Manager - Grievance/Appeals

Are you ready to join a team of passionate professionals dedicated to improving healthcare? Elevance Health is looking for an experienced Manager - Grievance/Appeals to join our team. The successful candidate will oversee the effective and efficient handling of appeals and grievances throughout the organization. We are seeking a team-oriented professional with excellent problem-solving and communication skills, and the ability to manage a variety of tasks simultaneously. The ideal candidate must demonstrate a commitment to excellence, have strong customer service skills, and the ability to take initiative.If you have a passion for helping others and are looking for an opportunity to make a difference in healthcare, this could be the perfect role for you!

Responsibilities:

1. Oversee the effective and efficient handling of appeals and grievances throughout the organization.
2. Ensure customer service standards are maintained and exceeded.
3. Monitor the status of appeals and grievances, and take appropriate action when necessary.
4. Develop and implement policies and procedures to ensure compliance with applicable regulations.
5. Liaise with internal and external stakeholders to resolve issues in a timely manner.
6. Ensure that all appeals and grievances are handled in accordance with organizational policies and procedures.
7. Monitor and analyze trends in appeals and grievances and recommend process improvements.
8. Prepare and submit reports on appeals and grievances to senior leadership.
9. Provide guidance and support to staff in the appeals and grievances process.
10. Collaborate with other departments to ensure customer satisfaction.

According to JobzMall, the average salary range for a Manager - Grievance/Appeals in Indianapolis, IN, USA is typically between $38,095 and $75,337. This range includes base salary, bonus, and other forms of compensation, such as health insurance benefits, vacation time, and other benefits. The exact compensation will depend on experience, qualifications, and other factors.

Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.