Strategic Health Plan Denials & Appeals Manager
ViziRecruiter,LLC.
Montefiore Medical Center – Wakefield Division is seeking an RN/PA/HIM Professional to manage the denials and appeals process. This role analyzes third‑party denial trends, interfaces with health plans, and coordinates with Finance and Contracting on utilization management issues. The position requires a health‑care degree, strong analytical abilities, and experience in managed care and medical necessity review. #J-18808-Ljbffr ViziRecruiter,LLC.
- Montefiore Medical Center is seeking a Clinical Appeals Manager to lead the Wakefield Division's appeals process. You will respond to third-party denials, interface with health plans and coordinate with Finance and Contracting on utilization-management issues. In this...Health Insurance
$147.84k - $215.04k
...outsource their HR function to one strategic partner and allowing them to focus on... ...compliance and employee benefits, including health insurance, retirement plans and workers' compensation insurance.... ...Overview The Broker Relationship Manager (BRM) is responsible for developing,...Health InsurancePermanent employmentFull timeWork at office- WSP in the U.S. is seeking a Marketing Manager to support marketing initiatives in their New York office. This role involves overseeing... ...and exceptional communication skills. Benefits include comprehensive health plans and retirement options. #J-18808-Ljbffr WSP in the U.S.Health InsuranceWork at office
$400k
...Strategic Account Executive | Enterprise AI | NYC (Hybrid) What if you could join one of the fastest-growing AI companies transforming how enterprise revenue teams operateand help define a category, not just sell into one? This venture-backed company is building...Health Insurance3 days per week- This RN/PA/FMG/MD/HIM professional directly manages the appeals process at the Wakefield Division of Montefiore Medical Center. This role responds to third party clinical denials, interfaces with health plans, and collaborates with Finance and Contracting on utilization...Health Insurance
- ...Moonachie, NJ is hiring a Human Resources Business Partner to provide strategic HR support. The HRBP will guide local leaders on best... ...include recruitment, employee relations, and supporting succession planning initiatives. A Bachelor's degree in HR or related fields with...Health InsuranceLocal area
- ...teach, to discover and to advance the health of the communities we serve. To... .... Overview This position directly manages the appeals process at the Wakefield Division... ...responds to third party clinical denials, interfaces with health plans, works closely with Finance and Contracting...Health Insurance
$80k - $100k
## Clinical Appeals Manager MNApplylocations: 100 Corporate Boulevardtime type: Full timeposted on: Posted Todayjob requisition... .../MD/HIM Professional responds to third party clinical denials, interfaces with health plans, works closely with Finance and Contracting regarding...Health InsuranceShift work$88.6k - $133k
...serves as the PMO lead for major strategic transformation initiatives.... ...chain strategy into executable plans and ensuring successful... ...execution. You build alignment, manage competing priorities, and keep... ...ways of working Support for health, wellbeing and life outside of...Health InsuranceContract workMonday to FridayFlexible hours$80k - $90k
...Job Description JOB TITLE: Manager of Foundation and Corporate Giving... ...Life Insurance ~ Pension Plan and Voluntary 403b Plan ~... ...with responsibilities spanning strategic grant and gift writing,... ...leveraging them. Analyze grant denials and develop strategies for re...Work at officeRelocation packageWeekend workAfternoon shift- ...excellence, and advancement of CHSN’s strategic and population health goals. Working in a partnership with... ...productivity, panel health) and support action planning with site(traditional practice and... .... Proven ability to lead teams, manage change, and drive performance...Health InsuranceFull timeShift work
- ...guidance and leadership for the mental health services at the Peekskill and Yonkers Clinic... ...of all clinical documentation Manages performance expectations and leads by example... ...access to care. Supports overall strategic plan of the organization Ability to adhere...Health InsuranceLocal areaMonday to Friday
$99.63k - $113.5k
...The Market Manager is an expert and advocate in the assigned multi... ...Understands regional marketing plans and tailoring them to... ...within their market. Develops strategic partnerships with culturally... ...Regular Employees ~ Physical Health (Medical, Dental & Vision) ~...Health InsuranceFull timeTemporary workLocal areaRemote work$186.75k - $311.25k
...Regional Director, Oncology Strategic Accounts, you will lead a team... ...GSK’s oncology strategy across health systems, cancer centers, and... ...in decision making, account planning, access strategy pull-through... ...Bachelor’s Degree3+ years leading / managing a team8+ years in...Health InsuranceFull timeContract workLocal areaRemote work$22 per hour
