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- Delta Dental of California seeks a Manager of Clinical Quality and G&A Review to oversee the day-to-day clinical QM and appeal operations. This role leads the QM/G&A teams, ensuring regulatory compliance and driving quality initiatives across departments. You will monitor...Suggested
$5,196 - $6,510 per month
The State of California seeks a Legal Support Supervisor I to lead the legal support team in the Office of Appeals. This role ensures efficient operation, supervises staff, and coordinates day-to-day administrative tasks in a busy public-law environment. Based in Sacramento...SuggestedWork at office- Pyramid Consulting, Inc is seeking a talented Case Manager - Appeals & Grievances for a 06+ months contract based in California (Remote). The role involves investigating and resolving complaints in compliance with health plan standards. Ideal candidates will possess 3+...SuggestedRemote jobContract work
$29.8 - $31.69 per hour
Pepperdine University seeks a Manager for Appeals in Malibu, CA, to enhance donor participation and engagement. The role involves developing annual giving campaigns, digital content creation, and managing events for donor outreach. Required qualifications include a Bachelor...SuggestedHourly pay- Maryland Department of Labor is seeking a Head Clerk to supervise the Appeals Unit of the FAMLI program. The role includes pre‑reviewing and intaking appeals, assigning cases to clerks and hearing officers, and ensuring timely processing with a customer‑focused approach...Suggested
$7.87k - $9.78k
A State Health Agency in Sacramento is seeking an Appeals Section Manager to oversee the Appeals Unit. The role requires coaching team members, managing workload related to consumer appeals, and enhancing experiences for vulnerable communities. Ideal candidates should have...Suggested$30 - $35 per hour
A healthcare contractor is seeking a Mid-Senior Level professional for a contract role to manage grievances and appeals. Candidates should have 6+ years in customer service with strong organizational and communication skills. Experience in a healthcare setting is preferred...SuggestedRemote jobContract workFor contractors$115k
A staffing agency is seeking a Field Reimbursement Manager in Oklahoma City. This role involves managing specialty drug prior authorizations and appeals while training provider staff. Successful candidates will have at least 2 years of experience, a strong focus on patient...Suggested$83.8k - $157.89k
Role Description This position is responsible for the overall management of enrollment and billing operations across all Government Programs... ...products. In addition, the role oversees Medicare Advantage appeals and grievances operations to ensure regulatory compliance,...SuggestedFull timeCapital Blue Cross
Remote6 days ago- ...Employment Tax Practice in Plano, Texas. You will engage in developing client workplans, preparing presentations, and managing tax-related inquiries and appeals. The ideal candidate has a Bachelor's degree in a relevant field, 4-6 years of related experience, and strong...SuggestedWork at office
$102.61k - $197k
About this Job: General Summary of Position Responsible for day to day oversight and management of Intake Clinical Appeals Claims Appeals Complaints Grievances and Intake functions. The Manager of Appeals Complaints and Grievances will be dedicated to delivering service...SuggestedRelocationMedStar Health
Columbia, MD12 hours ago$140k - $180k
...solutions. Key Responsibilities Consult with Engineering and Product Management to identify key technologies for current and future products... ...with colleagues in Design to ensure materials are visually appealing and consistent with brand IDs. Build relationships with...SuggestedWorldwideTP-Link Systems Inc.
Irvine, CA3 days ago- ...Technical Marketing Manager / Product Manager Excellent company, great people and products and good work/life balance!! Our client... ...with the Product Development team Create core messages that appeal to customers and the sales channel Evaluate competitive...SuggestedWork experience placementWorldwide
LABINE AND ASSOCIATES, INC.
Milpitas, CA3 days ago $120k - $160k
EisnerAmper is seeking a Tax Controversy Manager in New York to drive positive changes in tax compliance. You'll manage IRS examinations and appeals, ensuring timely responses and strategic solutions. The ideal candidate possesses a JD, 5+ years of tax controversy experience...SuggestedFlexible hours- EisnerAmper is seeking a Tax Controversy Manager in Burlington, Massachusetts. The role involves managing IRS examinations, appeals, and various tax controversy matters for clients. The successful candidate will have a JD and 5+ years of experience in tax controversy management...SuggestedFlexible hours
- A leading healthcare staffing firm is seeking a detail-oriented individual for managing medical necessity appeals and claims reviews. The role involves reviewing cases, preparing documentation for the Medical Director, and ensuring compliance with NCQA guidelines. Candidates...
