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$36.5K

$118K

$212.5K

How much do manager appeals jobs pay per year?

As of Jun 1, 2026, the average yearly pay for manager appeals in the United States is $118,006.00, according to ZipRecruiter salary data. Most workers in this role earn between $86,000.00 and $139,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Manager Appeals, and why are they important?

To thrive as a Manager Appeals, you need in-depth knowledge of healthcare regulations, appeals processes, and a background in health administration or a related field, often supported by a bachelor’s degree. Familiarity with case management systems, claims processing software, and regulatory compliance tools is typically required. Strong leadership, analytical thinking, and communication skills help in guiding teams, resolving complex cases, and collaborating with stakeholders. These skills are crucial to ensure timely, accurate resolution of appeals, maintain compliance, and support organizational goals.

How does a Manager Appeals typically collaborate with other departments to resolve complex cases?

A Manager Appeals works closely with departments such as legal, compliance, customer service, and clinical teams to ensure appeals are resolved accurately and efficiently. They often facilitate cross-functional meetings to review complex cases, clarify regulations, and develop solutions that align with company policies and industry standards. This role requires strong communication and negotiation skills, as well as the ability to interpret and apply regulations while balancing organizational goals and member needs.

What are Manager Appeals?

A Manager of Appeals is a professional responsible for overseeing the appeals process within an organization, typically in fields like healthcare, insurance, or finance. They manage a team that reviews and resolves appeals or grievances filed by clients, customers, or members regarding denied claims or decisions. Their role involves ensuring compliance with regulations, maintaining quality standards, and providing guidance to staff to ensure fair and timely resolutions. Strong analytical, communication, and leadership skills are essential for this position.

What is the difference between Manager Appeals vs Customer Service Manager?

AspectManager AppealsCustomer Service Manager
Required CredentialsBachelor's degree, legal or administrative background often preferredBachelor's degree in business, communications, or related field
Work EnvironmentLegal or administrative settings, corporate officesCustomer service centers, retail, or corporate offices
Employer & Industry UsageInsurance, healthcare, government agenciesRetail, hospitality, telecommunications
Common Search & ComparisonFocuses on legal or administrative appeals processesFocuses on managing customer service teams and satisfaction

Manager Appeals and Customer Service Manager roles share similarities in leadership and communication skills but differ mainly in their focus areas. Manager Appeals typically handles legal or administrative appeals within organizations, requiring specific credentials and experience in legal or administrative processes. Customer Service Managers oversee customer relations and satisfaction, often in retail or service industries. Understanding these differences helps job seekers find roles aligned with their skills and career goals.

What cities are hiring for Manager Appeals jobs? Cities with the most Manager Appeals job openings:
What are the most commonly searched types of Appeals jobs? The most popular types of Appeals jobs are:
What states have the most Manager Appeals jobs? States with the most job openings for Manager Appeals jobs include:
Manager Appeals jobs near you
Infographic showing various Manager Appeals job openings in the United States as of May 2026, with employment types broken down into 100% Full Time. Highlights an 86% Physical, and 14% Remote job distribution, with an average salary of $118,006 per year, or $56.7 per hour.
Manager, Appeals & Grievances

Manager, Appeals & Grievances

Molina Healthcare

Long Beach, CA • On-site

Full-time

Posted 3 hours ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 191 frontline employees who took The Breakroom Quiz

144th of 259 rated insurance

Job description

JOB DESCRIPTION Job Summary

Leads and manages team responsible for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS).

Essential Job Duties

Manages team responsible for the submission/resolution of member and provider appeals and grievances; ensures resolutions are compliant  with applicable standards and requirements.
Assesses and audits business processes to determine effective and efficient resolution of member and provider grievances.
Serves as primary interface with stakeholders and business partners, and ensures standard processes are implemented.
Oversees preparation of narratives, graphs, flowcharts, etc. to be used for committee presentations, audits and internal/external reports; oversees necessary correspondence in accordance with regulatory requirements.
Ensures claims production standards set by the department are met.
Maintains call tracking system of correspondence and outcomes for provider and member appeals/grievances; oversees/monitors appeals to ensure all internal and regulatory timelines are met.
 

Required Qualifications

At least 7 years of managed care experience in a call center, appeals, and/or claims environment, or equivalent combination of relevant education and experience.
At least 1 year management/leadership experience.
Experience reviewing all types of medical claims (e.g. HCFA 1500, Outpatient/Inpatient UB92, Universal Claims, Stop Loss, Surgery, Anesthesia, high-dollar complicated claims, COB and DRG/RCC pricing).
Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials. 
Previous experience leading projects.
Strong customer service experience.  
Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
Strong verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.
 

Preferred Qualifications

Customer/provider experience in a managed care organization (Medicaid, Medicare, Marketplace and/or other government-sponsored program), or medical office/hospital setting.
Completion of a health care related vocational program in health care (i.e., certified coder, billing, or medical assistant).
 

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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