Appeals Manager – Medicare

Job Summary

A company is looking for a Manager – Appeals.

Key Responsibilities:

• Manage assigned teams and staff
• Develop, monitor, and use quality control procedures and audit criteria
• Provide guidance to subordinates and recommend changes to policies

Required Qualifications:

• Paralegal Certification or Law degree highly preferred
• Bachelor’s degree in relevant field and 5+ years of professional experience required
• At least 2 years in a supervisory or managerial position
• Experience in healthcare law, arbitration, mediation, dispute resolution or claims and appeals adjudication in healthcare
• Familiarity with Appeals & Hearings required; expertise within the Hearings & Appeals function strongly preferred