Appeals Manager Salary in United States

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Average Salary for Appeals Manager in United States

The average salary of a(n) Appeals Manager in United States is $78,917.

The average hourly rate of a(n) Appeals Manager in United States is $37.94.

The average bonus of a(n) Appeals Manager in United States is $3,796.00.

Job Description:

Manages the formal appeals process to ensure the resolution of grievances and appeals consistent with regulatory guidelines and organizational policies and procedures. Prepares formal hearing briefs and may appear at hearings on behalf of the organization. Ensures that appeals and grievances are entered into the database, categorized, and processed within required timeframes. Typically requires a college degree in health sciences and related managed care experience. Manages the formal appeals process to ensure the resolution of grievances and appeals consistent with regulatory guidelines and organizational policies and procedures. Hires, develops, and motivates the appeals staff and oversees case load assignments/priorities. Prepares formal hearing briefs and may appear at hearings on behalf of the organization. Plans, organizes, implements, and evaluates outcomes of the department's strategic plans. Ensures that appeals and grievances are entered into the database, categorized, and processed within required timeframes. Receives investigation results and responds to member appeals and grievances. Identifies quality issues. Analyzes reports and develops operating policies and procedures. Prepares and manages the departmental budget. Less

Manages the formal appeals process to ensure the resolution of grievances and appeals consistent with regulatory guidelines and organizational policies and procedures. Prepares formal hearing briefs and may appear at hearings on behalf of the organization. Ensures that appeals and... More

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Results for Appeals Manager in United States

Senior Manager of Appeals and Compliance, Health Benefits Claims Auditing - Chesterbrook, PA

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Ensures that each appeal is reviewed in accordance with the correct client plan document and any applicable appeals processing regulations or contractual...

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Escalations Associate - San Francisco, CA

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Facilitate account deactivations and handle appeals from Users both through email or phone. You will have the support of the Trust & Safety Manager and the...

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Training Manager - Phoenix, AZ

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What specifically about the role appeals to you? The Training Manager will work with the District Managers of our Phoenix and Los Angeles teams to ensure team...

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Student Compliance Manager - Ann Arbor, MI

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The Student Compliance Manager is responsible for lower-level student misconduct procedures; The Manager will assist with preparing, publishing, and...

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Operations Manager - Boca Raton, FL

Fairfield Inn & Suites Boca Raton

Who this Job Will Job Appeal To. We are looking for a Hotel Operations Manager who combines meticulous professionalism with a friendly, welcoming, and energetic...

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