Appeal Resolution Manager jobs in Washington, DC

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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Workflow Manager (TMT)
  • Clear Resolution Consulting, LLC
  • Falls, VA FULL_TIME
  • OPPORTUNITIES TO IGNITE YOUR PASSION, CRC services include Intelligence Analysis, Business Management, Cyber Operations, and Information Technology Consulting Services to the Department of Defense (DoD), Intelligence Community (IC) and other Federal Agencies. We offer a wide range of career opportunities and exceptional benefits.


    JOB SUMMARY: CRC has an immediate opening for a Workflow Management Specialist within the Air Force Surgeon General’s (AF/SG) Office in Falls Church, Virginia.

    DESCRIPTION: In support of the U.S. Air Force Surgeon General’s Executive Service (SGE) Office at the Defense Health Headquarters, (DHHQ), the candidate will provide workflow task quality, capacity management workflow and support services for publication management in conjunction with the Workflow Management functions of the Executive Services, for the U.S. AF/SG. The candidate also manages all correspondence for quality; ensuring content standards are adhered to, and set appropriate suspense dates for inquiries received from agencies outside the SG Office to include Members of Congress, Secretary of Defense, Joint Staff, Major Commands (MAJCOM), Field Operating Agencies (FOA), Direct Reporting Units (DRU) and agencies within the National Capital Region (NCR). The candidate provides task management support for over 500 active duty military and civilian personnel assigned to the AF/SG portfolio.

     

    RESPONSIBILITIES:

    • Receive, control, prioritize and manage all tasks which are internal and external to the AF/SG organization requiring action or coordination. Tasks may be submitted via NIPRNET or SIPRNET
    • Reviews the tasks; assigns them to appropriate directorates; establishes internal (SG) suspense dates for the tasks; and, provides guidance on the level of final coordination
    • Review all completed products for format, quality task deliverable construction, completeness, and utilize critical thinking to ensure tasked requirements are accomplished for general officer-level review
    • Manage all correspondence and sets appropriate suspense dates for inquiries received from agencies outside the SG Office to include Members of Congress, Secretary of Defense, Joint Staff, Major Commands (MAJCOM), Forward Operating Agencies (FOA), Direct Reporting Units (DRU) and agencies within the National Capital Region (NCR)
    • Screen tasks for clarity and completeness, and communicate with external tasking agencies about tasks, task suspenses, extensions, and workflow as needed
    • Return tasks within one (1) work day to tasking agency if incorrectly assigned to AF/SG as OPR or OCR
    • Serve as a point of contact (POC) for requests on the status of specific tasks in execution
    • Responsible for facilitating management of current publications and development of new publications, maintaining the official record set for AF/SG and FOAs
    • Provide SG Officer training


    MINIMUM REQUIREMENTS:

    • A current & active Secret highly desired.
    • Bachelor's Degree required
    • In lieu of a bachelor's degree; minimum of 2 years of direct experience in task/correspondence management or similar career field is required
    • Firm understanding and experience with Task Management Tool (TMT) task tracking system used by HQ USAF. This includes both the HQ/USAF version and FOA version utilized by AF/SG Staff. This is the most critical workflow tool for daily operations
    • Knowledge of Headquarters Air Force/Secretary of the Air Force (HAF/SAF) organizational structure
    • 6 months experience working at Air Staff level is required
    • Familiarity with task management software similar to the workflow management system currently in place at AF/SG
    • Experience utilizing tools such as AFMS Kx, BizFlow, AF Records Information Management Systems, AF Information Publishing Tool, and Task Management Tool


    Clear Resolution Consulting (CRC), our employees are the heart and spirit of our company. We rely on their dedication to excellence and their knowledge of our client’s requirements to help them meet their most complex challenges . Our employees' blend of technical skills, innovation and dedication drives our continued success, and we take our responsibility to them seriously.

    At CRC you'll find a fulfilling career and a great place to work — one that challenges you, fuels your need for creativity and innovation, and inspires teamwork and mutual respect. We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, any other non-merit factor, or any other characteristic protected by law.

