PROVIDER DISPUTE RESOLUTION SPECIALIST
$42.79 - $48.75/hr
Review and resolve provider payment disputes and appeals for Medi-Cal Managed Care, Medicare ... Knowledge of Medi-Cal & Medicare Advantage claims reimbursement and dispute resolution.
$42.79 - $48.75/hr
Review and resolve provider payment disputes and appeals for Medi-Cal Managed Care, Medicare ... Knowledge of Medi-Cal & Medicare Advantage claims reimbursement and dispute resolution.
$42.79 - $48.75/hr
Review and resolve provider payment disputes and appeals for Medi-Cal Managed Care, Medicare ... Knowledge of Medi-Cal & Medicare Advantage claims reimbursement and dispute resolution.
Burlingame, CA · On-site
$42.79 - $48.75/hr
Review and resolve provider payment disputes and appeals for Medi-Cal Managed Care, Medicare ... Knowledge of Medi-Cal & Medicare Advantage claims reimbursement and dispute resolution.
Burlingame, CA · On-site
$42.79 - $48.75/hr
Review and resolve provider payment disputes and appeals for Medi-Cal Managed Care, Medicare ... Knowledge of Medi-Cal & Medicare Advantage claims reimbursement and dispute resolution.
$42.79 - $48.75/hr
Review and resolve provider payment disputes and appeals for Medi-Cal Managed Care, Medicare ... Knowledge of Medi-Cal & Medicare Advantage claims reimbursement and dispute resolution.
$42.79 - $48.75/hr
Review and resolve provider payment disputes and appeals for Medi-Cal Managed Care, Medicare ... Knowledge of Medi-Cal & Medicare Advantage claims reimbursement and dispute resolution.
Key responsibilities for the Senior Dispute Resolution Specialist include researching, resolving ... Performs all other duties as assigned by Management * Provide peer coaching on best practices ...
Key responsibilities for the Senior Dispute Resolution Specialist include researching, resolving ... Performs all other duties as assigned by Management * Provide peer coaching on best practices ...
Who we are: nimble solutions is a leading provider of revenue cycle management solutions for ... We are currently seeking an Independent Dispute Resolution Specialist (NSA Specialist) to provide ...
Who we are: nimble solutions is a leading provider of revenue cycle management solutions for ... We are currently seeking an Independent Dispute Resolution Specialist (NSA Specialist) to provide ...
Who we are: nimble solutions is a leading provider of revenue cycle management solutions for ... We are currently seeking an Independent Dispute Resolution Specialist (NSA Specialist) to provide ...
Who we are: nimble solutions is a leading provider of revenue cycle management solutions for ... We are currently seeking an Independent Dispute Resolution Specialist (NSA Specialist) to provide ...
Key responsibilities for the Senior Dispute Resolution Specialist include researching, resolving ... Performs all other duties as assigned by Management * Provide peer coaching on best practices ...
Key responsibilities for the Senior Dispute Resolution Specialist include researching, resolving ... Performs all other duties as assigned by Management * Provide peer coaching on best practices ...
Manhattan, NY · On-site
$75K - $85K/yr
Job Code 1180 Department Name Health Fund Admin Reports To Manager, Health Fund Operations FLSA ... The Claims Dispute Resolution Analyst will collaborate with internal teams, healthcare providers ...
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Manhattan, NY · On-site
$75K - $85K/yr
Job Code 1180 Department Name Health Fund Admin Reports To Manager, Health Fund Operations FLSA ... The Claims Dispute Resolution Analyst will collaborate with internal teams, healthcare providers ...
Who we are: nimble solutions is a leading provider of revenue cycle management solutions for ... We are currently seeking an Independent Dispute Resolution Specialist (NSA Specialist) to provide ...
Quick apply
Who we are: nimble solutions is a leading provider of revenue cycle management solutions for ... We are currently seeking an Independent Dispute Resolution Specialist (NSA Specialist) to provide ...
The ideal candidate will be responsible for managing and resolving medical billing disputes efficiently and in compliance with regulatory requirements. The Independent Dispute Resolution (IDR) Claims ...
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The ideal candidate will be responsible for managing and resolving medical billing disputes efficiently and in compliance with regulatory requirements. The Independent Dispute Resolution (IDR) Claims ...
The ideal candidate will be responsible for managing and resolving medical billing disputes efficiently and in compliance with regulatory requirements. The Independent Dispute Resolution (IDR) Claims ...
The ideal candidate will be responsible for managing and resolving medical billing disputes efficiently and in compliance with regulatory requirements. The Independent Dispute Resolution (IDR) Claims ...
... a Dispute Resolution Paralegal (IDR) to support the resolution of complex healthcare payment ... We value professionals with strong judgment, attention to detail, and the ability to manage ...
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... a Dispute Resolution Paralegal (IDR) to support the resolution of complex healthcare payment ... We value professionals with strong judgment, attention to detail, and the ability to manage ...
New York, NY · Remote
$115 - $135/hr
... and managing complex dispute workflows * Familiarity with arbitration rules, procedural orders ... Apply arbitration and dispute resolution expertise to structured remote project work * Contribute ...