- Brown University Health is seeking a Manager of Denial Appeals to oversee the claims denial process and manage appeal strategies. This role requires strong leadership in educating staff on denial prevention while ensuring compliance with insurance regulations. The ideal...Remote jobFull time
$93 per hour
Mercor connects elite talent with AI research labs. We seek an experienced Denials Management & Appeals Manager for a contract role, remote work, and $93/hour compensation. You will lead denial operations, analyze AI-driven denial content, and drive strategies across payer...Remote jobContract work$90k - $110k
...recognized health system in Florida to find an experienced Denials, Appeals & Recovery leader. This is a rare chance to step into a high-... ...full denials, appeals, and recovery operation. The department manages roughly $55M in denials, so your work directly protects the...Relocation packageMonday to FridayFlexible hours- Obsidian is seeking experienced Denials Management and Appeals Managers in San Francisco, California. This role involves overseeing denials management operations, evaluating AI tools for accuracy, and developing strategies across multiple payer types. The ideal candidate...
$29.8 - $31.69 per hour
The Manager, Appeals plays a key role in increasing donor participation and engagement, especially among alumni, parents, and other constituents, to ensure the university meets its annual giving targets. This role includes both strategic and tactical responsibilities,...Hourly payFull timeWork at officeLocal area$93 per hour
...with a leading AI research lab to improve the capabilities of next‑generation AI systems. We are seeking experienced Denials Management and Appeals Managers to evaluate AI tools designed to automate denial prevention, appeal writing, and root cause analysis workflows....Remote job- ...Independent Office Of Appeals A description of the business units can be found at: Position(s) are to be filled in following area(s): Appeals - Specialized Exam Prog and Ref This job (or announcement) is open to current permanent IRS competitive service employees...Permanent employmentWork at office
- ...candidate provides daily Clinical leadership and compliance of Appeals and Grievance. Identifying and executing opportunities to promote... ...and grievances process Handle escalations for member issues Manage employee time and attendance Provide coaching and training of...Remote work
- ...Duties Help General Manager Duties: As a Front Line Manager you will: Plan work to be accomplished by subordinates, sets and... ...relationships with managers and employees at all levels of the Appeals organization, and with taxpayers or taxpayer representatives. Interacts...Temporary workWork at office
$73.26k - $91.54k
...AltaMed Supervisor, Quality, Grievance & Appeals If you are as passionate about helping those in need as you are about growing your... ...& Appeals (G&A) functions, while also leading key Quality Management activities that drive regulatory compliance and organizational...Flexible hours$120k - $140k
...facilities personnel, ensuring the highest standards of cleanliness, safety, and aesthetic appeal across the campus. This role involves strategic planning, financial management, and fostering strong client relationships, particularly with SpaceX stakeholders in a very...Union Depot
Brownsville, TX1 day ago- ...Job Summary The Manager, Manufacturing Operations is responsible for ensuring a safe, compliant, and high‑performance work environment... ...communities in greater Southwest Ohio. In essence, Springboro appeals to everyone from young families to people looking for the perfect...Temporary workWork experience placementWork at officeImmediate startFlexible hoursShift work
American Battery Solutions Inc.
Springboro, OH3 days ago $20 per hour
Job Description Relief Manager - Self Storage Operations Company Overview Security Public Storage (SPS) is a family‑owned and operated... ...through phone, text, and email follow‑up Maintain exceptional curb appeal throughout the property, including cleaning hallways, sweeping...Hourly payFull timeWork at officeFlexible hoursShift work$106.37k - $118.19k
...Job Type Full-time Description Prime Residential’s Area Service Managers lead the short and long‑term service and operational... ...more than 19,000 multifamily apartments and townhomes, providing appealing amenities and superior customer service in some of the most sought...Full timeContract workTemporary workWork experience placementLocal areaMonday to FridaySupportFinity
Portland, OR12 hours ago
