Complaints & Appeals Operations Manager (Escalations)
Horizon Blue Cross Blue Shield of New Jersey - Headquarters
Horizon Blue Cross Blue Shield of New Jersey seeks a senior manager to oversee an escalated complaints team. You will ensure timely resolution, staff development, and adherence to regulatory standards in a fast-paced health care environment. You will lead training initiatives, monitor KPIs, and collaborate with partners to drive improvements in member experience while aligning with company goals and compliance obligations. #J-18808-Ljbffr Horizon Blue Cross Blue Shield of New Jersey
- ...Cross Blue Shield of New Jersey seeks an experienced Manager to oversee a team handling escalated complaints from regulatory bodies and executives. You will... ...and drive process improvements across the complaints/appeals workflow. Lead staff performance, develop training...Complaints
- Horizon Blue Cross Blue Shield of New Jersey is seeking a skilled analyst to manage end-to-end complaint and appeal cases, ensuring regulatory compliance and clear, defensible decisions. You will work with internal stakeholders and state agencies to deliver timely resolutions...Complaints
- Horizon Blue Cross Blue Shield of New Jersey is seeking an experienced Analyst to manage end-to-end complaint and appeal cases. You will conduct investigations, ensure regulatory compliance, and document clear decisions for leadership, CMS/state entities, and Administrative...Complaints
- Horizon Blue Cross Blue Shield of New Jersey is seeking an Appeals Analyst to manage end-to-end complaint and appeal cases, conduct investigations, and ensure regulatory and policy compliance. You will prepare comprehensive case files, coordinate with internal teams and...ComplaintsRemote job
$63k - $84.42k
...succeed, the Company succeeds. About the Role The incumbent manages endtoend complaint and appeal cases, conducting thorough investigations, ensuring... ...with Legal, Compliance and Regulatory Affairs when escalated cases require regulatory review or litigation; may testify...ComplaintsContract workLive inWork at officeLocal area- ...Operations Specialist As an Operations Core Processor, you'll support account servicing... ..., documentation review, case management, and exception resolution. You'll validate... ...protection standards. Identify and escalate complaints, fraud concerns, transaction discrepancies...ComplaintsWork experience placement
- Job DetailsDescriptionAs Sr. Quality Manager, you will be responsible for leading HYTORC's quality operations and supporting the continued development and effectiveness... ...including internal audits, CAPA, calibration, complaints, inspections, risk management, and document...Complaints
$80k - $90k
...subsidiary of the German airport operator Munich Airport. Munich... ...maintenance and concession management and services at Newark Liberty... ...Maintenance Contract Managers, escalating recurring or material... ...operating procedures. Analyze complaints, service requests,...ComplaintsContract workFor contractors- ...services, storage, and/or distribution operations within the PGL organization or the activities... ..., recording details of inquiries, complaints, or comments, as well as actions taken.... ..., or approaches to problems.Time Management — Managing one's own time and the time...ComplaintsWork at officeLocal area
$28 - $35 per hour
...Operations ManagerPuroClean, a leader in emergency property restoration services, helps families... ...:With a 'One Team' mentality, manage production operations, ensuring jobs are... ...satisfaction, including the resolution of customer complaints. Production processes are performed...ComplaintsHourly payWork at officeFlexible hours$81.1k - $123.1k
...Operations ManagerThe Operations Manager reports directly to the management of a small to large size transportation Service Center. Complexity of the... ...minimizing costsDirect investigations into causes of customer complaints and recommend solutions to correct themAssist with the...ComplaintsShift workNight shift- ...enthusiastic applicants to join our team as an Operations Lead. About the Role As an... ...Bachelor's degree in Business, Retail Management, or a related field is preferred A... ...skills and ability to handle customer complaints effectively Ability to work in a fast...Complaints
$20.92 - $34.92 per hour
...Operations Manager We're building a world of health around every individual — shaping a more connected, convenient and compassionate health... ...Assist customers with their questions, problems and complaints Promote CVS customer service culture (greet, offer help,...ComplaintsHourly payFull timeTemporary workFlexible hoursShift workNight shiftWeekend workDay shiftEarly shift- ...? Cawley & Bergmann, LLC is seeking a full-time Recovery Operations Manager in Newark, NJ who thrives in a fast-paced collections environment... ...-driven decisions that improve outcomes. You'll also manage escalated accounts with professionalism, ensure FDCPA compliance, and...Full timeWork at office
$29.42 - $51.49 per hour
...BEPC is actively looking for Deal Operations Coordinator, in Newark, NJ area! W2 Contract... ...will support contract execution, data management, deal implementation, and partner onboarding... ...by following established processes and escalation paths as needed. Enter contract...Weekly payFull timeContract workWork at office- ...Operations ManagerThe Operations Manager is responsible for the supporting direction and delegation of duties, direction, and performance results between... ...Investigating and resolving food and service-related complaints.• Manages the health and safety regulations standards...ComplaintsFull timeTemporary workWork at officeLocal areaWorldwideFlexible hours
