Appeal Resolution Manager jobs in Worcester, 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)

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Wholesale Manager
  • Grass Appeal LLC
  • Uxbridge, MA FULL_TIME
  • Position: Wholesale Manager

    Reports to: Chief of Staff

    Salary: $60k Base Incentive

    Work Location: Uxbridge MA/Hybrid 

     

    Company Overview:

    Blackstone Valley Cannabis is a different kind of cannabis company. It’s no accident that we chose Uxbridge, MA, the heart of the Blackstone Valley, as our home: its history of innovation, hard work and craftsmanship is perfectly aligned with our values and aspirations.

    We believe that local people making local products in the local community makes better cannabis for all. We are fiercely dedicated to quality: we sell fresh cannabis products, unavailable at nearby dispensaries, at everyday fair prices. And we’re dedicated to supporting our community.

     

    About the Position: 

    The Wholesale Manager is a critical role in the success of our step into the B2B wholesale market of Massachusetts.  This role will be responsible for the design, development, and execution of a wholesale distribution strategy aligned with our organizational goals and values.  From there, this person will on an ongoing basis, build, foster, and maintain positive business relationships throughout our market with our customers.  They will ensure achievement of sales targets and individual sales KPIs across our portfolio of brands.  We are seeking an entrepreneurial leader who can identify needs and opportunities, a person who will roll their sleeves up and dive in.

     

    Primary Responsibilities:

    • Strategically identify potential customers who align with BVC’s core beliefs, initiate, and manage prospects through the sales pipeline, and close opportunities.
    • Utilize data analytics to responsibly manage inventory levels
    • Generate purchase orders and sales invoices for finished goods managed through Apex software
    • Establish strong relationships with customers through site visits, educational support, and providing a presence for promotional events 
    • Report weekly on KPI’s for all sold products with a focus on sales vs. plan and target margins.
    • Deliver on KPI’s such as increased distribution, re-order rates, and successful new product launches
    • Engages and coordinates with the Processing and Inventory teams for up-to-date product availability to consistently support order fulfillment.
    • Partners cross-functionally with various departments including marketing, planning and inventory to ensure customer satisfaction 
    • Present customers with product benefits, features, pricing, credit terms for full cycle of wholesale sales including investigating and correcting any customer issues
    • Be the primary point of contact for all wholesale customers with a demonstrated high level of customer service
    • Participate in the forecasting of monthly, quarterly and annual sales effectively
    • Constantly pursue a deep knowledge of market demands, trends and competitive analysis in cannabis and effectively translate those into actionable business objectives and operating plans.
    • Monitor competition and market trends by gathering information on pricing, products, market presence, and other key factors.
    • Participates in trade shows and other industry-related events, including evenings, weekends or holidays as needed
    • Solicits feedback to ensure that customer satisfaction and quality of product is always top-of-mind and addressed, as necessary
    • Track, manage and report all expenses, while adhering to communicated budgets 
    • Continually demonstrate strong business and financial acumen including cost analysis
    • Thoroughly understand and ensure BVC’s compliance with all state regulations and restrictions within the cannabis industry

     

    Skills & Qualifications:

    • BA/BS degree or equivalent relevant experience
    • 5-7 yrs. experience in sales/planning/wholesale management
    • Must have excellent communication skills, professional etiquette, and strong business acumen.
    • Must have excellent analytical ability, including problem solving and conceptual thinking
    • Solid financial acumen. Ability to comprehend basic financial reports and Profit & Loss Statements
    • Ability to track and analyze initiatives and performance to ensure we meet and/or exceed our revenue goals
    • Must be advanced user with Microsoft Office (Excel, Power Point, Word)
    • Excellent organizational, teamwork and negotiating skills
    • Self-motivated, resourceful, independent, and efficient
    • Knowledge of the cannabis industry and/or a desire to expand cannabis education

     

    Benefits:

    Health insurance, Dental insurance, Employee discount, Paid time off, 401(k)

  • 3 Days Ago

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Denial Resolution Specialist I
  • UMass Memorial Health
  • Worcester, MA FULL_TIME
  • Schedule Details:Monday through FridayScheduled Hours:40 hrsShift:1 - Day Shift, 8 Hours (United States of America)Hours:40This position may have a signing bonus available a member of the Recruitment ...
  • 19 Days Ago

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Anatomic Path Resolution Representative
  • Quest Diagnostics
  • Marlborough, MA FULL_TIME
  • Overview Anatomic Path Resolution Representative - Marlborough, MA - Monday to Friday 8:00AM - 4:00PMThe position is primarily responsible for resolving issues in regards to testing and reporting of H...
  • 20 Days Ago

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DENIAL RESOLUTION SPEC I
  • UMass Memorial Health
  • Worcester, MA FULL_TIME
  • Responsible for reviewing, analyzing and initiating appropriate action for denial resolution by communicating with payers, hospital departments and patients for data as assigned Major Responsibilities...
  • 1 Day Ago

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Specialist Dispute Resolution
  • United Site Services
  • Westborough, MA FULL_TIME
  • About USS: You may not always notice United Site Services, but we are always there - at construction sites, industrial facilities, and live events all across America. We take pride in providing essent...
  • 30 Days Ago

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Manager
  • Dunkin' | Apres West Network
  • Sturbridge, MA FULL_TIME
  • HIRING IMMEDIATELY!Do you have DUNKIN' experience and a background in restaurant management? You are who we have been looking for! ATTENTION LEADERS---no need to look further! You’re just who we’re lo...
  • Just Posted

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0 Appeal Resolution Manager jobs found in Worcester, MA area

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Senior Legal Counsel, Global Corporate Legal
  • Boston Scientific
  • Marlborough, MA
  • Work mode: Hybrid Onsite Location(s): Marlborough, MA, US, 01752 Diversity - Innovation - Caring - Global Collaboration ...
  • 4/25/2024 12:00:00 AM

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Contentful Sr. Support Engineer - L2
  • eTeam, Inc.
  • 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

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Bank Loan Services Operations, Assistant Vice President
  • State Street Corporation
  • Quincy, MA
  • Who we are looking for This roles requires a deep understanding of the complexities of servicing bank loan debt held in ...
  • 4/25/2024 12:00:00 AM

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Policy Search Analyst
  • Resolute Management, Inc.
  • 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

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Senior Legal Counsel, Global Corporate Legal
  • Boston Scientific
  • Marlborough, MA
  • Work mode: Hybrid Onsite Location(s): Marlborough, MA, US, 01752 Diversity - Innovation - Caring - Global Collaboration ...
  • 4/23/2024 12:00:00 AM

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Policy Search Analyst
  • Resolute Management Inc.
  • 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

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Executive Director, Head of Alliance Management
  • Frontier Medicines
  • 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

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Senior Project Manager - Provider Directory
  • IT Avalon
  • 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

Worcester has a total area of 38.6 square miles (100 km2), 37.6 square miles (97 km2) of land and 1.0 square mile (2.6 km2) (roughly 2.59%) of water. Worcester is bordered by the towns of Auburn, Grafton, Holden, Leicester, Millbury, Paxton, Shrewsbury, and West Boylston. Worcester is known as the Heart of the Commonwealth, because of its proximity to the center of Massachusetts. The city is about 40 miles (64 km) west of Boston, 50 miles (80 km) east of Springfield, and 38 miles (61 km) northwest of Providence, Rhode Island. The Blackstone River forms in the center of Worcester by the conflue...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$98,701 to $128,275
Worcester, Massachusetts area prices
were up 1.6% from a year ago

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