Healthcare Appeals Manager: Compliance, Strategy & Ops
Listed on 2026-10-06
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Healthcare
Healthcare Management -
Management
Healthcare Management
Prominence Health Plan in Reno, NV seeks a Manager, Appeals to oversee the Appeals Department within a value-based care organization. You will ensure timely, compliant adjudication across Commercial, Self-Funded, and Medicare Advantage lines, and drive continuous improvement in outcomes and audit readiness.
Lead cross-functional collaboration with Medical Directors, Compliance, Legal, and Claims Ops to optimize processes, report metrics, and develop training for staff.
The Healthcare Appeals Manager:
Compliance, Strategy & Ops role at Prominence-Health-Plan is now open for applications in Reno, NV, United States.
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This posting is for the Healthcare Appeals Manager:
Compliance, Strategy & Ops role at Prominence-Health-Plan, based in Reno, NV, United States.
We are looking to fill the Healthcare Appeals Manager:
Compliance, Strategy & Ops position at Prominence-Health-Plan in Reno, NV, United States.
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