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Assoc Director, Clinical Appeals - New Hyde Park, NY

UnitedHealth Group

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Job Details

Assoc Director, Clinical Appeals - New Hyde Park, NY(Job Number:725305)

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. You'll help improve the health of millions. And you'll do your life's best work.(sm)


Reporting to the Assistant VP, the Associate Director, Clinical Appeals for Optum 360 will focus on overseeing all operational business facets related to the team writing clinical appeals. They will interface with other operational colleagues in strategizing and optimizing appeals management. They will daily engage the staff and ensure timely and quality appeals are written in response to of clinical denials received from commercial insurers by the Northwell Health system.


Primary Responsibilities:

  • Manages the operational activities of a business office consisting of 30 nurse appeal writers

  • Assign cases to Clinical Appeals Nurse staff (30) for the production of written clinical appeals

  • Provide clinical support for producing high quality, timely, and effectively written clinical appeals

  • Evaluates performance and holds the team accountable

  • Inspires high performance and production

  • Provides leadership to and is accountable for the performance of the team

  • Interfaces with broad range of related entities associated with commercial insurance denials

Job Clinical Appeals
Primary Location US-NY-NEW HYDE PARK
Other Location 
Organization O360 Northwell Back Ops
Schedule Full-time
Number of Openings 1
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UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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