Senior Appeals Manager, Healthcare Payer Operations
Listed on 2026-10-06
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Healthcare
Healthcare Management, Healthcare Administration
Prominence Health, part of Universal Health Services, is seeking a Manager, Appeals to oversee the health plan's Appeals Department across Commercial, Self-Funded, and Medicare Advantage lines. You will ensure timely, accurate, and compliant adjudication of all appeals in line with CMS and state regulations, contracts, and organizational policies.
You will develop strategies to improve outcomes, audit readiness, and member/provider satisfaction, collaborating with Medical Directors, Utilization
We are currently recruiting a Senior Appeals Manager, Healthcare Payer Operations for our team in Reno, NV, United States.
All applications are reviewed carefully by our team.
The position is based in Reno, NV, United States.
This opportunity is part of our work in Finance, Management & Operations.
The advertised compensation is 95..
We aim to respond to suitable candidates as soon as possible.
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