Appeal Resolution Manager jobs in Atlanta, GA

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)

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Technical Delivery Manager - Lead Infrastructure Project Manager
  • Resolution Technologies
  • Atlanta, GA FULL_TIME
  • Job Details

    Technical Delivery Manager - Lead Infrastructure Project Manager

    ***Position will be onsite daily in Atlanta***

    Technical Delivery Manager - Sr. Infrastructure Project Manager Responsibilities
    • Responsible for running internal technical projects from concept to implementation for Development, Enterprise Applications and Infrastructure.
    • Build complex project plans and can construct project artifacts.
    • Will lead project management initiatives dealing with Windows, UNIX, Networks, Databases, Storage and Backups, Data Centers, Security, Application and Cloud technologies.
    • Create PowerPoint presentations / decks and present to business unit leaders and C-level executives about IT initiatives and results.
    • Responsible for a portfolio of IT projects and leading major IT global initiatives across multiple lines of business.
    • Able to effectively work cross functionally.
    • Defines requirements and plan project lifecycle.
    • Defines resources and schedule for project/program implementation.
    • Create strategies for risk mitigation and contingency planning.
    • Plans and schedule project deliverables, goals and milestones.
    • Efficiently identifies and solves project issues.
    • Demonstrates leadership to define requirements for project risk.
    • Designs and maintain technical and project documentation.
    • Strong organizational, presentation, and customer service skills.
    • Proven ability to keep IT teams adhering to agreed project milestones.
    • Comfortable working with a large and diverse team of IT associates (with 35 members) ranging from the helpdesk level to C-level and executive management.

    IT Program Delivery Leader Qualifications:
    • Bachelors Degree or higher in Engineering, Technology or related field or commensurate work experience.
    • PMP (Project Management Professional) Certification or equivalent preferred.
    • ITIL certification preferred.
    • Formalized Six Sigma training or certifications is a plus
    • 10 years of project management or IT Management experience
    • Experience leading global IT initiatives in a structured PMO or consulting practice.
    • Experience moving Infrastructure and Applications to the Cloud. AWS and Azure are preferred.
    • Any experience with Unified Communications a major plus.
    • Substantial project management experience dealing with Windows, UNIX, Networks, Databases, Storage and Backups, and Security.
    • Big 4 Consulting background preferred.
    • Advanced Finance and Excel background
    • Excellent project management skills, including experience in the development of management reports, time management and organization skills, and ability to delegate authority and tasks
    • Software application proficiency with Microsoft Office Suite, ServiceNow, Jira (other EPM/PPM tools) with extensive experience with MS Excel and MS Project
    • Experience in handling multiple concurrent complex projects within a technical environment
    • Ability to develop and maintain positive working relationships with all levels
    • Strong communication skills with both internal staff and clients
    • Solid experience with Process Improvement/Re-Engineering, as well as documentation
    • Solid knowledge of project delivery workflows/work streams


    CANDIDATE PROFILE:

    The ideal candidate will need to bring a mix of hard and soft skills in order to ensure his/her success.

    Given the scope of contribution of this role, it will be imperative that qualified candidates bring experience in the large consulting firms. A background including B2B services, transaction / payment processing, and credit card services would be strongly preferred.

    Qualified candidates will have a background and comfort level working with diverse systems. The candidate will bring an appetite for keeping current with new technology solutions, and be incredibly passionate about solving business problems through the use of technology.

    This person will need to bring a track record of hands-on, doing - being personally responsible for the strategy, execution and success of systems that have been global in nature and have impacted the bottom line efficiency and success of an organization. Ideally, qualified candidates will have an experience base that involves multi-national Infrastructure and software development.

    This doing will very likely include and require travel, both domestically and internationally, which could fluctuate depending on areas of business focus, acquisition due diligence, etc.

    The candidate will know how to quickly craft a written proposal and solution strategy, in addition to being comfortable with the responsibility of the hands-on execution work involved. In addition, qualified candidates will bring executive level communication, decision, and presentation skills with all levels of global business management.

    This should be an individual with a sense of both independence and urgency. The candidate should have a solid background of autonomy and seeing initiatives through from beginning to end, with business impact and ROI defined. Our culture is fast-paced and dynamic. Someone who is looking for a lean, swift moving environment will be a good match. Additionally, someone looking for an army of support and a great deal of hand holding will not likely be the best fit.

    This position will require an individual who is very comfortable operating in a global environment with a company that is experiencing growth both organically and through acquisitions. This will require a high degree of interpersonal and influencing skills and an ability to work cross-culturally to improve collaboration within IT at the global level.

