Director Pre Appeals Management-HSO Appeals Management -Corporate 42nd Street-Full-Time-Days -Remote

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.