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Manager, Clinician Appeals – Some Travel Required
CorroHealthManager of Clinician Appeals overseeing appeals letter writing and client education engagement. Leading clinical teams to ensure alignment with financial goals and operational excellence.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing clinical teams and overseeing appeals processes, with a strong focus on operational excellence and compliance within the revenue cycle management industry. Proficient in developing quality assurance programs and enhancing clinical workflows to align with financial goals.
Highest-signal resume keywords
RN LicenseDRG Downgrade ExperiencePayer Appeals ProcessesClinical Team ManagementRevenue Cycle Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical Documentation ImprovementUtilization ManagementQuality Assurance ProgramsClinical Workflow ImprovementsOperational KPIs
Soft Skills
Exceptional CommunicationCollaborationLeadership
Certifications & Qualifications
Active Medical License
Industry Keywords
Healthcare RegulationsAppeals Letter WritingClient Education EngagementOperational ExcellenceFinancial Models
About the role
Key responsibilities & impact- The Manager of Clinician Appeals is a clinical leader responsible for the strategic oversight and operational execution of the appeals letter writing and client education engagement.
- Lead high-performing clinical teams in the development of clinically accurate, persuasive, and compliant appeal communications to payers.
- Ensure operational excellence, clinical integrity, and alignment with financial goals.
- Work closely with internal leadership, administrative operations, and external clients to ensure best-in-class service delivery.
- Manage and develop both domestic and global clinicians who write appeal letters including interviewing candidates, supporting onboarding, and serving as a subject matter expert.
Requirements
What you’ll need- RN, required; active, unrestricted medical license (any state) preferred.
- Minimum 8+ years of clinical experience with at least 5 years in a leadership role within appeals, utilization management, clinical documentation improvement (CDI), or similar RCM functions.
- DRG Downgrade experience is mandatory.
- Strong knowledge of payer appeals processes, healthcare regulations, and documentation standards.
- Demonstrated success in managing clinical teams in a high-volume, fast-paced environment.
- Proven experience developing QA programs and implementing clinical workflow improvements.
- Strong understanding of financial models and operational KPIs in the revenue cycle industry.
- Exceptional communication, collaboration, and leadership skills.
Benefits
Comp & perks- Competitive annual salary
- Medical/Dental/Vision Insurance
- Equipment provided
- 401k matching program
- FTO: Flex Unlimited Annual PTO
- Paid Paternity & Maternity leave programs
- 9 paid annual holidays
- Life Insurance
- Long term disability
- Short term disability options
- Tuition reimbursement and much more!