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$212.5K

How much do manager appeals jobs pay per year?

As of Jul 22, 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.

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.

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 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 July 2026, with employment types broken down into 90% Full Time, 7% Part Time, 2% Contract, and 1% Summer. Highlights an 79% Physical, 6% Hybrid, and 15% Remote job distribution, with an average salary of $118,006 per year, or $56.7 per hour.
Manager, Appeals and Grievance (51944)

Manager, Appeals and Grievance (51944)

GLOBALHEALTH HOLDINGS LLC

Oklahoma City, OK • On-site, Remote

$20.50 - $25.25/hr

Full-time

Medical

Posted 12 days ago

Job description

WHO WE ARE:
GlobalHealth is a fast-growing Medicare Advantage HMO health insurer. We aspire to be the employer of choice in our industry, attracting and retaining a highly talented workforce. Our passion is Genuine Care and Optimal Health for the members we serve. We are unique by providing high touch, high value and a partnership to our members. We go above and beyond to provide personalized, engaging, and responsive services to our members. We work hard to offer affordable health insurance coverage with the benefits people truly want and need. It is our hope to be more than just a health insurance company we want to be long-term partners with our members. We are looking for future employees who exude our core values of taking accountability through ownership, being driven, innovative and who have a passion for continuous learning.
WHO YOU ARE:
The successful candidate provides daily Clinical leadership and compliance of Appeals and Grievance. Identifying and executing opportunities to promote timeliness and resolution based on regulatory requirements.
ESSENTIAL JOB FUNCTIONS:
  • Schedule and balance available resources to match anticipated demand
  • Monitor and oversight of appeals and grievances process
  • Handle escalations for member issues
  • Manage employee time and attendance
  • Provide coaching and training of A&G team
  • Provide daily reporting for critical measures
  • Identify and execute on opportunities for improvement with workflow and structure
  • Manage daily workload for subordinates to ensure contractual and regulatory compliance
  • Perform hiring, coaching and disciplinary actions as required
  • Serve as primary Clinical representative and advocate for A&G issues and concerns in department leadership meetings
  • Must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy.
  • Performs 1st round Quality of Care reviews
  • Performs other duties as assigned

EDUCATION:
  • Licensed Practical Nurse (LPN)
  • Associate degree or bachelor's

EXPERIENCE:
  • 3 years A&G Clinical operations experience required
  • 2 years appeals and grievances required
  • 1 year experience with one or more of the following: MS Office (+Power BI a plus), call center management and reporting applications (Mitel) or CRM applications (Epic) required
  • Familiarity with process analytics and continuous improvement methodologies (lean, six-sigma, EOS, TOC) preferred
  • Proven history of successful process design and implementation preferred
  • Medicare and/or NCQA experience preferred

KNOWLEDGE, SKILLS AND ABILITIES:
  • Exceptional prioritization and task management skills
  • Must be detail oriented and able to multitask, focusing on multiple cases at a time
  • Strong documentation skills are essential
  • Ability to perform essential job functions with high degree of independence, flexibility, and creative problem-solving techniques
  • Ability to thrive in a results-oriented environment
  • Naturally pushes to drive tasks to completion

WORK ENVIRONMENT:
Current work environment is remote; however, some state exclusions apply. Must have access to a reliable and secured internet connection source. Work environment must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy. This position will also be required to use reasonable and necessary safeguards to protect GlobalHealth records from unauthorized access, disclosure or damage and will adhere to all GlobalHealth privacy and security policies.
TRAVEL:
Minimal travel expected (less than 5% in support of corporate initiatives)
MANAGER RESPONSIBILITY:
Supervises work of others, including planning, assigning, scheduling, and reviewing work, ensuring quality standards. Is responsible for hiring, terminating, training, and developing, reviewing performance and administering corrective action for staff. Plans organizational structure and job content.
OTHER DUTIES:
  • Must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy.
  • Performs other duties as assigned.

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or witho

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