Medicare Appeals Manager

Southcarolinablues; Nashville (TN); Presencial; USD 90 000 - 120 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

401(k) plan

Health insurance

On-site cafeterias and fitness centers

Resumo da oferta

BlueCross BlueShield of South Carolina in Nashville, TN is seeking an Appeals Manager to oversee the Medicare-related department operations. The role requires leadership over staff, ensuring CMS guideline compliance, and coordinating with other areas to resolve multi-functional issues. This on-site position (40–45 hours/week) may require overtime and security clearance for U.S.

citizens. The candidate will participate in special projects and drive departmental performance in a fast-paced

Qualificações

• Bachelor's degree required.
• 5 years in leadership role managing staff in Medicare or similar environment or equivalent military experience (E4+).

Responsabilidades

• Provide management oversight of departmental staff and programs.
• Ensure compliance with CMS guidelines and performance standards.
• Collaborate with other functional areas to resolve multifunctional issues.
• Participate in special projects as assigned.

Conhecimentos

Verbal communication

Written communication

Judgment

Organizational skills

Customer service

Analytical thinking

Grammar and spelling

Basic math

Microsoft Office proficiency

Formação académica

Bachelor's degree

Ferramentas

Microsoft Office

Descrição da oferta de emprego

BlueCross BlueShield of South Carolina in Nashville, TN is seeking an Appeals Manager to oversee the Medicare-related department operations. The role requires leadership over staff, ensuring CMS guideline compliance, and coordinating with other areas to resolve multi-functional issues. This on-site position (40–45 hours/week) may require overtime and security clearance for U.S.

citizens. The candidate will participate in special projects and drive departmental performance in a fast-paced