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 2 days ago
Similar jobs that could be interesting for youBased on the Senior Clinical Appeals Manager in Florida, NY vacancy
$67.9k - $182.55k
Position Overview The Senior Manager, Medical and Payment Policy Performance Research and Correct... ...and coding reviews by evaluating clinical and payment policies and identifying potential... ...(intake, edits, adjudication, denials, appeals, and adjustments) and to drive...SeniorHourly payFull timeTemporary workLocal area- 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$67.9k - $199.14k
The Hispanic Alliance for Career Enhancement is looking for a Senior Manager, Informatics to design and develop data solutions. The successful candidate will work alongside clinical and operational stakeholders, ensuring data accuracy and generating actionable insights....SeniorFull time$77.6k - $126.1k
...specialist for remote work with occasional office meetings in Florida. The role focuses on building relationships with clients and managing enrollment processes for large organizations. Qualifications include a bachelor’s degree, 5+ years of experience in the relevant...SeniorWork at officeRemote workWebTPA
Florida, NY4 days ago$70k - $85k
Transformcap is hiring a Clinical Supervisor in the Town of Florida, NY to oversee high-quality addiction treatment services. The role involves managing a team of counselors and ensuring clinical excellence as part of a comprehensive care model. Ideal candidates will have...SeniorMonday to Friday- CONFLUENT MEDICAL TECHNOLOGIES INC. is seeking a Senior Staff Project Manager to join our team in Orange County, CA. The role involves overseeing medical device projects while managing budgets and ensuring effective communication across teams. Successful candidates will...Senior
- Sonida Senior Living, Inc. is seeking a Clinical Coordinator for The Addison of Oviedo in Oviedo, FL. The role involves maintaining nursing policies, ensuring quality care delivery, managing staff scheduling, and engaging in recruitment activities. The ideal candidate will...Senior
- Unified Women’s Healthcare is seeking a Senior Product Manager for Lucina, a maternal health platform. This role involves shaping product roadmaps based on market insights and customer feedback in a fully remote setting. Candidates should have 5-8+ years of product management...SeniorRemote jobFlexible hours
- Myflfamilies is seeking a Senior Registered Nurse Supervisor in the Town of Florida, NY. This role involves overseeing nursing care delivery and supervising nursing staff within the North Florida Evaluation and Treatment Center. The ideal candidate must possess strong...Senior
- A healthcare institution in Florida is seeking an Office Manager III to lead and manage multiple clinics and staff operations. The ideal candidate should have significant supervisory and operational experience in a clinical outpatient setting. Responsibilities include overseeing...SeniorWork at office
$54.3k - $145.86k
The Hispanic Alliance for Career Enhancement is seeking a communicator based in Town of Florida, NY, to manage business communications initiatives for federal and postal health plans. This full-time role requires 5+ years in the health industry with a focus on strategic...SeniorFull time$85.2k
...Town of Florida, NY. This role involves coordinating health services for children in care and developing policies for health record management. The position requires a Licensed Registered Nurse (RN) with at least one year of healthcare experience, strong communication...Senior- CVSHealth is looking for a Senior Account Manager in New York to manage and grow accounts for Aetna's Southeast Public Sector & Labor Team. This role involves achieving individual growth targets and ensuring customer satisfaction while maintaining a strong relationship...SeniorFull time
- 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
- SimiTree Talent Solutions is seeking an Administrator Home Health Operations in Florida to oversee clinical services and operations for a large facility near Orlando. Ideal candidates should have strong leadership in Home Health operations, be experts in Medicare regulations...Senior
$60.3k - $132.6k
Hispanic Alliance for Career Enhancement is seeking a Senior Account Manager in Florida responsible for ensuring renewal and growth of business for assigned accounts. The role requires a minimum of 5 years in sales/account management and the ability to manage large accounts...SeniorFull time- ...seeking a dedicated team leader for its dispensary operations in New York. This role focuses on ensuring premium patient care and managing all daily dispensary activities. Ideal candidates will have strong customer service skills, active optical licensure, and experience...Senior
