Appeal Resolution Manager jobs in Boston, MA
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)
Recently Added Appeal Resolution Manager jobs
Mock Trial/Mock Appeal Program Manager
- Discovering Justice
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Boston, MA
FULL_TIME
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For over two decades, Discovering Justice has been bringing students and communities together to examine the workings of the justice system, explore the ideals of justice, and prepare them to engage as active citizens. We believe in the power of the next generation to sustain our democracy. We value the belief that the justice system can and should work for everyone.
The Programs and the Role
Discovering Justice’s Mock Trial and Mock Appeal Programs pair middle school students with legal professionals to learn about the judicial system, analyze a legal case, and prepare to argue persuasively in front of judges and jurors in federal and state courthouses across the Commonwealth. Through engaging weekly sessions, student attorneys develop the confidence and vital civic skills like perspective-taking, critical thinking, writing, and the public speaking skills necessary to become community leaders.As the Program Manager, you'll be the driving force behind these two flagship programs that reach over 600 students and 250 partners a year, steering the program’s direction and enhancement. You'll not just be managing; you'll direct these programs in alignment with our core values, ensuring every step we take resonates with our mission and unwavering commitment to diversity, equity, and inclusion.The Program Manager will coordinate the effective implementation of the growing Fall Mock Trial and Spring Mock Appeal Programs for 25-35 teams of middle school students and legal mentors and 10-14 culminating events for both semesters.Responsibilities
Strengthening and Managing a Network of Partners: Recruit, train, and manage our partnerships with school administrators and teachers, legal partners, and courthouse staff across Massachusetts to cultivate the capacity to drive the programs. Build strong teams through orientations, site visits, and targeted communications.
Event and Project Operations: Each semester, orchestrate logistics for 10-14 events ranging from 50-500 attendees to ensure an optimal experience for students, partners, families, and volunteers.
Align Programs to Diversity, Equity, and Inclusion (DEI) and Cultural Diversity Standards: Ensure the programs adhere to and promote DEI principles, reflecting a commitment to cultural competence and equity in operations, partner training, and program content
Continuous Improvement: Collect data and strategic feedback from partners including staff, legal partners, students, and teachers to evaluate, report, and enhance program and operations.
Curriculum Development / Instructional Design: To optimize student comprehension and engagement, gather feedback from partners and do site visits to gain information to create, update and enhance program materials and activities.
Program Administration: Coordinate and administer program logistics by ordering and distributing supplies, creating materials, managing team finances, and securing needed permissions.
Program Fundraising: Actively cultivate relationships with the program's network, raising money from partners and enhancing the program's impact and growth.
Fellow Management: Manage a fellow each semester, emphasizing mentorship and professional development. This fellow supports the operations of the programs.Data Mining and Management: Use technical skills to compile and present program operations, logistics, and results.Equity Statement
We value a diverse workforce and are committed to creating a diverse and inclusive environment where we strive to embed equity and inclusion into everything we do.Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. Even if you do not meet every qualification, we would love to still hear from you and encourage you to apply.We strongly encourage applications from members of marginalized communities, including Black, Indigenous, and people of color; women; and the LGBTQIA and disabled communities.
Discovering Justice prohibits discrimination and harassment of any type and is proud to be an Equal Opportunity Employer. We provide equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.Day-to-Day Experience
Your morning might start off by meeting with a lead attorney from the District Attorney’s office at their office to onboard them to the curriculum and share best practices for working with middle school students. Come afternoon, you could be driving to Framingham to observe an afterschool Mock Trial session at one of the middle schools and engage with students and partners. After observing the session, you meet with the Teacher Coordinator to debrief and strategize. Your work day might wrap up with coordinating logistics for the culminating Mock Trial community event at the Springfield District Court, liasing with the Court Clerk and inviting city VIPs to be a part of such an impactful moment in middle school students' academic careers.Team & Structure
Your Team: You will work with two peers as Program Managers of different programs in a lean nine-person organization. You will work closely with the Community Partnerships Manager, Malia Brooks, to recruit program participants and a Fellow each semester.Your Reports: Each year, the Mock Trial and Mock Appeal includes 30-35 middle school teams and their legal mentors. This means managing a volunteer network of roughly 200 egal partners and 50 teachers. Fellows will report directly to you.Location
Our office is situated within the iconic John Joseph Moakley U.S. Courthouse in Boston. The location allows us to work closely with federal judges and other members of the Courthouse community to make the Courthouse a vibrant civic space. We embrace a hybrid work approach, combining the advantages of face-to-face interactions with the flexibility of remote work.For this role, in-state travel to partner schools, legal firms or organizations, as well as final event courthouse locations is required. You will typically work at the Moakley Courthouse 2 days a week and travel on average 1 day a week for program visits and partner stewarding. During the Mock Trial and Mock Appeal culminating events at the end of December and in May, there will be increased expectations for travel and time commitment. Must have a valid driver’s license, and having a vehicle is preferred, but not necessary.Qualifications
2-3 years of relevant experience, ideally in program managementPassion for civic educationExperience working with middle school students is ideal, but not a requirementDemonstrated knowledge of the US Justice system. Direct experience leading mock trials and appeals is a plus, but not a requirementA demonstrated commitment to social justice and a belief that the justice system can and should work for everyoneBenefits OverviewSocial Mission:Training the next generation with the skills, knowledge, and dispositions to steward our fragile democracy.Building and engaging with a community of judges, attorneys, and middle school teachers committed to civics education.Strengthening your program management, recruitment, communications, event planning, and volunteer management skills.Professional Development: $500 annually after a 90-day introductory period.Health Benefits: 75% coverage on medical, dental, and vision insurance premiums; an FSA plan; and 75% reimbursement on medical insurance deductibles through the Health Reimbursement Arrangement.Life Insurance: Provided.Disability Insurance: Short and long-term coverage.Retirement Plan: 5% salary contribution to a TIAA-CREF 403(b) account.Leave: 15 vacation days (accruing at 1.25 days/month), 2 personal days, and 10 sick days (accruing at 0.83 days/month).Holidays: Paid leave for major holidays, including an extended break between Christmas and New Year's.Social Mission
Hybrid Work Environment
Health Insurance
Dental Insurance
Vision Insurance
Retirement Plan
Life Insurance
Paid Time Off
Training & Mentorship
Short Term Disability
Long Term Disability
- 8 Days Ago
Assistant Attorney General, Contributory Retirement Appeal Board
- Massachusetts Office of the Attorney General
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Boston, MA
FULL_TIME
- Assistant Attorney General/Chair, Contributory Retirement Appeal Board Government Bureau Attorney General Andrea Joy Campbell is looking for a highly motivated attorney to join her team as an Assistan...
