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Manager Appeals Jobs (NOW HIRING)

Curana Health, Inc.

Manage appeals and grievance cases from intake through final resolution, including receiving, logging, tracking, monitoring, documenting, requesting supporting documentation, investigating, auditing ...

New

BronxCare Health System

Appeals Manager

Bronx, NY · On-site

$23 - $28.25/hr

... appeals for the purpose of securing reimbursement for acute care services provided to patients ... Management. Responsibilities - Establish and maintain positive relationships with patients ...

Independence Blue Cross

Supervisor Appeals

Philadelphia, PA · On-site

$22.25 - $27.50/hr

Appeals Operations Management * Oversees daily workflow of Appeals Specialists to ensure administrative appeals are appropriately categorized (standard vs. expedited; pre-service vs. post-service;

CR Fletcher

Appeals Specialist

Syracuse, NY · On-site

This role is responsible for managing and coordinating the appeals process for legal matters, ensuring all documentation, filings, and deadlines are handled accurately and efficiently. You will work ...

Quadax, Inc.

Appeals Specialist

Cleveland, OH

$19 - $21/hr

Meet appeal filing deadlines by completing assigned worklist tasks in a timely matter and/or reporting to management when assistance is needed to complete the tasks. * Report all insurance company or ...

Calvert Health System

APPEALS COORDINATOR

Prince Frederick, MD · On-site

$23 - $28.75/hr

Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities related to medical necessity and/or level of ...

Hall Booth Smith, P.C.

Appeals Specialist

Atlanta, GA · On-site

The Appeals Specialist manages invoice deductions and appeal submissions to support compliance with client and insurance company billing guidelines. The role reviews deduction activity, coordinates ...

Integrated Resources INC

Appeals Coordinator

Orange, CA

$23.50 - $29/hr

We deliver strategic workforce solutions that help you manage your talent and business more ... Appeals Coordinator Duration: 6 + months contract to hire position. Location: San Diego CA 92108 ...

Hall Booth Smith, P.C

Appeals Specialist

Atlanta, GA · On-site

The Appeals Specialist manages invoice deductions and appeal submissions to support compliance with client and insurance company billing guidelines. The role reviews deduction activity, coordinates ...

Calvert Health System

APPEALS COORDINATOR

Prince Frederick, MD · On-site

$23 - $28.75/hr

Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities related to medical necessity and/or level of ...

Quadax

Appeals Specialist

Middleburg Heights, OH · On-site

$19 - $21/hr

Meet appeal filing deadlines by completing assigned worklist tasks in a timely matter and/or reporting to management when assistance is needed to complete the tasks. * Report all insurance company or ...

Integrated Resources INC

Appeals Clerk

Milwaukee, WI

Appeals Clerk Duration: 3+ months contract Location: Milwaukee, Wisconsin 53224 Shift: 8:00AM to 5 ... Demonstrated problem solving and time management skills ? Demonstrated ability to meet established ...

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Manager Appeals information

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How much do manager appeals jobs pay per year?

As of Jul 23, 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.
Appeals & Grievances Specialist I

Appeals & Grievances Specialist I

Western Health Advantage

Sacramento, CA • On-site

$22 - $25/hr

Full-time

Medical

Posted 10 days ago

Job description

Appeals & Grievances Specialist I
Western Health Advantage
Location: Sacramento, CA (Hybrid)
Salary: $22.00 - $25.00 per hour"Purpose that inspires. Impact that improves lives. Join us in building healthier communities."
Western Health Advantage
Western Health Advantage (WHA) is seeking a detail-oriented and customer-focused Appeals & Grievances Specialist I to join our team. In this fast-paced role, you will support members by managing appeals and grievances while ensuring compliance with state and federal regulations, accreditation standards, and internal policies. You will work closely with members, providers, medical groups, and internal departments to investigate concerns, coordinate resolutions, and deliver exceptional service throughout the appeals process.
What You'll Do
  • Manage the intake, investigation, and resolution of member appeals and grievances while ensuring regulatory compliance and required turnaround times.
  • Research and evaluate issues related to benefits, claims, authorizations, enrollment, billing, quality of care, utilization management, and other health plan services.
  • Determine case urgency, identify expedited requests, and recognize potential compliance, privacy, fraud, or quality concerns.
  • Collaborate with internal departments, providers, hospitals, and medical groups to gather information and support case resolution.
  • Maintain accurate case documentation, correspondence, and member communications.
  • Prepare customized acknowledgment and resolution letters that clearly explain determinations and member rights.
  • Identify trends and participate in process improvement initiatives to enhance member experience and operational efficiency.
  • Provide support to the Appeals & Grievances team, including assistance with department communications and special projects.
What We're Looking For
  • High school diploma required.
  • Minimum of 2 years of experience in appeals and grievances or a similar healthcare role, preferably within an HMO environment.
  • Experience with HMO claims adjudication, referrals, and utilization management is preferred.
  • Strong written and verbal communication, organizational, and problem-solving skills.
  • Proficiency with Microsoft Word, Excel, and other business applications.
  • Ability to manage multiple priorities while maintaining accuracy and meeting strict regulatory deadlines.

Western Health Advantage is committed to providing equal employment opportunities to employees and applicants for employment on the basis of merit and without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, physical or mental disability, medical condition, genetic information, marital status, ancestry, military or veteran status, or any other basis made unlawful by federal or state law. (EOE)
Western Health Advantage values and supports the unique talents and strengths that each employee brings to our organization. Collaborating with the best and the brightest means a dynamic, fulfilling work experience for you-and excellent customer service for our members.

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