Appeal Resolution Specialist jobs in Atlantic City, NJ
Appeal Resolution Specialist logs, tracks, and processes appeals and grievances. Sets up and maintains case files for each grievance and collects the information required by organizational policies and applicable regulations. Being an Appeal Resolution Specialist conducts research and coordination needed to evaluate, process, respond to, and refer or close appeals. May require an associate degree or equivalent. Additionally, Appeal Resolution Specialist typically reports to a supervisor. The Appeal Resolution Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be an Appeal Resolution Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Recently Added Appeal Resolution Specialist jobs
Specialist Validation Specialist
- Pyramid Consulting, Inc
-
Warren, NJ
CONTRACTOR,FULL_TIME
-
Immediate need for a talented Senior Validation Specialist. This is a 12 Months Contract opportunity with long-term potential and is located in Warren, NJ (Onsite). Please review the job description below and contact me ASAP if you are interested.
Job ID: (phone number removed)
Pay Range: $52- $62/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
Performs validation document generation, program management, and protocol execution activities.
Interface with Engineering, and end user groups to support development of life cycle documents and system requirements.
Design the validation approach with technical oversight, provide the scientific rationale and acceptance criteria, and generate validation protocols.
Execute validation studies, perform data analysis, and write protocol summaries, reports, and technical reports.
Protocol execution and project activities.
Execute qualification activities with oversight.
Participate in department and site project teams.
Perform qualification activities according to site objectives and timelines.
Edit department SOPs and generate basic revisions as required.
Execute CAPA plans, risk assessments, investigations, and root cause analysis.
Working understanding of site quality GxP systems supporting document management, change controls, deviations, CAPAs.
Defend validation protocols in internal and external audits as a subject matter expert with limited supervision.
Interact and collaborate with departments (on and offsite) as well as vendors, consultants and other external service providers.
Performs general administrative and organizational activities.
Management of time and work deliverables, regular interface and reporting to management.
Complete regulatory, site, and department training requirements on a timely basis.
Perform other tasks as assigned.
Key Requirements and Technology Experience:
Working understanding of validation concepts and requirements.
Intermediate written and verbal communication skills.
Knowledge of cGMP.
Critical reasoning and decision making skills.
Knowledge of validation industry and regulatory requirements.
Ability to work independently and participate in a team.
Work and time management skills.
Working proficiency in Microsoft Word, Outlook, Excel, PowerPoint, and Project.
Bachelor’s degree preferred, preferably in Science or Engineering.
8 years relevant work experience required.
An equivalent combination of education, experience and training may substitute.
Our client is a leading Pharmaceutical Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type 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. - 2 Days Ago
Logistic specialist
- ST2 ManTech Advanced Systems Intl
-
Manchester, NJ
FULL_TIME
- Secure our Nation, Ignite your Future Become an integral part of a diverse team while working at an Industry Leading Organization, where our employees come first. At ManTech International Corporation,...
- 9 Days Ago
Relation specialist
- Oldcastle APG
-
Egg Harbor, NJ
FULL_TIME
- Job ID : 495559 Oldcastle APG, a CRH Company, is the leading provider of outdoor living solutions in North America with an award-winning portfolio that enables customers to Live Well Outside. Inspirin...
- 10 Days Ago
Investment specialist
- PNC
-
Lewes, DE
FULL_TIME
- Client Solution Specialist - PNC Investments Lewes , Delaware Apply Now At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in deliv...
- 11 Days Ago
Patient specialist
- Ensemble Health Partners
-
Lewes, DE
FULL_TIME
- Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including ho...
- 11 Days Ago
Accounting Specialist
- Morey's Piers
-
Wildwood, NJ
FULL_TIME
- The Morey Organization, a leading family recreation destination in Southern New Jersey, is seeking a highly motivated individual to fill the position of Accounting Specialist. Responsibilities include...
- 11 Days Ago
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0 Appeal Resolution Specialist jobs found in Atlantic City, NJ area
Director, Cloud Architecture Risk Specialist
- Capital One
-
Atlantic City, NJ
- Center 3 (19075), United States of America, McLean, Virginia Director, Cloud Architecture Risk Specialist Capital One is...
- 4/18/2024 12:00:00 AM
Supervisory Airway Transportation Specialist
- Department of Transportation
-
Atlantic City, NJ
- ** Supervisory Airway Transportation Specialist** **Department of Transportation** ** Air Traffic Safety Operations Over...
- 4/17/2024 12:00:00 AM
Service Desk Support Specialist - Tier II
- US LBM Corporate
-
Hammonton, NJ
- US LBM is one of the leading and fastest growing distributors of specialty building materials in the United States, with...
- 4/16/2024 12:00:00 AM
SECURITY SPECIALIST
- Resorts Casino Hotel
-
Atlantic City, NJ
- Responsibilities: Provides basic security coverage ensuring that adequate protection is provided for the safety and asse...
- 4/16/2024 12:00:00 AM
Airway Transportation System Specialist
- Department of Transportation
-
Atlantic City, NJ
- ** Airway Transportation System Specialist** **Department of Transportation** ** Air Traffic Safety Operations Oversight...
- 4/15/2024 12:00:00 AM
2023 - Delivery Expert
- Domino's Pizza Enterprises Ltd
-
Linwood, NJ
- 2023 - Delivery Expert Location: Linwood - 98686 Posted on: 08 August 2023 If you have a passion for pizza, and the abil...
- 4/14/2024 12:00:00 AM
Airway Transportation System Specialist
- Federal Aviation Administration
-
Atlantic City, NJ
- ** Airway Transportation System Specialist** **Department of Transportation** ** Air Traffic Safety Operations Oversight...
- 4/14/2024 12:00:00 AM
Air Traffic Control Specialist (Staff Support Specialist)
- Federal Aviation Administration
-
Atlantic City, NJ
- ** Air Traffic Control Specialist (Staff Support Specialist)** **Department of Transportation** ** Eastern Region, ATO, ...
- 4/14/2024 12:00:00 AM
About Atlantic City, New Jersey
Atlantic City is a resort city in Atlantic County, New Jersey, United States, known for its casinos, boardwalk, and beaches. In 2010, the city had a population of 39,558.[21][22] It was incorporated on May 1, 1854, from portions of Egg Harbor Township and Galloway Township.[23] It borders Absecon, Brigantine, Pleasantville, Ventnor City, Egg Harbor Township, and the Atlantic Ocean.
Atlantic City inspired the U.S. version of the board game Monopoly, especially the street names. Since 1921, Atlantic City has been the home of the Miss America pageant. In 1976, New Jersey voters legalized casino g...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$51,054 to $63,247
Atlantic City, New Jersey area prices
were up 1.5% from a year ago
were up 1.5% from a year ago
What does an Appeal Resolution Specialist do?
Appeal Resolution Specialist in Colorado Springs, CO
As a Appeals Resolution Specialist, you will work directly with our Shared Service Centerproviding follow up to denied claims.
February 22, 2020
Appeal Resolution Specialist in Fort Smith, AR
Overcome objections that prevent payment of the claim and gain commitment forpayment through concise and effective appeal argument.
February 01, 2020
Appeal Resolution Specialist in Middlesex, NJ
Coordinate the overall process of complaint resolution, responding to all verbal and written complaints from members and/or providers relating to member eligibility and benefits, contract administration, claims processing, utilization management decisions, pharmacy and vision decisions.
January 25, 2020