Appeal Resolution Manager jobs in Baton Rouge, LA

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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Manager
  • Rotolos Beach Pizza Management
  • Walker, LA FULL_TIME
  • Summary of Position:

    Responsible for ensuring all restaurant operations run smoothly. Oversee and coordinate the planning, organizing, training and leadership necessary to achieve stated objectives in sales, costs, employee retention, guest service and satisfaction, food quality, cleanliness and sanitation. There are times when the Assistant General Manager has to fulfill the duties of everyone else in the restaurant: Cook, Server, Bartender, Kitchen Manager, Front of House Manager, etc. The duties outlined below are in addition to job descriptions of the positions previously mentioned.

    Duties & Responsibilities:

    • Understand completely all policies, procedures, standards, specifications, guidelines and training programs.
    • Ensure that all guests feel welcome and are given responsive, friendly and courteous service at all times.
    • Ensure that all food and products are consistently prepared and served according to the restaurant's recipes, portioning, cooking and serving standards.
    • Achieve company objectives in sales, service, quality, appearance of facility and sanitation and cleanliness through training of employees and creating a positive, productive working environment.
    • Control cash and other receipts by adhering to cash handling and reconciliation procedures in accordance with restaurant policies and procedures.
    • With the General Manager's guidance, help to make employment and termination decisions.
    • Fill in where needed to ensure guest service standards and efficient operations.
    • Continually strive to develop your staff in all areas of managerial and professional development.
    • Prepare all required paperwork, including forms, reports and schedules in an organized and timely manner.
    • Ensure that all equipment is kept clean and kept in excellent working condition through personal inspection and by following the restaurant's preventative maintenance programs.
    • Ensure that all products are received in correct unit count and condition and deliveries are performed in accordance with the restaurant's receiving policies and procedures.
    • Oversee and ensure that restaurant policies on employee performance appraisals are followed and completed on a timely basis.
    • Schedule labor as required by anticipated business activity while ensuring that all positions are staffed when and as needed and labor cost objectives are met.
    • Be knowledgeable of restaurant policies regarding personnel and administer prompt, fair and consistent corrective action for any and all violations of company policies, rules and procedures.
    • Fully understand and comply with all federal, state, county and municipal regulations that pertain to health, safety and labor requirements of the restaurant, employees and guests.
    • Help to plan and carry out restaurant marketing, advertising and promotional activities and campaigns with guidance from the General Manager and the corporate office. Assist the General Manager by keeping a calendar of events and inform the staff when special arrangements or training needs to be done.
    • Watch for and deter theft (including eating on the line, giving away food, etc) by managing employees on shift and watching food costs through purchasing.
    • Become an expert on the Point of Sale (POS) system with the intention to solve any problem that might arise. This skill set is also intended to help/train employees with procedures and to overcome situations that are atypical and require management support. Additionally, as an expert in the POS you will have access to management areas within the system and you will be asked to perform duties in line with your job description.
    • The General Manager will be responsible for training new hires or by coordinating a training schedule with trainers. As Assistant GM, you will either be asked to help train staff, help coordinate training schedules, or both tasks.
    • Communicate professionally with the entire staff to provide them with the utmost respect. This communication is the key to keeping up to speed with the daily operations of the restaurant and understanding the staff's perspective.
    • The General Manager will be responsible for coordinating with the sub-managers to create the work schedule for personnel. However, you might be asked to give input with regards to personnel and schedule creation. If there is a no call / no show situation or if a shift cannot be filled, it is the responsibility of the management team to find an antiquate replacement or to fill that shift themselves.
    • Responsible for all product / supply ordering and vendor relations. The General Manager and Assistant GM are ultimately responsible for accurate ordering and maintaining proper food, alcohol, and maintenance costs. If there are issues, the restaurant owners will hold the General Manager responsible.
    • Must receive a State and Local Liquor License within 30 days of employment.
    • Must receive a ServSafe Certificate in food handling.
    • The Assistant General Manager is responsible for learning ALL aspect of managing the restaurant. If the General Manager cannot perform their duties, the Assistant GM should be able to step into the General Manager's job without questions or hesitation.
    • The Assistant General Manager and the General Manager need to have open lines of communication so that they both know about all decisions, personal assessments, hiring/terminations, meetings, etc. This aspect of your job is one of the most important responsibilities.

