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Director of Appeals and Grievances
Location:
Jamaica, NY
Description:
A company is looking for a Director of Appeals and Grievances. Key Responsibilities Manage a large Appeals and Grievance team and ensure compliant processing of cases Conduct training, identify improvement opportunities, and ensure audit activities are performed Oversee the timely processing of Appeals and Grievances while meeting Service Level Agreements Required Qualifications, Training, and Education Bachelor's degree in business administration, healthcare, or related field; Master's degree preferred At least 10 years of experience in a supervisory or management role, preferably in healthcare or insurance Minimum of 5 years of experience in a grievance and appeals environment with knowledge of CMS regulations Experience in medical benefits and healthcare industry regulations Certification or progress toward certification in a relevant field is highly preferred
Company:
Virtualvocations
Posted:
November 2 on TopUSAJobs
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More About this Listing: Director of Appeals and Grievances
Director of Appeals and Grievances is a Executive Director Job at Virtualvocations located in Jamaica NY. Find other listings like Director of Appeals and Grievances by searching Oodle for Executive Director Jobs.
Director of Appeals and Grievances is a Executive Director Job at Virtualvocations located in Jamaica NY. Find other listings like Director of Appeals and Grievances by searching Oodle for Executive Director Jobs.