Appeal Resolution Manager manages the grievance process to review, investigate, document, process, negotiate, and resolve disputed medical, insurance, and other claims. Oversees work activity that is compliant with all regulatory guidelines and policy protocols. Being an Appeal Resolution Manager allocates team resources to ensure an effective and balanced case workload. Applies industry standards and uses best practices in the preparation of legal briefs. Additionally, Appeal Resolution Manager may represent the organization at hearings. Requires a bachelor's degree. Typically reports to a senior manager or head of a unit/department. The Appeal Resolution Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be an Appeal Resolution Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)
Timely maintain clear and accurate QC/QA records such as weighing sheet/reconciliation and test results
- Generate CofA, In Process Specification, Finished Good Specification: Physical test needs to be done and fill out the form based on test results from 3rd party lab.
· Operate/calibrate laboratory equipment and instruments, such as mixers, viscometers, pH meters, and homogenizers, etc.
· Send the test samples from raw materials, in process product and finished products for Microbial Test, Identity Test, Potency analytical test and follow up with 3rd party testing lab for timely receipt and test completion of such sample.
· Pull out annual retaining OTC samples and to-be-retested-RMs to be sent out to third party testing laboratories and follow up accordingly for test results.
· Monitor entire aspects of manufacturing/Packaging area via safety walk which include, but not limited to: Housekeeping, Personnel and Hygienic Practices, Pest Control, Calibration and Scale Verification, Logbooks, Signs, and Labels.
· Perform line clearance prior to manufacturing/pre-weighing and prior to packaging,
-check BOM’s of Batch Records and/or packaging records and review BMR and BPR.
-Perform inspection of incoming raw material, components, labels, etc and execute sampling, quarantining, releasing, holding, rejecting according to SOP.
· Other duties may be assigned as needed
Job Type: Full-time
Pay: $20.00 - $24.00 per hour
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Work Location: In person
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