- ...Operations ManagerResource Innovations is seeking an Operations Manager to join our growing team in New Jersey. We are seeking a highly skilled and motivated Operations... ..., and communications by resolving and/or escalating client issues.Other duties as assigned....Contract workTemporary workFor subcontractor
$110k - $150k
...Resource Innovations is seeking an Operations Manager to join our growing team in New Jersey. We are seeking a highly skilled and motivated... ...expectations, satisfaction, and communications by resolving and/or escalating client issues. Other duties as assigned. Bachelor’s degree...Contract workTemporary workFor subcontractorLocal area- ...lithium and critical-minerals recovery, with operations in the United States and Latin America.... ...The Business Operations & Development Manager is a hybrid commercial and operations... ...IP, term, governing law and arbitration; escalation judgment. Level: 3+ years Grants: Applications...Full timeContract workShift work
$17 - $22 per hour
...This role supports day-to-day warehouse operations — receiving and inspecting shipments,... ...unglamorous, repetitive tasks without complaint and earns the team’s trust over time... ...enterprise resource planning) or order management systems, preferably SAP B1 You can stand...ComplaintsHourly payFlexible hoursShift work$130k - $150k
Quality Engineering Manager FREMONT AREA, CA — 100% onsiteSalary Range:$130,000-$150,000Employment Type: Full-timeKey Requirements... ...quality management experience, including customer escalations, audits, and complaint resolution.Strong expertise in root cause analysis, 8D,...Complaints$22.5 - $35.75 per hour
...performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures... ...training, coaching, and performance management of pharmacy technicians. Makes decisions... ...products and services. Resolves customer complaints, helps respond to customers' requests...ComplaintsHourly payFull timeWork experience placementLocal areaFlexible hoursAfternoon shift$35 - $45 per hour
...Deal Operations Coordinator 1230 ~ Hourly pay: $35-$45/hr ~ Worksite: Leading podcast... ...support contract execution, contract data management, deal implementation, and partner... ...teams, follow established processes and escalation paths, and identify process improvement...Hourly payContract workTemporary workWork at office$60k - $75k
...Residential is a premier property management company specializing in... ...management, maintenance operations, and resident relations, all... ...models and leasing office is appealing and marketable. 6. Ensure... ...resolve resident problems and complaints. Follow through to ensure issues...ComplaintsFor contractorsWork at officeLocal area- ...Description Job Description Job Title: Deal Operations Coordinator Duration: 09 Months... ...supports Client's contract execution, data management, deal implementation, and partner... ...by following established processes and escalation paths as needed Enter terms in client's...Contract work
$26 - $29 per hour
...(GFW), GLOSS, and IMPACT by providing operational expertise and conducting user acceptance... ...department. Address daily operational escalations from clients as a result of system or human... ...to support our recruiters and hiring managers, and all employment decisions include...Local area$126.95k - $248.21k
...entails being responsible for managing assigned project(s)... ...smaller projects. Identifying and escalating risk and change management issues... ...States. Instruct the TTY operator to call (***) ***-**** and... ...following activities: (1) filing a complaint; (2) assisting or...ComplaintsFull timeContract workPart timeFor contractorsWork at officeLocal areaImmediate start$109.6k - $149.63k
...researching and responding to escalated complaints received from regulatory... ...office of Public Affairs. Manager is responsible for ensuring... ...material relative to Complaint/Appeal handling. Prepare and... ...inventory as well as other service operations metrics and reports, with...ComplaintsLive inWork at officeLocal area- ...What You Will Do • Provide coverage across Delivery Operations when managers, supervisors, dispatchers, or support roles are off, unavailable... .... • Monitor route progress, identify delayed routes, and escalate service, safety, staffing, equipment, or customer concerns...Full timeContract workTraineeshipFlexible hoursWeekend workEarly shift
- ...Program Operations Coordinator (Part-Time, 20 Hours+/Week) American Medical and Trade Institute... ...weekly program summaries and help manage the operational flow of programs Provide... ...Identify issues early and escalate to leadership as needed Represent AMTI...Hourly payPart timeWork at officeRemote workFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Complaints & Appeals Operations Manager (Escalations). Be the first to apply!
- operations manager supervisor Newark, NJ
- dental operations manager Newark, NJ
- full time operations manager Newark, NJ
- sr operations manager Newark, NJ
- workplace operations manager Newark, NJ
- hvac operations manager Newark, NJ
- operation manager Newark, NJ
- director of service operations Newark, NJ
- director of facility operations Newark, NJ
- facility operations manager Newark, NJ






