Director, Appeals and Grievance
Virginia Beachremotedirector
Posted today · via Workday
About this role
City/State Virginia Beach, VA Work Shift First (Days) Overview: Overview The Director of Appeals and Grievance will plan, develop, and direct the department services and activities for all existing and new business opportunities. This includes setting strategic long- term goals for Commercial, Medicaid, and Medicare business. This role assumes leadership for the program development and strategic planning of for Appeals and Grievance Department in all Sentara Health Plan’s (formally known as Optima Health) lines of business and markets. -Develops policies, workflows, and compliance documents, which meet all contractual, regulatory and accreditation requirements for new and existing business product lines.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
We compare your skills against the role requirements.
2
Level fit
This role is director-level. We check your trajectory against it.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is remote-eligible — we factor in your stated location and time-zone overlap.
Score yourself on this role.
Free · no card · written explanation included