours- Job Summary: We are seeking an experienced and highly organized Manager of Clinical Appeals to lead our clinical appeals operations across commercial and government payers. This role is responsible for overseeing day-to-day activities of clinical appeal specialists, managing...SuggestedRemote work
$186.2k - $363.09k
Molina Healthcare is seeking a qualified Behavioral Health Medical Director in California. The ideal candidate will provide medical oversight for behavioral health services, ensure compliance with national standards, and assist with program implementation. A minimum of ...Senior- Medical Director - Sphere Senior (Part-Time) Department: Clinical Leadership, Sphere Senior Reports To: CEO / Founder Employment Type: Part-Time... ...traditional healthcare. We deliver primary care, complex care management, care transitions support, and serious illness/...SeniorFull timeContract workPart timeWork at officeRemote workShift workWeekend work
- Compass Group's Morrison Healthcare division seeks a Senior Systems Operations Director to oversee three Martin Health hospitals in Florida, driving service excellence, regulatory compliance, and financial performance. Based in Stuart or Port St. Lucie, this hands-on leader...Senior
- Omnissa is seeking a Senior Solutions Consultant to drive adoption of healthcare solutions. You will engage with clients, shape technical... ...solid background in desktop virtualization and identity access management. This role offers a competitive compensation structure, and...SeniorRemote job
- A healthcare staffing company is seeking an experienced Medical Billing Manager to oversee billing operations in Sunrise, FL. The ideal candidate should have 5-10 years of medical billing experience, proven leadership skills, and proficiency in eClinicalWorks. This role...Senior
- ...seeking a Center Administrator to lead operations at a Florida center, overseeing clinical and administrative functions to ensure smooth, compliant, and profitable daily performance. You will manage a multidisciplinary team, drive patient flow efficiency, and partner with...Senior
- NeueHealth, a value-driven healthcare provider, seeks a Manager of Medical Auditing to lead coding audit programs across our Centrum facilities... ..., dashboards, and executive briefs while educating coders and clinical staff to sustain performance improvements and regulatory #J-18...Senior
$130k - $155k
A leading recruitment platform is seeking a Principal Data Manager for a remote position focused on overseeing data management throughout clinical trials. This role involves ensuring compliance, leading data management activities, and effectively communicating with stakeholders...Remote workFlexible hours- UKG is hiring a Senior Principal Software Engineer to lead the architecture and design of its Ready SMB platform, focusing on integrating AI and supporting substantial growth targets. This role emphasizes operational excellence, AI integration, and cross-functional collaboration...Senior
- ASR Group seeks an Assistant Principal Project Engineer, COE to lead large capital projects and program management across our refinery and manufacturing network. The role focuses on portfolio governance, cost and schedule performance, and the development of automated workflows...Senior
- ...Medical Director (CMD) is responsible for researching and reviewing clinical evidence in support of developing Local Coverage Determinations... ...program outreach, participating in Administrative Law Judge appeals hearings, and performing appeals. The role collaborates with...Contract workFor contractorsLive inLocal areaImmediate startRemote work2 days per week
- ...member, provider, client, and broker issues. Monitor complaints, appeals, grievances, and service trends to identify opportunities for... ..., inventory, turnaround times, quality metrics, and backlog management. Coordinate cross-functional teams to resolve complex claims processing...Senior
$191.15k - $305.85k
...groups, and members as needed. Utilizes clinical knowledge and experience to support value... ...Leadership Skills: Project planning and management Core Skills: Strategy Develops,... ...utilization management, case management, PA, appeals) Healthcare programs (disease management...- Sagora Senior Living is seeking a Sous Chef to partner with the Culinary Director at The Harrison of Wildwood to create nutritious, appealing meals for residents. You will lead daily kitchen operations, supervise staff, and ensure high standards of safety, sanitation,...Senior
- ...The Opportunity We are seeking a Senior Immigration Attorney to play a key role in our... ...litigation without requiring formal supervisory management as a primary focus. What You’ll Do... ...to the Eleventh Circuit Court of Appeals with knowledge and experience in filing...Senior
$186.2k - $363.09k
...Provides behavioral health oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs... ...behavioral health clinical reviews, peer reviews and appeals. Supports behavioral health committees for...Work experience placementWork at officeLocal area- Clinical Manager Registered Nurse Currency Circle Surgery Center is hiring a Clinical Manager Registered Nurse Welcome to Currency Circle Surgery Center. At Currency Circle Surgery Center we believe health and care are inseparable. We focus on offering a high quality,...Temporary workWork at officeLocal areaFlexible hours
- Location Hollywood, Florida Summary Manages the daily operations of the assigned department, unit, or function to ensure alignment with departmental and organizational objectives. May provide direct care to patients. Responsibilities Plans, implements, and evaluates patient...Work experience placementRelocation packageShift workNight shift
$60 - $70 per hour
Job Description This role is a PER DIEM opportunity. The Clinical Manager - Per Diem is a qualified, licensed healthcare professional who provides leadership to travel staff and partners with AMN team members across staffing divisions supporting a diverse client base across...Hourly payDaily paidWork at officeHome officeNight shift- $5000 sign on bonus available USPI South Plains Endoscopy Center is seeking a motivated Clinical Manager to join our team . We have 1 OR room, 3 Treatment rooms. We perform outpatient surgical procedures in Gastroenterology. Position requires weekdays only -- no holidays...Temporary workWork at officeRelocation packageFlexible hoursWeekend workAfternoon shiftEarly shiftWeekday work
- Clinical Manager Home Health Central FL near Orlando Benefits 10K Sign on Benefits from Day One Paid Days Off from Day One Career Development Community you’ll be caring for Faith based and Mission driven agency Flexible scheduling One-on-one patient care in the...Work at officeFlexible hours
$83.43k - $222.48k
Position Summary The Senior Principal Trainer is an individual contributor responsible for leading clinical application training in support of enterprise initiatives, system implementations, and workflow optimization. This role provides functional expertise, supports training...SeniorHourly payFull timeTemporary workLocal area- ...The People Of: Professional Services seeks a Senior Corporate Attorney with 5–10 years of capital markets experience to join its Corporate... ...teams. Florida Bar admission preferred; JD from ABA-accredited school; strong drafting and deal-management skills are #J-18808-Ljbffr...Senior
- Blue Origin in the United States seeks a fully independent systems engineer or first-level people leader with broad expertise across the complete SE development cycle for the New Glenn program. You will own complex subsystems integration, drive cross-functional resolution...Senior
- ...Leadership Position Our veterinary hospital in Davie, Florida is seeking an experienced and growth‑driven Veterinary Practice Hospital Manager with a disruptor mentality, someone ready to help lead a new, unique veterinary model with a proactive twist to operations. We are...Full time
$174.8k - $221.82k
...pushing artistic boundaries to fully capture the unique tone and unforgettable atmosphere of the Arkheron’s world. We are looking for a Senior/Principal Environment Artist with the technical grit to turn surreal concepts into high‑fidelity, AAA landscapes. You aren't just...SeniorImmediate startFlexible hours$95k - $110k
...SitusAMC Holdings Corporation is seeking an experienced professional to manage the quarterly commercial valuation management process in New York. The role requires a strong background in valuation with at least 8 years of relevant experience, preferably in a leadership...Senior- ...Responsibilities Managing development and execution of clinical content and provider reimbursement strategies Leading development for specific plans and clinical editing rules Preparing and presenting reimbursement, coding, payment integrity, and cost-of-care analyses...
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