     

     

  • 9 Days Ago

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Project Manager (PMP) NON IT
  • Strategic Resolution Experts, Inc.
  • Washington, DC FULL_TIME
  • MUST BE US CITIZEN AND CLEARABLE Do you want to perform work that is impactful to millions of Americans and has a broader global impact? Are you a service minded team player who works towards creating...
  • 22 Days Ago

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Issue Resolution Manager
  • Avid Systems
  • Washington, DC OTHER,TEMPORARY,FULL_TIME,CONTRACTOR
  • Avid Systems in conjunction with the DC Department of Human Services is looking to bring on Issue Resolution Manager to support the Summer EBT (Electronic Benefit Transfer) Call Center. This is short ...
  • 13 Days Ago

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Strategy Manager - Resolution Planning (Hybrid)
  • Fannie Mae
  • Washington, DC FULL_TIME
  • Company DescriptionAt Fannie Mae, futures are made. The inspiring work we do helps make a home a possibility for millions of homeowners and renters. Every day offers compelling opportunities to impact...
  • 15 Days Ago

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Enterprise Strategy - Resolution Planning - Manager (Hybrid)
  • Fannie Mae
  • Washington, DC FULL_TIME
  • Company DescriptionAt Fannie Mae, futures are made. The inspiring work we do helps make a home a possibility for millions of homeowners and renters. Every day offers compelling opportunities to impact...
  • 15 Days Ago

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Director of Community Development
  • Penny Appeal USA
  • Orange, CA FULL_TIME
  • Penny Appeal USA is a relief and development agency that delivers services in over 15 countries, including the USA. We pride ourselves on our impact from our sustainable international and domestic pro...
  • 11 Days Ago

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0 Appeal Resolution Manager jobs found in Washington, DC area

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Human Resources and Recruiting Manager
  • Sincerus Global Solutions Inc
  • Arlington, VA
  • Position Overview: As the Human Resources and Recruiting Manager, you will play a pivotal role in shaping our organizati...
  • 4/26/2024 12:00:00 AM

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DISPUTE RESOLUTION SPECIALIST, GS-0260-13
  • Architect of the Capitol
  • Washington, DC
  • Summary This position is in the Architect of the Capitol (AOC),Office of the Chief Administrative Officer (CAO), Diversi...
  • 4/26/2024 12:00:00 AM

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Apple Systems Administrator - JAMF - Active Top Secret required
  • General Dynamics Information Technology
  • Washington, DC
  • Apple Systems Administrator - JAMF - Active Top Secret Required Seize your opportunity to make a personal impact as an A...
  • 4/25/2024 12:00:00 AM

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Senior Computer Systems Analyst
  • Powder River Industries
  • Alexandria, VA
  • Description: This individual will be responsible for interacting with the project team, multiple other project teams, an...
  • 4/25/2024 12:00:00 AM

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Patient Services Rep III
  • Careerbuilder
  • Washington, DC
  • Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with posi...
  • 4/25/2024 12:00:00 AM

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Experienced Outside Property Claim Representative - Washington, DC
  • The Travelers Indemnity Company
  • Washington, DC
  • Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this...
  • 4/23/2024 12:00:00 AM

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Apple Systems Administrator - JAMF
  • System One Holdings, LLC
  • Washington, DC
  • Title: Apple Systems Administrator - JAMF ALTA is supporting a direct hire opportunity.This position is 100% Onsite for ...
  • 4/22/2024 12:00:00 AM

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Senior Computer Systems Analyst (IT Business Analyst)
  • Powder River Industries LLC
  • Alexandria, VA
  • This individual will be responsible for interacting with the project team, multiple other project teams, and with client...
  • 4/22/2024 12:00:00 AM

Washington, D.C. is located in the mid-Atlantic region of the U.S. East Coast. Due to the District of Columbia retrocession, the city has a total area of 68.34 square miles (177.0 km2), of which 61.05 square miles (158.1 km2) is land and 7.29 square miles (18.9 km2) (10.67%) is water. The District is bordered by Montgomery County, Maryland to the northwest; Prince George's County, Maryland to the east; Arlington County, Virginia to the south; and Alexandria, Virginia to the west. The south bank of the Potomac River forms the District's border with Virginia and has two major tributaries: the An...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$104,127 to $135,327
Washington, District of Columbia area prices
were up 1.3% 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