    #RT
    #DICEJOBS
  • 11 Days Ago

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ERP Financials Project Manager (Microsoft Dynamics)
  • Resolution Technologies
  • Atlanta, GA FULL_TIME
  • Job DetailsERP Financials Project Manager (Microsoft Dynamics) The candidate we are looking for should have a background in Finance and Accounting. This candidate should be able to leverage their know...
  • 6 Days Ago

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Senior Manager – Construction Dispute Resolution
  • Socotec
  • Atlanta, GA FULL_TIME
  • Company DescriptionSOCOTEC Advisory, LLC., is a subsidiary of Socotec USA, an industry leader in dispute resolution, project advisory, building envelope design, structural failure analysis and energy ...
  • 1 Month Ago

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Pressure Washer Technician
  • Curb Appeal Professionals, LLC
  • Lawrenceville, GA FULL_TIME
  • Full Job Description Hiring IMMEDIATELY Full-Time and Part-Time! No Experience Needed! Paid Training & $250 Bonus Upon Completion Start a career with Curb Appeal and earn $800-$1300 per week as a Lead...
  • Just Posted

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Field Technician
  • Curb Appeal Professionals, LLC
  • Lawrenceville, GA FULL_TIME
  • Job Title: General Laborer/Field TechnicianLocation: Lawrenceville, GADon’t miss this opportunity! Curb Appeal Professionals provides exterior cleaning services and decorative concrete coatings for co...
  • 9 Days Ago

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Sr. Network Engineer
  • Resolution Technologies
  • Atlanta, GA FULL_TIME
  • Job DetailsSr. Network Engineer We are looking to hire a Senior Network Engineer within our IT Infrastructure division. This position falls under our Implementations team and is located in Peachtree C...
  • 6 Days Ago

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0 Appeal Resolution Manager jobs found in Atlanta, GA area

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Patent Litigation Associate (Atlanta, GA or Remote)
  • Perilla Knox & Hildebrandt LLP
  • Atlanta, GA
  • Perilla Knox & Hildebrandt LLP (PKH) is a dynamic and forward-thinking law firm based in Atlanta, Georgia that specializ...
  • 4/24/2024 12:00:00 AM

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Associate Attorney
  • The Manely Firm, P.C.
  • Atlanta, GA
  • Are you seeking a change, stability, work-life balance, or growth with a professional (but fun) international team? Do y...
  • 4/24/2024 12:00:00 AM

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Executive Legal Assistant
  • Rheem Manufacturing
  • Atlanta, GA
  • Our Legal Executive Assistant will have a pivotal role in supporting the Director, Compliance & Privacy and the overall ...
  • 4/24/2024 12:00:00 AM

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In-House Counsel / Attorney SAD9509
  • Capstone Search Group
  • Atlanta, GA
  • Job Description Job Description About the Role Dynamic organization with a 140-year history of providing exceptional cus...
  • 4/24/2024 12:00:00 AM

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STAFF ATTORNEY
  • City of South Fulton
  • Atlanta, GA
  • Job Description Job Description General Description The purpose of this classification is to provide general guidance fo...
  • 4/24/2024 12:00:00 AM

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Construction Superintendent (Commercial Retail)
  • Fulcrum Construction
  • Atlanta, GA
  • Commercial Construction Superintendent Job Type: Full-time Compensation: Salary negotiable, commensurate with experience...
  • 4/23/2024 12:00:00 AM

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Engineer, Procure to Pay
  • Cardinal Health
  • Atlanta, GA
  • The Engineer position will be responsible for implementing and supporting build and run support activities in the Sourci...
  • 4/23/2024 12:00:00 AM

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Coordinator, Individualized Care
  • Cardinal Health
  • Atlanta, GA
  • **_What Individualized Care contributes to Cardinal Health_** Delivering an exclusive model that fully integrates direct...
  • 4/20/2024 12:00:00 AM

Atlanta (/ætˈlæntə/) is the capital of, and the most populous city in, the U.S. state of Georgia. With an estimated 2017 population of 486,290, it is also the 38th most-populous city in the United States. The city serves as the cultural and economic center of the Atlanta metropolitan area, home to 5.8 million people and the ninth-largest metropolitan area in the nation. Atlanta is the seat of Fulton County, the most populous county in Georgia. A small portion of the city extends eastward into neighboring DeKalb County. Atlanta was originally founded as the terminating stop of a major state-sp...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$91,591 to $119,034
Atlanta, Georgia area prices
were up 1.4% from a year ago

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General provisions on appeals are contained within CPR PD 52A.
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All appeals must be submitted in writing to the RC within ten academic calendar days after notification of the Dean of Students’ decision to accept or modify the recommendations resulting from the hearing.
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Appeal Resolution Manager in San Diego, CA
The Coalition recommended that its members consider resolutions to request the Commission on Marine Resources to go forward with scientific and engineering studies regarding the Pearl River water resource project and creation of the Western Sound Special Management District.
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