Universal Health Services
MGR - CENTRAL APPEALS OFFICE
This job is now closed
Job Description
- Req#: 346988
- Leadership responsibility for all appeal inventory and productivity across all markets, ensuring timely completion of appeals. Serves as the primary liaison to facilities to maintain alignment and consistency in appeal operations.
- Assists with training and mentorship to the Market Appeals Specialist/ Appeals Support Specialist enhancing their understanding of appeal management principles and practices.
- Supports initiatives that drive performance improvement through technology advancements and expansion efforts in the division.
- Performs other duties as assigned/required by this position.
- UHS offers a challenging and rewarding work environment
- Growth and development opportunities within UHS and its subsidiaries
- Competitive Compensation
- Excellent Medical, Dental, Vision and Prescription Drug Plan.
- 401k plan with company match
- Generous Paid Time Off
- Gym and workout area
- Bachelor's degree required, Master's preferred
- Master's level clinician required,Licenusre preferred
- 5-8 years related experience required, 8-10 preferred
Ability to apply practice management guidelines to determine medical necessity and appropriateness of care for commercial and federal insurance plans.
Subject matter expertise in overall management of the appeal and denial process –both from a clinical and administrative perspective.
Clinical experience and an overall understanding of the internal operations of a behavioral health hospital
Strong interpersonal and communication skills—both written and verbal
Strong working knowledge of the health care industry and regulatory environment specifically in behavioral health
Proficient with word processing –including excel, PowerPoint.
- Bachelor's degree required, Master's preferred
- Master's level clinician required,Licenusre preferred
- 5-8 years related experience required, 8-10 preferred
Ability to apply practice management guidelines to determine medical necessity and appropriateness of care for commercial and federal insurance plans.
Subject matter expertise in overall management of the appeal and denial process –both from a clinical and administrative perspective.
Clinical experience and an overall understanding of the internal operations of a behavioral health hospital
Strong interpersonal and communication skills—both written and verbal
Strong working knowledge of the health care industry and regulatory environment specifically in behavioral health
Proficient with word processing –including excel, PowerPoint.
- Leadership responsibility for all appeal inventory and productivity across all markets, ensuring timely completion of appeals. Serves as the primary liaison to facilities to maintain alignment and consistency in appeal operations.
- Assists with training and mentorship to the Market Appeals Specialist/ Appeals Support Specialist enhancing their understanding of appeal management principles and practices.
- Supports initiatives that drive performance improvement through technology advancements and expansion efforts in the division.
- Performs other duties as assigned/required by this position.
- UHS offers a challenging and rewarding work environment
- Growth and development opportunities within UHS and its subsidiaries
- Competitive Compensation
- Excellent Medical, Dental, Vision and Prescription Drug Plan.
- 401k plan with company match
- Generous Paid Time Off
- Gym and workout area
ResponsibilitiesBH Shared Services (a UHS company) located in Brentwood, TN is currently seeking an experienced Manager-Central Appeals Office to join our established team.
POSITION SUMMARY: Manager-Centeral Appeals office- This position will oversee all operations in all markets of the CAO and provide leadership and management to ensure overall quality, compliance and timeliness occurs for all post service appeals. This position will serve as the liaison to all facilities supported by the CAO to streamline and support utilization management (appeals) operations to ensure maximum benefit of capitalizing on all financial recovery efforts.
This position must have at least five years’ experience in utilization management in either an in-patient psychiatric/substance abuse/rehabilitation setting and/or payer/managed care environment and three years of leadership experience. *This is a fully remote position.
RESPONSIBILITIES:
This opportunity provides the following:
About Universal Health Services
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points,
an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
QualificationsREQUIREMENTS:
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
REQUIREMENTS:
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
BH Shared Services (a UHS company) located in Brentwood, TN is currently seeking an experienced Manager-Central Appeals Office to join our established team.
POSITION SUMMARY: Manager-Centeral Appeals office- This position will oversee all operations in all markets of the CAO and provide leadership and management to ensure overall quality, compliance and timeliness occurs for all post service appeals. This position will serve as the liaison to all facilities supported by the CAO to streamline and support utilization management (appeals) operations to ensure maximum benefit of capitalizing on all financial recovery efforts.
This position must have at least five years’ experience in utilization management in either an in-patient psychiatric/substance abuse/rehabilitation setting and/or payer/managed care environment and three years of leadership experience. *This is a fully remote position.
RESPONSIBILITIES:
This opportunity provides the following:
About Universal Health Services
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points,
an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
- Leadership responsibility for all appeal inventory and productivity across all markets, ensuring timely completion of appeals. Serves as the primary liaison to facilities to maintain alignment and consistency in appeal operations.
About the company
Universal Health Services is an American Fortune 500 company that provides hospital and healthcare services, based in King of Prussia, Pennsylvania.
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