Manager, Appeals Management

CorroHealth

Manager of Clinician Appeals leading clinical teams in developing compliant appeal communications. Overseeing operational execution and ensuring clinical integrity in revenue cycle management for clients.

Posted 7/14/2026full-timeRemote • 🇺🇸 United StatesSeniorLeadWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing clinical teams and developing quality assurance programs within the revenue cycle management sector, with a strong focus on payer appeals processes and operational excellence.

Highest-signal resume keywords

RN LicenseDRG Downgrade ExperienceClinical Team LeadershipQuality Assurance Program DevelopmentPayer Appeals Process Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Documentation ImprovementUtilization ManagementOperational KPI UnderstandingAppeals Letter WritingClinical Workflow Improvement

Soft Skills

Exceptional CommunicationCollaboration SkillsLeadership Skills

Certifications & Qualifications

Active Medical License

Industry Keywords

Revenue Cycle ManagementHealthcare RegulationsDocumentation Standards

About the role

Key responsibilities & impact

The Manager of Clinician Appeals is 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 in a dynamic revenue cycle environment.
Build, lead, and scale the clinical letter writing team, ensuring appropriate staffing levels.
Finalize training programs and establish QA standards for the team.
Develop and continuously improve robust QA programs.

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

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!