Supervisor, Appeals

Position Purpose: Supervises the processing and review of appeals, disputes, and reconsiderations including escalation for the most complex issues in accordance with state and National Committee for Quality Assurance (NCQA) requirements. Supervises day-to-day activities and provides guidance to the team to ensure appeals are reviewed and processed timely. Key Details: Our Shared services team is hiring a Remote Supervisor, Appeals to lead a team focused on delivering accurate, timely, and compliant outcomes. We are seeking an experienced people leader with a strong background in managed care, appeals, and claims who can develop talent, navigate complex challenges, and drive continuous...

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