Manage individual inventory through appropriate workflow. Facilitate final resolution of member and provider appeals. Participate in department initiatives related to NCQA and URAC audits, DOI audits ...
Manage individual inventory through appropriate workflow. Facilitate final resolution of member and provider appeals. Participate in department initiatives related to NCQA and URAC audits, DOI audits ...
Director, IP Dispute Resolution (Financial Expert Practice) Ocean Tomo offers an entrepreneurial ... Managing complex assignments from concept through delivery * Assisting with practice development ...
Director, IP Dispute Resolution (Financial Expert Practice) Ocean Tomo offers an entrepreneurial ... Managing complex assignments from concept through delivery * Assisting with practice development ...
Director, IP Dispute Resolution (Financial Expert Practice)Ocean Tomo offers an entrepreneurial ... Managing complex assignments from concept through deliveryAssisting with practice development ...
Quick apply
Director, IP Dispute Resolution (Financial Expert Practice)Ocean Tomo offers an entrepreneurial ... Managing complex assignments from concept through deliveryAssisting with practice development ...
Analyst, IP Dispute Resolution (Financial Expert Practice) - Entry Level & Experienced ... Managing all work products to a zero-error tolerance.Profit Centric: Seeking to maximize profits to ...
Quick apply
Analyst, IP Dispute Resolution (Financial Expert Practice) - Entry Level & Experienced ... Managing all work products to a zero-error tolerance.Profit Centric: Seeking to maximize profits to ...
Customer Service Team Lead
Chicago, IL · On-site
Resolution management for customers and clients to an exemplary standard. * Skills and Abilities: * Excellent leadership and team management skills. * Strong problem-solving and conflict resolution ...
Customer Service Team Lead
Chicago, IL · On-site
Resolution management for customers and clients to an exemplary standard. * Skills and Abilities: * Excellent leadership and team management skills. * Strong problem-solving and conflict resolution ...
Customer Service Team Lead
Chicago, IL · On-site
Resolution management for customers and clients to an exemplary standard. * Skills and Abilities: * Excellent leadership and team management skills. * Strong problem-solving and conflict resolution ...
Customer Service Team Lead
Chicago, IL · On-site
Resolution management for customers and clients to an exemplary standard. * Skills and Abilities: * Excellent leadership and team management skills. * Strong problem-solving and conflict resolution ...
Customer Service Team Lead
Chicago, IL · On-site
Resolution management for customers and clients to an exemplary standard. * Skills and Abilities: * Excellent leadership and team management skills. * Strong problem-solving and conflict resolution ...
Quick apply
Customer Service Team Lead
Chicago, IL · On-site
Resolution management for customers and clients to an exemplary standard. * Skills and Abilities: * Excellent leadership and team management skills. * Strong problem-solving and conflict resolution ...
Analyst, IP Dispute Resolution (Financial Expert Practice) - Entry Level & Experienced Candidates ... Managing all work products to a zero-error tolerance. Profit Centric : Seeking to maximize profits ...
Analyst, IP Dispute Resolution (Financial Expert Practice) - Entry Level & Experienced Candidates ... Managing all work products to a zero-error tolerance. Profit Centric : Seeking to maximize profits ...
Analyst, IP Dispute Resolution (Financial Expert Practice) - Entry Level & Experienced Candidates ... Managing all work products to a zero-error tolerance. Profit Centric : Seeking to maximize profits ...
Analyst, IP Dispute Resolution (Financial Expert Practice) - Entry Level & Experienced Candidates ... Managing all work products to a zero-error tolerance. Profit Centric : Seeking to maximize profits ...
General Manager (Park Ridge, IL)
Park Ridge, IL · On-site
$50K - $65K/yr
Champion a customer centric culture and manage customer complaints and issues promptly and in a professional manner from identification to resolution. * Manage staff conflicts, complaints, and ...
General Manager (Park Ridge, IL)
Park Ridge, IL · On-site
$50K - $65K/yr
Champion a customer centric culture and manage customer complaints and issues promptly and in a professional manner from identification to resolution. * Manage staff conflicts, complaints, and ...
