Appeals Section Manager

Covered California; Sacramento (CA); On-site; USD 87,851 - 109,155; Full time

Benefits offered by this job

Healthcare

Retirement and savings

Work-life balance benefits

Job summary

A State Health Agency in Sacramento is seeking an Appeals Section Manager to oversee the Appeals Unit. The role requires coaching team members, managing workload related to consumer appeals, and enhancing experiences for vulnerable communities. Ideal candidates should have leadership experience in call-center environments and familiarity with CRM systems. The position offers a salary range of $7,872.00 - $9,781.00, along with comprehensive employee benefits.

Qualifications

• 5+ years of leadership experience in a call-center or similar environment.
• Strong understanding of Customer Relationship Management (CRM) systems.
• Ability to manage workload related to appeals or complaints.

Responsibilities

• Coach and develop Appeals Unit Managers and Health Program Specialists.
• Enhance the consumer experience for vulnerable communities.
• Support analyzing consumer appeals cases and preparing for hearings.

Skills

Leadership skills

Ability to develop strategic vision

Coaching team members

Excellent written and oral communication

Analyzing and evaluating data

Job description

Overview

Become the next leader of the Appeals Unit at Covered California. Join the Consumer Relations and Resolution (CR&R) Branch as the Appeals Section Manager. The Appeals Unit analyzes consumer appeals cases, prepares for hearings, and supports the Escalations Resolution and Special Projects Unit within the Branch.

How Will I Make an Impact?

As the Appeals Section Manager, you will play a key role in enhancing the consumer experience and serving our most vulnerable communities. You will coach and develop Appeals Unit Managers and Health Program Specialists, ensuring staff receive training, feedback, and support to succeed. We’re looking for a leader who is passionate about staff development, builds strong relationships, and thrives on digging into regulations in a fast-paced, high-volume environment. If you have leadership experience in a call-center and with Customer Relationship Management (CRM) systems, consider applying. Details about the Duty Statement are available in the job posting.

Application Deadline: 9/18/2025 @ 11:59 pm PST

Required Documents: Application, Resume and Statement of Qualifications (SOQ)

You will find the Minimum Requirements in the Class Specification.

$7,872.00 - $9,781.00

Desirable Qualifications

• Excellent leadership skills, with ability to develop and drive strategic vision of a team/unit, oversee the work of a team, use good judgement, and create a positive working environment.
• Ability to delegate responsibility, work with others effectively, and coach team to develop their capabilities.
• Experience interpreting, implementing and developing policies, procedures, regulations, laws or rules.
• Experience managing staff workload related to appeals, escalations, or complaints in a Service Center or similar setting.
• Excellent written and oral communication skills, including demonstrated ability to communicate effectively to a wide range of audiences.
• Ability to analyze and evaluate data and research in concert with organizational needs and present ideas and information effectively.

Employee Benefits

Covered California provides benefits for our employees, including healthcare, retirement and savings, work-life services, leave benefits, and work-life balance. To learn more, visit the benefits page.

Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Strategy/Planning, Other, and Administrative
• Industries: Insurance, Government Administration, and Public Health