Appeal Resolution Specialist jobs in Rapid City, SD

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)

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HR Specialist
  • National Park Service
  • Hermosa, SD PART_TIME

  • These positions serve as a senior level HR Specialist performing a full range of tasks and/or providing technical guidance to other human resource professionals in any one, or a combination of the following functions: classification and position management, recruitment and placement, HR information systems, performance management, human resources development, employee relations, labor relations, and compensation.Qualifications:All qualifications must be met by the closing date of this announcement-03/25/2024-unless otherwise stated in this vacancy announcement.

    Credit will be given for all appropriate qualifying experience. For current Federal employees, if hours worked per week are not included on your resume, you must submit a non-award SF-50 as part of your application to be used to validate your work schedule and determine the amount of specialized experience that you will be granted. An award SF-50 will not be acceptable documentation for which to consider your amount of qualifying experience. For all other applicants who are not current federal employees, your resume must state either "full-time" (or "40 hours a week") or "part-time" with the number of hours worked per week to ensure proper crediting of specialized experience.

    For periods of time that reflect military service, the DD-214 or Statement of Service is sufficient to meet the full and/or part-time hours requirement as the service dates will be reflected.

    To qualify for this position at the GS-12 grade level, you must possess the following minimum qualifications by close of the announcement:

    EXPERIENCE: At least one full year of specialized experience comparable in scope and responsibility to the GS-11 grade level in the Federal service (obtained in either the public or private sectors). Examples of specialized experience would typically include but are not limited to federal service that demonstrates HR management knowledge, concepts and principles and the performance of work in one or more of the HR specialty areas. Such experience may be gained in administrative, professional, technical or other responsible work positions in the public (i.e., Government or military) or private sector. Qualifying specialized experience includes, but not limited to: Providing staffing and placement services; performing internal placement duties including conducting job analysis, preparing promotion and placement products; advising on recruitment strategies; conducting research; experience in USA Staffing; experience with recruitment/relocation incentives and PCS; applying of the range of administrative laws, policies, regulations, and precedents applicable to the development of HR staff to obtain of optimal efficiency within the department; using adult learning principles and experiential techniques, employee development systems, and training methods/tools/techniques to design a variety of presentation and/or instructional modules or workshops; using various multimedia tools and technology for presentations and workshops; applying change management principles, strategies, and techniques required for effectively planning, implementing, and evaluating change in the organization; conducting personal one-on-one coaching, and group public speaking that motivates people and inspires support and applying knowledge and information gained about trends and innovations, together with first- hand knowledge of issues and challenges faced by the clients served and modifies training and consulting approaches accordingly. You must include hours per week worked.

    ICTAP/CTAP Clearance: Current surplus and current or former displaced Federal individuals who have special priority selection rights under the Agency Career Transition Assistance Program (CTAP) or the Interagency Career Transition Assistance Program (ICTAP) must be well qualified for the position to receive consideration for special priority selection. Well qualified means that the applicant meets the following: OPM qualification standards for the position; all selective placement factors, where applicable; special qualifying conditions that OPM has approved for the position, where applicable; is physically qualified with reasonable accommodation, where appropriate to satisfactorily perform the duties of the position upon entry; and is rated by the organization at least at the well qualified level on all competencies. Federal employees seeking CTAP/ICTAP eligibility must submit proof that they meet the requirements of 5 CFR 330.605(2) for CTAP and 5 CFR 330.704 for ICTAP. This includes a copy of the agency notice, a copy of their most recent Performance Rating, and a copy of their most recent SF-50 noting current position, grade level, and duty location. Please annotate your application to reflect that you are applying as a CTAP/ICTAP eligible. If you are selected for Federal employment, you will be required to fill out a Declaration of Federal Employment, OF-306, prior to being appointed to determine your suitability for Federal employment and to authorize a background investigation. Failing to answer all questions truthfully and completely or providing false statements on your application may be grounds for not hiring you, or for firing you after you begin work. Also, you may be punished by fine or imprisonment (U.S. Code, Title 18, section 1001).

    For more information, select the following link(s): 1) Interagency Career Transition Assistance Program (CTAP), 2) Career Transition Program (CTAP), and/or 3) Veteran Employment Opportunities Act (VEOA).