    Qualifications:

    • Be 21 years of age.
    • Be able to communicate and understand the predominant language(s) of the restaurant's trading area.
    • Have knowledge of service and food and beverage, generally involving at least three years of front-of-the-house operations and/or assistant management positions.
    • Possess excellent basic math skills and have the ability to operate a cash register or POS system.
    • Be able to work in a standing position for long periods of time (up to 15 hours).
    • Be able to reach, bend, stoop and frequently lift up to 50 pounds.
    • Must have the stamina to work 50 to 60 hours per week.
    • Ability to work well with and manager others
    • Be able to communicate clearly, politely, and concisely with our staff.
    • Must have expert knowledge of general kitchen and cooking/prepping procedures and functions.
    • Must have expert knowledge of the general front of house procedures and functions.
    • Finally, must have an overall understanding of management's goals and philosophies of store operations.
  • 16 Days Ago

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Manager
  • Urban Air Adventure Parks
  • Denham Springs, LA FULL_TIME
  • MANAGER JOB SUMMARY Urban Air Adventure Park is gearing up to ACTIVATE AWESOME. We are seeking a highly-motivated candidate to support our vision. In this role, the Manager motivates, instills account...
  • 18 Days Ago

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Manager
  • Subway - Independently Owned and Operated
  • Amelia, LA FULL_TIME
  • System generated job type. Please do not delete or amend this job or job code
  • 20 Days Ago

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Manager
  • Subway - 17086-0
  • Baton Rouge, LA FULL_TIME
  • As part of the Subway® Team, you as a Manager will focus on eight main things: Providing an excellent guest experience Ensuring that great food is prepared & servedKeeping our restaurants functional, ...
  • 3 Days Ago

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Manager
  • Baton Rouge
  • Baton Rouge, LA FULL_TIME
  • As a Barcadia Manager, you will have day-to-day interaction with our Employees & our Guests. Sharing your “people pleasing personality” with our Employees & our Guests is what Barcadia is all about. I...
  • 6 Days Ago

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Manager
  • HBP Group
  • Baton Rouge, LA FULL_TIME
  • DescriptionThe IHOP Manager supervises IHOP restaurant's employees. His or her primary responsibilities include managing operations in the front and back of the house with a high concentration on prof...
  • 7 Days Ago

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0 Appeal Resolution Manager jobs found in Baton Rouge, LA area

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Engineer, Procure to Pay
  • Cardinal Health
  • Baton Rouge, LA
  • 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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SSO Engineer
  • Cardinal Health
  • Baton Rouge, LA
  • **What Information Security and Risk contributes to Cardinal Health** Information Technology oversees the effective deve...
  • 4/23/2024 12:00:00 AM

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Engineer, Procure to Pay
  • Cardinal Health
  • Baton Rouge, LA
  • The Engineer position will be responsible for implementing and supporting build and run support activities in the Sourci...
  • 4/22/2024 12:00:00 AM

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Sr Project Manager - Manufacturing Initiatives
  • Cardinal Health
  • Baton Rouge, LA
  • **_Title: Sr Project Manager Manufacturing Initiatives_** **_What Project Management contributes to Cardinal Health_** A...
  • 4/21/2024 12:00:00 AM

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

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Quality Improvement Coordinator
  • Centene Corporation
  • Baton Rouge, LA
  • You could be the one who changes everything for our 28 million members. Centene is transforming the health of our commun...
  • 4/20/2024 12:00:00 AM

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Senior Service Engineer
  • ABB
  • Baton Rouge, LA
  • Senior Service Engineer Take your next career step at ABB with a global team that is energizing the transformation of so...
  • 4/20/2024 12:00:00 AM

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Sr. Wholesale Representative, Crop Protection
  • CHS Inc.
  • Baton Rouge, LA
  • CHS Inc. is a leading global agribusiness owned by farmers, ranchers and cooperatives across the United States that prov...
  • 4/19/2024 12:00:00 AM

Baton Rouge (/ˌbætən ˈruːʒ/ BAT-ən ROOZH; from French bâton rouge [bɑtɔ̃ ʁuʒ] (listen), meaning 'red stick') is the capital of the U.S. state of Louisiana. Located on the eastern bank of the Mississippi River, it is the parish seat of East Baton Rouge Parish, the most populous parish in Louisiana. It is the 99th most populous city in the United States, and second-largest city in Louisiana after New Orleans. It is also the 16th most populous state capital. As of the U.S. Census Bureau's July 2017 estimate, Baton Rouge had a population of 227,549, down from 229,493 at the 2010 census. Baton Rou...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$88,878 to $115,508
Baton Rouge, Louisiana area prices
were up 1.2% from a year ago

Appeal Resolution Manager in Racine, WI
General provisions on appeals are contained within CPR PD 52A.
December 03, 2019
Appeal Resolution Manager in Lancaster, PA
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.
February 06, 2020
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.
January 16, 2020