Medicare Strategy Manager

Job Summary

Overseeing the Grievance and Appeals teams, the full-time remote Medicare Strategy Manager will lead staff to ensure timely resolution of grievances and appeals while maintaining compliance with regulatory standards and driving process improvements.

Key responsibilities

• Provide leadership and direction to ensure departmental goals and standards are achieved
• Analyze operations and identify process improvements while monitoring trends and regulatory changes
• Develop and implement training programs related to grievances and appeals for business areas

Required qualifications

• Bachelor's degree or equivalent relevant work experience
• Preferred minimum of three years of management experience
• Preferred minimum of four years of grievance and appeals experience
• Prior experience in the healthcare industry is preferred