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
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Senior Clinical Appeals Manager in Florida, NY vacancy
- Sarasota Memorial Hospital is seeking a Senior Manager, Pricing to lead a team handling pharmacy reimbursement appeals and the service warranty process, ensuring timely, accurate outcomes and strong staff alignment. You will collaborate with legal, compliance, and finance...Senior
- 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- Memorial Healthcare System in Pembroke Pines, FL, seeks a Clinical Laboratory Supervisor to ensure timely specimen handling, testing and reporting in accordance with policy and regulatory standards. You will oversee staffing, training, performance assessments, quality...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
$122k - $245k
...States of America, West Chester, Pennsylvania, United States of America Job Description: DePuy Synthes is recruiting for a Senior Manager, Clinical Simulation located in West Chester, PA or Palm Beach Gardens, FL or Warsaw, IN or Raynham, MA. The Senior Manager,...SeniorLocal areaImmediate start- 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
- ...internal and external audits, and coordinating with Operational Leadership. The role reports to the VP of QA and involves collaboration with regulatory bodies to support inspections, CAPA management, and continuous quality improvement #J-18808-Ljbffr Barrington James LimitedSenior
- 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 hoursJobgether
Florida, NY4 days ago- 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
WPS—A health solutions company
Florida, NY4 days ago $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...Blue Cross and Blue Shield of North Carolina
Florida, NY4 days ago- ...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
Segrera Associates
Florida, NY2 days ago - 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
ANGEL F. LEAL, JR., P.A.
Florida, NY1 day ago $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- Complexity of Work: Requires critical thinking skills, effective communications skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Required Work Experience: Two (2) years...Work experience placement
- Complexity of Work: Requires critical thinking skills, effective communications skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Required Work Experience: Two (2) years...Work experience placement
- 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
- 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
$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
The People Of: Professional Services
Florida, NY10 hours ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Clinical Appeals Manager. Be the first to apply!
Related searches
- home health manager Florida, NY
- senior manager clinical operations Florida, NY
- regional director of clinical operations Florida, NY
- director population health Florida, NY
- medical director oncology Florida, NY
- health manager Florida, NY
- remote medical billing manager Florida, NY
- behavioral health manager Florida, NY
- associate director clinical operations Florida, NY
- public health director Florida, NY