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Clinical Appeals ManagerPosted by: UnitedHealth Group
Posted date: 2013-Mar-20
Location: Greater St. Louis Metro Area
The manager will supervise a staff at the St. Louis Office location.
As the Clinical Appeals Manager , you will be responsible for managing day-to-day operations for clinical appeals teams. This manager will have 10+ direct reports.The Manager will provide expertise or general support in reviewing, researching, investigating, negotiating and resolving all types of clinical appeals and grievances, and communicates with appropriate parties issues, implications and decisions. The manager will focus on inventory management and quality of work and analyzes and identifies trends for appeals and grievances. The manager will also handle escalated calls from members, provider, internal and external customers. A background in healthcare is preferred for this position.
Mon- Fri; 8:00 am - 5:00pm
Requirements of this position include:
OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
OptumHealth helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their health care needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
key words: Medical and Health Services Manager, Clincial Appeals Manager, Appeals and Grievances, medical appeals, medical grievances, manager, operations manager