...Title: Case Manager of the NORC program Position Type: Hourly (Non-Exempt) Hourly... ...skills (writing and speaking). Strategic thinking and planning skills. Demonstrated interest in... ...Offered: Excellent benefits, including health insurance plan, dental, vision, and...Health InsuranceHourly payWork at officeMonday to FridayFlexible hours- ...experienced Senior Account Manager to join a dynamic Client... ...to clients, providing strategic guidance on benefits planning, cost containment, and plan... ...Benefits Package: Including health, dental, and vision... ...coordination, claims assistance, appeals filing, financial...Health InsuranceContract workWork at officeRemote workFlexible hours
- ...White Plains, New York, is hiring Project Manager(s). Barnard is a heavy-civil... ...Barnard NE and our Northeast office will strategically pursue projects, develop relationships,... ...salaries, profit sharing, 401(k)s, a generous health plan, annual bonuses, and challenging career...Health InsuranceFor contractorsWork at officeRelocation
$7,544.24 - $8,326.95 per month
.... As a key member of the Core Management Team, youll provide strategic leadership and operational oversight... ...contributes to organizational planning, decision-making, and the resolution... ...Leave ~12 Holidays per year ~ Health club discount (Community Action...Health InsuranceFull timeContract workWork at officeLocal areaFlexible hours- ...of Social Services provides strategic leadership, clinical oversight... ...stabilization, and comprehensive case planning and permanency, and... ...staff supervision, performance management, professional development,... ...Competitive salary structure ~ Health, dental, and vision insurance...Health InsuranceFull timeApprenticeshipRemote workMonday to FridayFlexible hoursAfternoon shift
$90k - $115k
...seeking an organized and process-driven Manager of DTC Partnerships to drive the... ...to launch and eventually, achieving strategic goals. You must be adept at managing... ...of compensation and benefits such as health insurance, retirement plans, paid time off, etc. VERSANT Media...Health InsuranceLocal area$82.94k - $199.14k
...re building a world of health around every... ...provider relationship management and service operations... ...Responsibilities Lead and manage strategic relationships with... ...and develop action plans to address gaps or risks... ...teams including claims, appeals, interoperability, and...Health InsuranceHourly payFull timeTemporary workWork experience placementWork at officeLocal areaRemote work- A prominent healthcare organization in New York is seeking an experienced Agile Program Manager to lead and coordinate cross-functional teams. This role involves ensuring strategic alignment, managing risks, and promoting Agile practices. The ideal candidate should have...
$150k - $175k
...Oversee clinical operations strategically, ensuring adherence to all regulatory... ...minimum of three years of supervisory or management experience in home care or a... ...,000–$175,000 Benefits include health insurance, retirement plans, paid time off, and opportunities for...Health InsuranceFull time$56.37k - $66.62k
...Description As a Market Sales Manager here at Victra, Verizon's... ...and demonstrate extraordinary strategic, analytical, and behavior adaptation... ...~ Paid Training ~ Premium Health, Dental, and Vision Insurance... ...terms and conditions of the plan document or insurance policy....Health InsuranceWork at officeNight shift- ...team of 5+ department‑level managers and 150+ associates, creating... ...and performance. If you’re a strategic retail leader who thrives on... ...talent. Build strong succession plans and export future leaders to... ...opportunities to help you grow with us. Health benefits from day one:...Health InsuranceHome officeFlexible hoursWeekend workDay shiftAfternoon shift
$15 - $35 per hour
...Birkenstock, Crocs and Hey Dude. Through strategic artistic partnerships, event sponsorships... ...Job Summary To recruit, hire, train, and manage store personnel to achieve store and personal... ...all aspects of Loss Prevention practices Plan weekly staffing schedules in compliance...Health InsuranceFull timeNight shiftWeekend work$65k - $70k
...Referral Relationship Manager | $65,000–$70,000/year Location:... ...Benefits for this role may include health insurance (medical, dental,... ...hospital growth through strategic outreach, marketing, and relationship... ...while also owning the planning and execution of referring DVM...Health InsuranceFull timeTemporary workLocal areaFlexible hoursAfternoon shift$114.4k - $134.99k
Englewood Health, a leading healthcare system comprising Englewood Hospital... ...we serve. Job Summary:The Manager of End User Computing will provide... ...objectives with the organization’s strategic goals and enhance IT service delivery.• Help plan and manage resources effectively...Health Insurance- ...your first day as a CR employee that include behavioral health coverage, family planning and a generous 401K match. Learn more about how CR advocates... ...force behind our organization. This team leads our strategic vision and planning, overseeing initiatives that enhance...Health InsuranceLocal areaRelocation package
$90k - $115k
...tax and accounting expert to manage and facilitate the review of our... ..., creates and implements tax plans and can effectively work with... ...procedures.Develop and implement strategic tax planning projects.Plan for... ...comprehensive and competitive health benefits package featuring...Health InsuranceFull timeLocal area
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