San Bernardino, CA · On-site
$33.50 - $39.50/hr
Experience Minimum: 5+ years of experience processing managed care health claims. Preferred: 2+ years of direct Provider Dispute Resolution and/or Appeals experience within Medicare, Medi-Cal ...
San Bernardino, CA · On-site
$33.50 - $39.50/hr
Experience Minimum: 5+ years of experience processing managed care health claims. Preferred: 2+ years of direct Provider Dispute Resolution and/or Appeals experience within Medicare, Medi-Cal ...
... Dispute Resolution for our Construction Consulting Practice in Oakland, CA . In this role, you will ... S. in Civil Engineering, Construction Management, or Architecture. Advanced degree(s) and ...
... Dispute Resolution for our Construction Consulting Practice in Oakland, CA . In this role, you will ... S. in Civil Engineering, Construction Management, or Architecture. Advanced degree(s) and ...
Alexandria, VA · On-site
$230K - $320K/yr
... Dispute Resolution for our Construction Consulting Practice in our New York, NY or Alexandria, VA ... S. in Civil Engineering, Construction Management, or Architecture. Advanced degree(s) and ...
Alexandria, VA · On-site
$230K - $320K/yr
... Dispute Resolution for our Construction Consulting Practice in our New York, NY or Alexandria, VA ... S. in Civil Engineering, Construction Management, or Architecture. Advanced degree(s) and ...
... Dispute Resolution for our Construction Consulting Practice in Oakland, CA . In this role, you will ... S. in Civil Engineering, Construction Management, or Architecture. Advanced degree(s) and ...
... Dispute Resolution for our Construction Consulting Practice in Oakland, CA . In this role, you will ... S. in Civil Engineering, Construction Management, or Architecture. Advanced degree(s) and ...
Irvine, CA · On-site
WHAT YOU WILL DO The Dispute Resolution Associate is responsible for investigating and responding ... Manage individual productivity to ensure both production and SLA targets are met. * Partner with ...
New
Irvine, CA · On-site
WHAT YOU WILL DO The Dispute Resolution Associate is responsible for investigating and responding ... Manage individual productivity to ensure both production and SLA targets are met. * Partner with ...
New
... Dispute Resolution for our Construction Consulting Practice in our New York, NY or Alexandria, VA ... S. in Civil Engineering, Construction Management, or Architecture. Advanced degree(s) and ...
... Dispute Resolution for our Construction Consulting Practice in our New York, NY or Alexandria, VA ... S. in Civil Engineering, Construction Management, or Architecture. Advanced degree(s) and ...
Irvine, CA · On-site
WHAT YOU WILL DO The Dispute Resolution Associate is responsible for investigating and responding ... Manage individual productivity to ensure both production and SLA targets are met. * Partner with ...
New
Irvine, CA · On-site
WHAT YOU WILL DO The Dispute Resolution Associate is responsible for investigating and responding ... Manage individual productivity to ensure both production and SLA targets are met. * Partner with ...
New
Medi-Cal, Medicare, and D-SNP programs, including eligibility, benefits, and managed care ... dispute resolution, claims analysis, provider reimbursement, or a related managed care or health ...
Medi-Cal, Medicare, and D-SNP programs, including eligibility, benefits, and managed care ... dispute resolution, claims analysis, provider reimbursement, or a related managed care or health ...
Irvine, CA · On-site
$48K - $72K/yr
WHAT YOU WILL DO The Dispute Resolution Associate is responsible for investigating and responding ... Manage individual productivity to ensure both production and SLA targets are met. * Partner with ...
New
Irvine, CA · On-site
$48K - $72K/yr
WHAT YOU WILL DO The Dispute Resolution Associate is responsible for investigating and responding ... Manage individual productivity to ensure both production and SLA targets are met. * Partner with ...
New
Plano, TX · On-site
WHAT YOU WILL DO The Dispute Resolution Associate is responsible for investigating and responding ... Manage individual productivity to ensure both production and SLA targets are met. * Partner with ...
New
Plano, TX · On-site
WHAT YOU WILL DO The Dispute Resolution Associate is responsible for investigating and responding ... Manage individual productivity to ensure both production and SLA targets are met. * Partner with ...
New
Medi-Cal, Medicare, and D-SNP programs, including eligibility, benefits, and managed care ... dispute resolution, claims analysis, provider reimbursement, or a related managed care or health ...
Medi-Cal, Medicare, and D-SNP programs, including eligibility, benefits, and managed care ... dispute resolution, claims analysis, provider reimbursement, or a related managed care or health ...