- 9 Days Ago
Associate Director (Device Development)
- 50085962 - Engineering Technology Manager
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Boston, MA
FULL_TIME
- Associate Director (Device Development)Do you have a passion for science? Would you like to apply your expertise to impact a company that follows the science and turns ideas into life changing medicin...
- 2 Days Ago
Associate Director (Human Factors Engineering)
- 50085962 - Engineering Technology Manager
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Boston, MA
FULL_TIME
- Associate Director (Human Factors Engineering)Do you have a passion for science? Would you like to apply your expertise to impact a company that follows the science and turns ideas into life changing ...
- 2 Days Ago
Claims Resolution Specialist
- WellSense Health Plan
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Boston, MA
FULL_TIME
- It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their ci...
- 6 Days Ago
Claims Resolution Specialist
- WellSense Health Plan
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Boston, MA
FULL_TIME
- It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their ci...
- 6 Days Ago
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0 Appeal Resolution Manager jobs found in Boston, MA area
Contentful Sr. Support Engineer - L2
- eTeam, Inc.
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Boston, MA
- Should have eCommerce background, Contentful •5+ years of experience in digital marketing and atleast 3 years of experie...
- 4/25/2024 12:00:00 AM
Workers' Compensation Defense Attorney (Hybrid/Remote)
- Hinshaw & Culbertson LLP
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Boston, MA
- Hinshaw & Culbertson, a leading national law firm, is seeking an associate with 1-3 years of workers' compensation exper...
- 4/25/2024 12:00:00 AM
Trial Attorney
- Ascendion
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Boston, MA
- We are looking for a Trust & Estate Litigation Attorney to join a renowned legal firm serving Massachusetts residents fo...
- 4/25/2024 12:00:00 AM
Policy Search Analyst
- Resolute Management, Inc.
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Boston, MA
- Resolute Management, Inc. is a Third-Party Administrator hired by clients to handle complex environmental, asbestos, and...
- 4/24/2024 12:00:00 AM
Conflicts Attorney (Remote in CA or Hybrid)
- Farella Braun + Martel LLP
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Boston, MA
- The Opportunity: Conflicts Resolution Attorney Conflicts Resolution Attorneys support the delivery of quality legal serv...
- 4/23/2024 12:00:00 AM
Policy Search Analyst
- Resolute Management Inc.
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Boston, MA
- Resolute Management, Inc. is a Third-Party Administrator hired by clients to handle complex environmental, asbestos, and...
- 4/22/2024 12:00:00 AM
Executive Director, Head of Alliance Management
- Frontier Medicines
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Boston, MA
- Frontier Medicines is actively seeking an accomplished leader to fill the key role of Head of Alliance Management. This ...
- 4/21/2024 12:00:00 AM
Senior Project Manager - Provider Directory
- IT Avalon
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Newton, MA
- Same team (but different role) as recent req 692. I would highly recommend that the recruiters reference those position ...
- 4/21/2024 12:00:00 AM
About Boston, Massachusetts
Boston has an area of 89.63 square miles (232.1 km2)—48.4 square miles (125.4 km2) (54%) of land and 41.2 square miles (106.7 km2) (46%) of water. The city's official elevation, as measured at Logan International Airport, is 19 ft (5.8 m) above sea level. The highest point in Boston is Bellevue Hill at 330 feet (100 m) above sea level, and the lowest point is at sea level. Situated onshore of the Atlantic Ocean, Boston is the only state capital in the contiguous United States with an oceanic shoreline.
Boston is surrounded by the "Greater Boston" region and is contiguously bordered by the citi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$104,876 to $136,299
Boston, Massachusetts area prices
were up 2.5% from a year ago
were up 2.5% from a year ago
What does an Appeal Resolution Manager do?
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