- A leading global consulting firm is seeking an M&A Principal/Senior Principal in New York. The role involves executing operational due diligence, creating integration strategies, and managing synergies for M&A initiatives. Ideal candidates will have proven M&A experience...Senior
- ...leading health care services provider is seeking a professional to coordinate and manage follow-up on unpaid claims. This role includes identifying and resolving billing errors, as well as appealing denied claims. Successful candidates will have 3 to 5 years of experience in...Senior
NAPA Management Services
Florida, NY10 hours ago - Prattwhitney is seeking a Sr. Principal Engineer, Lead Project Engineer in the Town of Florida, NY. This role involves managing technical execution for APU/Turbojet programs and providing mentorship to engineering teams. The ideal candidate will have a Bachelor’s degree...Senior
$132.4k - $251.6k
LRP Media Group is seeking a Sr. Principal Engineer to lead project engineering activities. Based in Florida, this role involves managing program activities, ensuring adherence to project management processes, and mentoring junior engineers. A Bachelor's degree in mechanical...SeniorRelocation packageFlexible hours- AMN Healthcare seeks a Senior Recruiter for Nursing & Allied in New York, focusing on sourcing and placing candidates in contract positions. This role emphasizes building positive relationships with candidates, understanding their career goals, and educating them on industry...SeniorContract work
- ...exhaustive and may be supplemented as necessary. Clinical Expertise and Consultation 30% Provide... ...teams (e.g., medical review staff, appeals teams) and external stakeholders.... ...years of clinical practice MBA, MHA, MS in Management, or formal accredited coursework in medical...Permanent employmentTemporary workFor contractorsWork experience placementWork at officeLocal areaImmediate startRemote work
Novitas Solutions
Florida, NY2 days ago - ...has an immediate need for a Temp-to-Hire Senior Paralegal. Overview Our client is seeking... ...and competencies. Administratively manage all phases of litigation, including pleadings... ..., and organization of pleadings, briefs, appeals, and other legal documents using Microsoft...SeniorTemporary workInterim roleImmediate start
$174.8k - $221.82k
...tone and unforgettable atmosphere of the Arkheron’s world. As a Senior/Principal Character Concept Artist at Bonfire, you’ll help... ..., consistently meet deadlines, and bring a self‑starting, self‑managing approach that keeps you moving in step with development. THIS...SeniorImmediate start- ...providing non-skilled home care and preparing to expand into skilled nursing and therapy services. We are seeking an experienced Clinical Manager to lead our clinical team through this exciting transition, ensuring compliance with ACHC accreditation standards and state...
- Clinical Manager - Neurosciences 12K Sign On Bonus. Full-time opportunity in Palm Beach with 2-5 years of experience required. Relocation assistance and bonus available. Job Description: The Clinical Nurse Manager, in collaboration with the Director, assists in managing...Full timeRelocation package
$186.2k - $363.09k
...plan members. Supports plan utilization management program and accompanying action plan(s),... ...Participates in and maintains the integrity of the appeals process, both internally and externally.... ...for the plan including compliant clinical quality improvement activity (QIA) in...Work experience placementWork at officeLocal area- Description Introduction Do you have the career opportunities as a Clinical Manager Home Health you want in your current role? We invest in what... ...the future of nursing." Sammie Mosier, DHA, MA, BSN, NE-BC Senior Vice President and Chief Nursing Executive, HCA Healthcare...Temporary workLocal areaWork from homeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Clinical Appeals Manager. Be the first to apply!
Related searches
- senior manager clinical operations Florida, NY
- medical director utilization management Florida, NY
- medical assistant manager Florida, NY
- clinical director Florida, NY
- medical director neurology Florida, NY
- clinical supervisor lmft lcsw Florida, NY
- clinical data manager remote Florida, NY
- director of health and wellness Florida, NY
- home health manager Florida, NY
- medicare medical director Florida, NY