Medicare Appeals Lead - Operations & Compliance
Listed on 2026-10-07
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Healthcare
Healthcare Management -
Management
Healthcare Management
Highmark Inc. is seeking a supervisor for the Medicare Fee-for-Service appeals unit within the Organization's Medicare Services.
You will delegate assignments, manage resources, and ensure CMS thresholds and internal standards are met, while guiding non-clinical staff in pay/deny decisions and coordinating with external contractors. The role includes budget assistance, performance monitoring, staff coaching, and provider education coordination to improve overall Medicare Services performance,
We are seeking a motivated Medicare Appeals Lead - Operations & Compliance to join Highmark Health in PA, United States.
If your experience matches this role, we encourage you to apply.
All applications are reviewed carefully by our team.
The position is based in PA, United States.
This opportunity is part of our work in Human Resources.
The advertised compensation is 63.000 - 97.000.
We aim to respond to suitable candidates as soon as possible.
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