Resolution management for customers and clients to an exemplary standard. * Skills and Abilities: * Excellent leadership and team management skills. * Strong problem-solving and conflict resolution ...
Resolution management for customers and clients to an exemplary standard. * Skills and Abilities: * Excellent leadership and team management skills. * Strong problem-solving and conflict resolution ...
General Manager (La Grange, IL)
La Grange, IL · On-site
$50K - $65K/yr
Champion a customer centric culture and manage customer complaints and issues promptly and in a professional manner from identification to resolution. * Manage staff conflicts, complaints, and ...
General Manager (La Grange, IL)
La Grange, IL · On-site
$50K - $65K/yr
Champion a customer centric culture and manage customer complaints and issues promptly and in a professional manner from identification to resolution. * Manage staff conflicts, complaints, and ...
General Manager (Park Ridge, IL)
Park Ridge, IL · On-site
$50K - $65K/yr
Champion a customer centric culture and manage customer complaints and issues promptly and in a professional manner from identification to resolution. * Manage staff conflicts, complaints, and ...
General Manager (Park Ridge, IL)
Park Ridge, IL · On-site
$50K - $65K/yr
Champion a customer centric culture and manage customer complaints and issues promptly and in a professional manner from identification to resolution. * Manage staff conflicts, complaints, and ...
General Manager (Park Ridge, IL)
Park Ridge, IL · On-site
$50K - $65K/yr
Champion a customer centric culture and manage customer complaints and issues promptly and in a professional manner from identification to resolution. * Manage staff conflicts, complaints, and ...
Quick apply
General Manager (Park Ridge, IL)
Park Ridge, IL · On-site
$50K - $65K/yr
Champion a customer centric culture and manage customer complaints and issues promptly and in a professional manner from identification to resolution. * Manage staff conflicts, complaints, and ...
General Manager (La Grange, IL)
La Grange, IL · On-site
$50K - $65K/yr
Champion a customer centric culture and manage customer complaints and issues promptly and in a professional manner from identification to resolution. * Manage staff conflicts, complaints, and ...
General Manager (La Grange, IL)
La Grange, IL · On-site
$50K - $65K/yr
Champion a customer centric culture and manage customer complaints and issues promptly and in a professional manner from identification to resolution. * Manage staff conflicts, complaints, and ...
General Manager (Park Ridge, IL)
Park Ridge, IL · On-site
$50K - $65K/yr
Champion a customer centric culture and manage customer complaints and issues promptly and in a professional manner from identification to resolution. * Manage staff conflicts, complaints, and ...
General Manager (Park Ridge, IL)
Park Ridge, IL · On-site
$50K - $65K/yr
Champion a customer centric culture and manage customer complaints and issues promptly and in a professional manner from identification to resolution. * Manage staff conflicts, complaints, and ...
Site Activation Manager
Rosemont, IL · On-site
Collaborate with key stakeholders both internal and external, through effective communication and resolution management, including communication with regions and countries, to successfully deliver ...
Site Activation Manager
Rosemont, IL · On-site
Collaborate with key stakeholders both internal and external, through effective communication and resolution management, including communication with regions and countries, to successfully deliver ...
Proactive in follow-up and problem resolution * Technically curious and process-minded * Excellent ... Support change management efforts related to new integration processes or tools. If there ...
Proactive in follow-up and problem resolution * Technically curious and process-minded * Excellent ... Support change management efforts related to new integration processes or tools. If there ...
Territory Sales Manager
Chicago, IL · On-site
$55K - $95K/yr
Delivery Resolution : Manage deliveries to the routing schedule published by the transportation department; troubleshoot any problems that occur during the order process (e.g., delivery mis picks ...
Territory Sales Manager
Chicago, IL · On-site
$55K - $95K/yr
Delivery Resolution : Manage deliveries to the routing schedule published by the transportation department; troubleshoot any problems that occur during the order process (e.g., delivery mis picks ...
Own end-to-end Accounts Receivable operations, including invoicing, collections, cash application, deduction management, account reconciliations, and customer dispute resolution. * Manage customer ...