    Volunteer Experience: Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.Education:There is no substitution of education for experience at the grade level(s) of this announcement.Employment Type: PART_TIME
  • 14 Days Ago

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Patient specialist
  • 62 Monument Health Spearfish Hospital
  • Spearfish, SD FULL_TIME
  • Description Essential Job Functions : Accountable for accurately collecting demographics, confirming patient identity, guarantor assignment, and coverage information and verification from patients or ...
  • 15 Days Ago

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Election Specialist
  • Pennington County, SD
  • Rapid, SD FULL_TIME
  • Position Description About Pennington County: We provide quality public services, as determined by law and citizen needs, through innovative leadership and the teamwork of its people, officials, and e...
  • 17 Days Ago

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Risk Specialist
  • BLACK HILLS FEDERAL CREDIT UNION
  • Rapid, SD OTHER
  • Job Details Job Location: Corporate Office - Rapid City, SD Salary Range: Undisclosed Job Category: Banking DescriptionWho We Are We have the fundamental belief that we, as an organization, can and wi...
  • 20 Days Ago

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Staffing Specialist
  • PeopleReady
  • Rapid, SD FULL_TIME
  • This job offer is not available in your country. Job Description We are searching for a motivated individual who enjoys variety in their day and thrives in a fast-paced environment to join our team as...
  • Just Posted

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Election Specialist
  • Pennington County
  • Rapid, SD FULL_TIME
  • About Pennington County: We provide quality public services, as determined by law and citizen needs, through innovative leadership and the teamwork of its people, officials, and employees. Our Employe...
  • Just Posted

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0 Appeal Resolution Specialist jobs found in Rapid City, SD area

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Direct Market Manager - Lifeline and ACP Expert (South Dakota - Rapid City)
  • ThinkTank LLC
  • Rapid City, SD
  • Job Description Job Description ThinkTank Telecom, LLC is actively seeking a motivated and entrepreneurial Direct Market...
  • 4/23/2024 12:00:00 AM

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Physical Therapist (Clinical Specialist)-Pain
  • Veterans Health Administration
  • Fort Meade, SD
  • Summary Responsible for the care and treatment of patients referred to the Physical Therapy Department in all clinics bo...
  • 4/22/2024 12:00:00 AM

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Public Relations Specialist (Information Specialist)
  • South Dakota State University
  • Rapid City, SD
  • Posting Details Posting Details Logo Institution South Dakota Mines Working Title Public Relations Specialist (Informati...
  • 4/22/2024 12:00:00 AM

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Accreditation Specialist
  • Sanford Health
  • Rapid City, SD
  • Sanford Health Accreditation Specialist City - Remote SD , South Dakota Apply Now Sanford Health is one of the largest a...
  • 4/22/2024 12:00:00 AM

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Titling Specialist
  • Equipment Financing
  • Rapid City, SD
  • The Title Specialist is responsible for gathering documentation to send titles out to the title agencies for processing ...
  • 4/21/2024 12:00:00 AM

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IT Support Specialist
  • Catholic Social Services
  • Rapid City, SD
  • Position Summary Catholic Social Services is seeking a part-time IT Support Specialist. The IT Support Specialist will b...
  • 4/19/2024 12:00:00 AM

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Communications and PR Specialist
  • Strider Bikes
  • Rapid City, SD
  • Job Description Job Description Position: Communications & PR Specialist Location: Rapid City, SD Strider is looking for...
  • 4/19/2024 12:00:00 AM

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Merchandising & Product Demonstration Specialist
  • SAS Retail Services
  • Rapid City, SD
  • Join our dynamic team as a Merchandising & Product Demonstration Specialist! In this multifaceted role, you'll excel in ...
  • 4/3/2024 12:00:00 AM

Rapid City is located at 44°04′34″N 103°13′42″W / 44.076188°N 103.228299°W / 44.076188; -103.228299. The downtown elevation of Rapid City is 3,202 feet (976 m) and Rapid City sits in the shadow of Black Elk Peak, which at 7,242 feet (2,207 m), is the highest point east of the Rocky Mountains. According to the United States Census Bureau, the city has a total area of 55.49 square miles (143.71 km2), of which 55.41 square miles (143.5 km2) is land and 0.08 square mile (0.2 km2) is water. Rapid City is located on the eastern edge of the Black Hills, and is split in half by the Dakota Hogback. ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$42,426 to $52,558
Rapid City, South Dakota area prices
were up 0.8% from a year ago

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