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 $78,837.

The average hourly rate of a(n) Appeals Manager in United States is $37.90.

The average bonus of a(n) Appeals Manager in United States is $3,792.00.

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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