Director Appeal Resolution

Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State’s largest private employer with over 104,000 employees — including members of Northwell Health Physician Partners — who are working to change health care for the better. 

Summary: 

Directs, plans, and organizes the staff and activities related to denials and appeals for the organization. Functions as the health system's resource and liaison between commercial payers, managed care and third-party review organizations in managing the appeals/denials process. Reports on operational performance, justification and/or corrective action to management.

Responsibilities: 

Education Skills Experience: 

Company: Nuvance Health

Org Unit: 2092

Department: Care Coordination

Exempt: Yes

Salary Range: $59.84 - $111.12 Hourly

“Available benefits include: Paid Time Off (PTO); Medical, Dental and Vision Coverage; Health and Dependent Care Flexible Spending Accounts; Health Savings Account; 401(k) Retirement Plan; Basic Life and AD&D insurance; Wellness Programs; Employee Assistance Program; and Team Member Discounts. Available benefits for union positions may vary in accordance with applicable Collective Bargaining Agreements.”