Quick apply
Own end-to-end Accounts Receivable operations, including invoicing, collections, cash application, deduction management, account reconciliations, and customer dispute resolution. * Manage customer ...
Resolution Manager information
See Chicago, IL salary details
$25.1K - $34.9K
12% of jobs
$42.7K is the 25th percentile. Wages below this are outliers.
$34.9K - $44.6K
17% of jobs
$44.6K - $54.4K
7% of jobs
The median wage is $63.8K / yr.
$54.4K - $64.2K
15% of jobs
$64.2K - $73.9K
15% of jobs
$80.3K is the 75th percentile. Wages above this are outliers.
$73.9K - $83.7K
15% of jobs
$83.7K - $93.4K
9% of jobs
$93.4K - $103.2K
3% of jobs
$103.2K - $112.9K
3% of jobs
$112.9K - $122.7K
2% of jobs
$122.7K - $132.4K
2% of jobs
$25.1K
$69.3K
$132.4K
How much do resolution manager jobs pay per year?
How does a resolution manager typically collaborate with other departments to resolve complex issues?
What are the key skills and qualifications needed to thrive as a resolution manager?
What is the difference between Resolution Manager vs Customer Service Manager?
| Aspect | Resolution Manager | Customer Service Manager |
|---|---|---|
| Primary Focus | Resolving complex issues and disputes efficiently | Overseeing customer service teams and satisfaction |
| Required Skills | Problem-solving, conflict resolution, technical knowledge | Leadership, communication, customer relationship management |
| Work Environment | Operations, support centers, client-facing roles | Call centers, retail, service industries |
| Certifications | Relevant industry certifications, conflict resolution training | Customer service certifications, management training |
While both roles focus on customer interactions, the Resolution Manager specializes in resolving complex issues and disputes, often requiring technical or specialized knowledge. The Customer Service Manager oversees overall customer satisfaction and team management. Understanding these differences helps in choosing the right career path or hiring the appropriate professional for specific needs.

Contractor
Posted 15 days ago
Job description
Adhere to accreditation and regulatory requirements to improve customer service and achieve organizational goals related to complaint and appeal resolution.
Manage individual inventory through appropriate workflow.
Facilitate final resolution of member and provider appeals.
Participate in department initiatives related to NCQA and URAC audits, DOI audits, revision project, audits, and correspondence revision projects.
Serve on workgroups.
Adhere to compliance with external regulatory and accreditation standards.
Facilitate access to appeal files by members or member designee under federal guidelines.
Provide data for required reporting. 10.Work directly with members and providers to resolve appeals.
Support other team members in appeal resolution and in fulfilling other department responsibilities.
Assist in maintaining working relationships across organizational lines.
Ensure our member/providers requirements are met at all times.
Communicate and interact effectively and professionally with co-workers, management, customers, etc.
Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
Maintain complete confidentiality of company business.
Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.
JOB REQUIREMENTS:
Applicants must hold an active RN or LPN/LVN license in good standing.
Bachelor's Degree OR 4 years in health care experience.
5 years utilization management, appeals, claims and mainframe system experience.
Experience in health operations.
Experience with internal/external customer relations.
Knowledge of managed care processes.
Knowledge and familiarity of national accreditation standards, specifically NCQA and URAC standards.
Knowledge of state and federal health care and health operations regulations.
Organizational skills and ability to meet deadlines and manage multiple priorities.
Verbal and written communication skills to include interfacing with staff across organizational lines plus interfacing with members and providers.
PC proficiency to include Microsoft Word, Access, and Excel.
PREFERRED JOB REQUIREMENTS:
Appeals or Utilization management experience.
Notes:
Fully remote
This is a M-F shift 40 hours per week, with MANDATORY holiday and weekend rotations.
Holidays rotation scheduled 3-4 holidays per year and one weekend every 3rd weekend.
This is a contract role with the possibility of conversion to full-time based on business needs and performance
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
About VIVA USA
Sourced by ZipRecruiter
Industry
It services
Company size
51 - 200 Employees
Headquarters location
Rolling Meadows, IL, US
Year founded
1996