Tulsa, OK · On-site
Effectively lead and oversee the regional dispute resolution organization, directly managing CX Supervisors and Customer Experience Specialists (CXSs). * Serve as the primary point of contact and ...
Tulsa, OK · On-site
Effectively lead and oversee the regional dispute resolution organization, directly managing CX Supervisors and Customer Experience Specialists (CXSs). * Serve as the primary point of contact and ...
San Francisco, CA · On-site
$200K - $212K/yr
The Dispute Resolution Practice Withers has defended the interests of successful individuals ... Oversee and manage state and federal insurance claims for both pre-litigation and litigation phases ...
San Francisco, CA · On-site
$200K - $212K/yr
The Dispute Resolution Practice Withers has defended the interests of successful individuals ... Oversee and manage state and federal insurance claims for both pre-litigation and litigation phases ...
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.
San Francisco, CA · On-site
$235K - $280K/yr
The Dispute Resolution Practice Withers has defended the interests of successful individuals ... Manage all aspects of discovery, including drafting and responding to requests, negotiating with ...
San Francisco, CA · On-site
$235K - $280K/yr
The Dispute Resolution Practice Withers has defended the interests of successful individuals ... Manage all aspects of discovery, including drafting and responding to requests, negotiating with ...
Tulsa, OK · On-site
Effectively lead and oversee the regional dispute resolution organization, directly managing CX Supervisors and Customer Experience Specialists (CXSs). * Serve as the primary point of contact and ...
Tulsa, OK · On-site
Effectively lead and oversee the regional dispute resolution organization, directly managing CX Supervisors and Customer Experience Specialists (CXSs). * Serve as the primary point of contact and ...
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.
Address skill gaps and support management of real-time assignments and tasks * Independently ... Experience in the alternative dispute resolution field and management of FINRA arbitration cases ...
Address skill gaps and support management of real-time assignments and tasks * Independently ... Experience in the alternative dispute resolution field and management of FINRA arbitration cases ...
The Member Dispute Resolution Specialist is responsible for guiding members through the process of ... Manages conflict * Cultivates innovation * Action-oriented Physical Demands * While performing the ...
The Member Dispute Resolution Specialist is responsible for guiding members through the process of ... Manages conflict * Cultivates innovation * Action-oriented Physical Demands * While performing the ...
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.
$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.
Cities with the most Dispute Resolution Manager job openings:
The most popular types of Dispute Resolution jobs are:
States with the most job openings for Dispute Resolution Manager jobs include:
For Dispute Resolution Manager jobs, the most frequently searched job titles are:
San Bernardino, CA • On-site
$33.50 - $39.50/hr
Full-time
Re-posted 16 days ago
JOB SUMMARY
The Provider Dispute Resolution Specialist is responsible for the accurate, timely, and compliant review and resolution of provider disputes and appeals related to claims adjudication, reimbursement, coding, and authorization determinations. This role ensures compliance with applicable California state and federal regulations, contractual obligations, and internal policies while supporting positive provider relations.
Requirements:MINIMUM & PREFERRED QUALIFICATIONS
Education/Training
Minimum: High school diploma or equivalent.
Preferred: Coursework or training in healthcare administration, medical billing, or related field.
Experience
Minimum: 5+ years of experience processing managed care health claims.
Preferred: 2+ years of direct Provider Dispute Resolution and/or Appeals experience within Medicare, Medi-Cal/Medicaid, Commercial, PPO, and/or HMO environments.
Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.
Skills, Knowledge & Abilities
· Strong working knowledge of managed care claims operations and regulatory requirements, including dispute and appeal timeliness standards.
· Proficiency with medical coding concepts (ICD-10, CPT, HCPCS, DRG, ASC).
· Experience with UB-04 and CMS-1500 claim forms.
· Ability to analyze complex data, identify discrepancies, and apply contract terms accurately.
· Strong written and verbal communication skills in English.
· Effective time management skills with the ability to manage competing priorities and workload volumes.
· Intermediate proficiency with Microsoft Office applications, including Word and Excel.
· Demonstrated problem-solving skills and attention to detail.
PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS
The physical, mental, and environmental demands described here are representative of those required to successfully perform the essential functions of this job. This position primarily involves sedentary work with routine use of a computer and standard office equipment. The role may require occasional light physical activity (up to 10 pounds) and brief periods of bending, reaching, or filing. The employee must be able to maintain concentration for extended periods, analyze detailed information, and meet regulatory deadlines, with or without reasonable accommodation.
PAY RANGE
$33.50 - $39.50 / hourly