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New York, NY · Remote
$115 - $135/hr
... and managing complex dispute workflows * Familiarity with arbitration rules, procedural orders ... Apply arbitration and dispute resolution expertise to structured remote project work * Contribute ...
Manhattan, NY · On-site
$95.80K - $125.70K/yr
Manages highly complex cases, including those involving multiple parties or unique administration ... for all types of resolution services the company and its Panelists offer; mastery of the ...
Manhattan, NY · On-site
$95.80K - $125.70K/yr
Manages highly complex cases, including those involving multiple parties or unique administration ... for all types of resolution services the company and its Panelists offer; mastery of the ...
Senior Manager, Dispute Resolution Operations *This position requires on-site presence in McLean, VA 4-5 days a week. WHO WE ARE We are a non-profit organization dedicated to fostering a more ...
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Senior Manager, Dispute Resolution Operations *This position requires on-site presence in McLean, VA 4-5 days a week. WHO WE ARE We are a non-profit organization dedicated to fostering a more ...
Manhattan, NY · On-site
$95.80K - $125.70K/yr
Manages highly complex cases, including those involving multiple parties or unique administration ... for all types of resolution services the company and its Panelists offer; mastery of the ...
Manhattan, NY · On-site
$95.80K - $125.70K/yr
Manages highly complex cases, including those involving multiple parties or unique administration ... for all types of resolution services the company and its Panelists offer; mastery of the ...
Manhattan, NY · On-site
Manages highly complex cases, including those involving multiple parties or unique administration ... for all types of resolution services the company and its Panelists offer; mastery of the ...
Manhattan, NY · On-site
Manages highly complex cases, including those involving multiple parties or unique administration ... for all types of resolution services the company and its Panelists offer; mastery of the ...
Atlanta, GA · On-site
Manage designated aspects of the No Surprises Act IDR and state dispute resolution processes, from case initiation through final payer determination. * Prepare and submit Final Offers through the CMS ...
Atlanta, GA · On-site
Manage designated aspects of the No Surprises Act IDR and state dispute resolution processes, from case initiation through final payer determination. * Prepare and submit Final Offers through the CMS ...
Atlanta, GA · On-site
Manage designated aspects of the No Surprises Act IDR and state dispute resolution processes, from case initiation through final payer determination. * Prepare and submit Final Offers through the CMS ...
Atlanta, GA · On-site
Manage designated aspects of the No Surprises Act IDR and state dispute resolution processes, from case initiation through final payer determination. * Prepare and submit Final Offers through the CMS ...
Perform all other duties as assigned by your supervisor or manager. Qualifications Qualified candidates must have a working knowledge in the following: * 10+ years of construction dispute resolution ...
Perform all other duties as assigned by your supervisor or manager. Qualifications Qualified candidates must have a working knowledge in the following: * 10+ years of construction dispute resolution ...
$34K - $41.3K
19% of jobs
$48.3K is the 25th percentile. Wages below this are outliers.
$41.3K - $48.6K
6% of jobs
$48.6K - $56K
9% of jobs
The median wage is $61.3K / yr.
$56K - $63.3K
21% of jobs
$63.3K - $70.6K
9% of jobs
$70.6K - $77.9K
4% of jobs
$82.2K is the 75th percentile. Wages above this are outliers.
$77.9K - $85.2K
9% of jobs
$85.2K - $92.5K
4% of jobs
$92.5K - $99.9K
2% of jobs
$99.9K - $107.2K
3% of jobs
$107.2K - $114.5K
12% of jobs
$34K
$70.3K
$114.5K
| Aspect | Dispute Resolution Manager | Contract Manager |
|---|---|---|
| Primary Focus | Managing and resolving disputes between parties | Negotiating, drafting, and managing contracts |
| Required Credentials | Legal or conflict resolution certifications often preferred | Legal, business, or contract management certifications |
| Work Environment | Legal teams, corporate offices, or consulting firms | Legal departments, procurement, or project teams |
| Industry Usage | Legal, construction, corporate, and government sectors | Construction, manufacturing, IT, and corporate sectors |
While both roles involve legal and contractual knowledge, a Dispute Resolution Manager specializes in resolving conflicts, whereas a Contract Manager focuses on creating and overseeing contracts. Understanding these differences helps organizations assign the right expertise for dispute handling versus contract administration.

$42.79 - $48.75/hr
Other
Medical, Dental, Vision, Retirement
Posted 26 days ago
The MSO department seeks a PDR Specialist with strong verbal and written communication skills to handle provider disputes and appeals related to claims payments. This role involves researching, evaluating, and resolving claims disputes in line with regulations, policies, and industry standards. The specialist will also conduct root cause analyses, process claims readjustments, support system improvements, and manage the overpayment recoupment process.
The role requires an individual with strong analytic skills and critical thinking/problem solving skills. This individual must also have exceptional interpersonal skills to build and maintain positive working relationships.
Key Responsibilities:
LANGUAGE:
STATUS:
NEMS is proud to be an Equal Opportunity Employer welcoming diversity in our workforce. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
NEMS BENEFITS: Competitive benefits, including free medical, dental and vision insurance for employee, spouse and/or children; and company contribution to 401(k).
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Health care and social assistance
51 - 200 Employees
San Francisco, CA, US
1968