Appeal Resolution Manager jobs in Somerset, NJ

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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Patient Care Advocate
  • Oakland Manager LLC
  • Somerset, NJ FULL_TIME
  • Summary

    The Patient Care Associate (PCA) is responsible for delivering an exceptional customer experience. This role ensures all sales are compliant with state regulations and that customer needs are heard and

    met throughout the sales process. This position is also responsible for ensuring transactions are accurately recorded in point-of-sale (POS) and inventory tracking systems. Most importantly, this

    role embodies the company’s culture and brand image.

     

    Essential Functions and Responsibilities

    Sales Responsibilities

    • Ensures the consistent delivery of an exceptional customer experience

    • Assists customers in product selection based on defined treatment plans and product availability

    • Achieves daily/weekly sales objectives by fulfilling customer requests and looking for opportunities introduce new and alternative products

    • Continually develops communication and service skills to increase sales and generate positive reviews

    • Educates customers on product attributes and usage

    • Ensures customers are accurately logged into the patient tracking system

    • Performs sales transactions in compliance with all regulations governing the sale of cannabis products

    • Completes accurate sales documentation

    • Ensures transactions are entered in point-of-sale and inventory management systems in compliance with state regulations

    • Assists in maintaining a safe, clean, and organized dispensary environment

    • Complies with all Justice Cannabis Co. policies, procedures and practices governing sales and service

    • Complies with all safety and security protocols for dispensary staff

    • Performs administrative tasks (customer profile completion, sales tracking, etc.) as required

    • Answers phones, responds to voicemail, and takes phone orders

    • Establishes on-going relationships with dispensary customers

    • Completes customer profiles to assist in future sales and service opportunities

    • Maintains knowledge of new and existing products via vendor training, documentation, and crosstraining with management, pharmacists, and senior sales consultants

     

    Qualifications

    • Two or more years of experience working in a retail or hospitality environment with cash handling responsibility

    • Demonstrated passion for delivering an exceptional customer experience

    • Fast-paced, high volume retail sales experience preferred

    • Must pass all required background checks, certifications, and DOH affiliation requirements

    • Professional written and verbal communication and interpersonal skills

    • Must have strong organizational skills, high attention to detail and the ability to multi-task

     

    Cultural Responsibilities

    • Actively models Justice Cannabis Co. ’s values and code of conduct

    • Builds strong and effective internal, external, and cross-functional relationships.

    • Is committed to creating and maintaining a collaborative, fun, and productive work environment

    • Actively participates in team building and cultural development activities

    • Models honesty, integrity, and direct communication in daily tasks and interactions

     

    Computers and Technology

    • Must be computer literate with the ability to learn operational systems (Alpine IQ, Leaflogix, MJ Freeway, Veriscan, Microsoft office, and Metrc, etc.)

    • Experience working with Outlook email and Microsoft Office suite

     

    Supervisory Responsibilities

    This position does not have supervisory responsibilities.

     

    Work Environment and Physical Demands

    The work environment characteristics and physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be capable of lifting 25 pounds to stock product boxes. Position requires frequent reaching into cabinets and displays to show and review product. Ability to maintain a stationary sitting or standing position for up to eight hours in a day based on business needs and sales volume; and, ability to bend and retrieve products from lower shelves. This role also enters information into sales and tracking systems requiring hand dexterity and the ability visually verify correct product information.

  • 1 Month Ago

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Security I
  • Oakland Manager LLC
  • Somerset, NJ FULL_TIME
  • Security Guards wanted to work for a professional industry leading company. Applicants may be assigned to a single or multiple site assignment. Applicants will need to be flexible with their schedule ...
  • 1 Month Ago

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Manager
  • Dunkin' - Franchisee Of Dunkin Donuts
  • Califon, NJ FULL_TIME
  • In 1950, Bill Rosenberg opened the first Dunkin' shop in Quincy, Massachusetts. Dunkin' licensed the first of many franchises in 1955. We are a locally owned and operated Dunkin' franchise, with a fas...
  • 18 Days Ago

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Manager
  • Dunkin' | VBCE & GMCE
  • Califon, NJ FULL_TIME
  • As a Dunkin' franchisee, we are committed to our employees as much as we are committed to our customers. We value hardworking and enthusiastic employees and we make it a priority to ensure their succe...
  • 1 Day Ago

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

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Project Manager/Account Manager
  • Three Summers Creative
  • Somerville, NJ FULL_TIME
  • Three Summers Creative is a growing Content Marketing Agency located in Somerville, NJ. We love solving client problems with compelling creative that drives our clients the results they need to grow! ...
  • Just Posted

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0 Appeal Resolution Manager jobs found in Somerset, NJ area

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Legal Intern
  • Prinston Pharmaceutical Inc.
  • Somerset, NJ
  • Job description Prinston Pharmaceutical Inc. ABOUT US Prinston Pharmaceutical, Inc. is a fully integrated pharmaceutical...
  • 4/26/2024 12:00:00 AM

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Risk Manager
  • The Goodkind Group, LLC
  • New York, NY
  • Risk Manger – Healthcare – Far Rockaway, NY $123-133k – Risk Manager - Healthcare needed to work at a medical facility i...
  • 4/26/2024 12:00:00 AM

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Senior Chargeback Analyst - Accounts Receivable
  • Information Solutions
  • Edison, NJ
  • Job Description Job Description This is a Senior Chargeback Position in charge of client chargeback portfolios, you woul...
  • 4/25/2024 12:00:00 AM

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Court Interpreter 1/Court Interpreter 2 Spanish
  • New Jersey Courts
  • New Brunswick, NJ
  • Salary: See Position Description Location : New Brunswick, NJ Job Type: Full Time Job Number: 2024-09476 Central Office/...
  • 4/23/2024 12:00:00 AM

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Assistant Branch Manager
  • PNC Financial Services Group, Inc.
  • Lakehurst, NJ
  • **Assistant Branch Manager** location Manchester, New Jersey, United States of America category Branch Banking Full time...
  • 4/23/2024 12:00:00 AM

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Assistant Branch Manager
  • PNC Financial Services Group, Inc.
  • Hackensack, NJ
  • **Assistant Branch Manager** location Hackensack, New Jersey, United States of America category Branch Banking Full time...
  • 4/23/2024 12:00:00 AM

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Legal Intern
  • Prinston Pharmaceutical Inc.
  • Somerset, NJ
  • Job description Prinston Pharmaceutical Inc. ABOUT US Prinston Pharmaceutical, Inc. is a fully integrated pharmaceutical...
  • 4/22/2024 12:00:00 AM

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Onsite Deskside Support Engineer - Japanese & English
  • Tekfortune Inc.
  • Piscataway, NJ
  • Tekfortune is a fast-growing consulting firm specialized in permanent, contract & project-based staffing services for wo...
  • 4/22/2024 12:00:00 AM

Somerset is an unincorporated community and census-designated place (CDP) located within Franklin Township, in Somerset County, New Jersey, United States. As of the 2010 United States Census, the CDP's population was 22,083. Somerset housed one of the first Marconi Wireless Stations in the United States. According to the United States Census Bureau, the CDP had a total area of 6.444 square miles (16.692 km2), including 6.327 square miles (16.388 km2) of land and 0.117 square miles (0.304 km2) of water (1.82%)....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$105,157 to $136,664
Somerset, New Jersey area prices
were up 1.5% from a year ago

Appeal Resolution Manager in Racine, WI
General provisions on appeals are contained within CPR PD 52A.
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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.
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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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