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Manager, Health Plan Appeals & Compliance

Job in Reno, Washoe County, Nevada, 89550, USA
Listing for: Providers
Full Time position
Listed on 2026-10-08
Job specializations:
  • Management
    Healthcare Management
  • Healthcare
    Healthcare Management
Salary/Wage Range or Industry Benchmark: 110000 - 140000 USD Yearly USD 110000.00 140000.00 YEAR
Job Description & How to Apply Below

Prominence Health, a value-based care organization, seeks a Manager, Appeals to oversee the Appeals Department across Commercial, ASO, and Medicare Advantage lines, ensuring compliant adjudication and timely processing.

Work with Medical Directors, Compliance, Legal, and Customer Service to improve outcomes, audit readiness, and member/provider satisfaction; lead strategic initiatives and staff development.

The following opportunity is for a Manager, Health Plan Appeals & Compliance with Providers.

Our team is growing, and we are hiring a Manager, Health Plan Appeals & Compliance in Reno, NV, United States.

This role is for the Manager, Health Plan Appeals & Compliance role at Providers.

We are seeking a motivated Manager, Health Plan Appeals & Compliance to join Providers in Reno, NV, United States.

Consider building your career as a Manager, Health Plan Appeals & Compliance at Providers.

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