Note: The job is a remote job and is open to candidates in USA. Akkodis is seeking a Clinical Appeals Manager to perform senior-level supervisory work and manage clinical appeals and project-related activities. The role oversees medical and non-medical appeals decisions, supervises staff workflows, manages stakeholders, and leads process improvement initiatives.
Responsibilities
- Plan and manage project activities aligned to contract deliverables
- Develop standardized approaches for sharing project information
- Prepare presentations and instructional materials within areas of responsibility
- Lead and facilitate regular team meetings
- Manage, train, and supervise staff workflows and productivity
- Establish and maintain relationships with external stakeholders
- Identify opportunities to improve efficiency and control costs
- Analyze workflow trends and implement improvement strategies
- Support special projects and perform additional duties as assigned
Skills
- Associate's degree (or equivalent experience) required
- Additional clinical or medical administration experience may substitute for formal education
- 3–5 years of clinical or medical administration experience
- 3+ years of management or supervisory experience
- Demonstrated experience with medical necessity review
- Active Nursing License
- Background in Nursing, Physical Therapy, Respiratory Therapy, or Occupational Therapy preferred
Benefits
- Medical
- Dental
- Vision
- Life insurance
- Short-term disability
- Additional voluntary benefits
- EAP program
- Commuter benefits
- A 401K plan
- Paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law
- Holiday pay where applicable
Company Overview
Company H1B Sponsorship