Director Pre Appeals Management-hso Appeals Management -corporate 42nd Street-full-time-days -remote
Mount Sinai Health System
New York, NY, US
Hybrid
Strategic enterprise leadership
Operational oversight
Compliance with regulatory standards
The Director, Pre Appeals Management is a strategic enterprise leader who provides strategic leadership and operational oversight for the hospital’s pre-appeals management program
Job Summary
The Director, Pre Appeals Management is a strategic enterprise leader who provides strategic leadership and operational oversight for the hospital’s pre-appeals management program.
This role ensures the appropriate use of medical resources, compliance with regulatory standards, and coordination of care to improve patient outcomes while controlling costs.
The Director collaborates closely with medical staff, vendors, case management, and payers to secure payment and benefits for beneficiaries that is in alignment with the clinical care provided.
Matching Summary
The Director, Pre Appeals Management is a strategic enterprise leader who provides strategic leadership and operational oversight for the hospital’s pre-appeals management program.
Skills & Requirements
Must-have
Strategic enterprise leadership
Operational oversight
Compliance with regulatory standards
Coordination of care
Payment and benefits for beneficiaries
Nice-to-have
Advance access, equity, and financial stewardship
Foster an environment where everyone can contribute
Promote inclusive practices
Continuous learning drive positive change
Key Requirements
Bachelor's degree in Nursing (BSN) or related healthcare field