Supervisor, Clinical Appeals Litigation

The Supervisor, Clinical Appeals Litigation oversees the coordination of audit and medical necessity denial appeals for their assigned team, ensuring timely and accurate submissions while maintaining compliance with regulatory standards. This role provides day-to-day leadership, supports the development of standardized appeal processes, and collaborates with senior leadership to identify trends and mitigate denial risks. The position involves monitoring team performance, conducting evidence-based research, and participating in legal processes as required.