Senior Medicare Appeals Manager

CGS Administrators; Nashville (TN); Presencial; USD 90 000 - 130 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Health benefits

401k with company match

Paid Time Off (PTO)

On-site facilities

Resumo da oferta

BlueCross BlueShield of South Carolina is seeking an Appeals Manager to lead operations for Medicare service contract activities. The role oversees staff, ensures CMS compliance, and collaborates across functions in a fast-paced environment.

The position is full-time, onsite at One Century Plaza in Nashville, TN, with occasional overtime. A U.S. citizen able to obtain a security clearance is required for consideration.

Qualificações

• Bachelor's degree required.
• 5+ years in a leadership role managing staff in Medicare or similar environment (or equivalent military leadership).
• Ability to obtain a U.S. security clearance is required.
• Strong verbal/written communication, judgment, and organizational skills.
• Proficiency in MS Office; ability to handle confidential information with discretion.

Responsabilidades

• Provide management oversight of departmental staff and programs.
• Ensure CMS guidelines and performance standards are met.
• Collaborate with other departments to resolve issues.
• Participate in special projects as assigned.

Conhecimentos

Leadership experience

Verbal and written communication

Analytical thinking

Discretion with sensitive information

MS Office proficiency

Judgment and organization

Formação académica

Bachelor's degree

Ferramentas

Microsoft Office

Descrição da oferta de emprego

BlueCross BlueShield of South Carolina is seeking an Appeals Manager to lead operations for Medicare service contract activities. The role oversees staff, ensures CMS compliance, and collaborates across functions in a fast-paced environment.

The position is full-time, onsite at One Century Plaza in Nashville, TN, with occasional overtime. A U.S. citizen able to obtain a security clearance is required for consideration.