Supervisor, Appeals

Centene Corporation

. Supervise processing and review of appeals, disputes, and reconsiderations .

Posted 9/18/2026full-timeRemote • Missouri • United StatesMid-LevelSenior💰 $63,600 - $114,600 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing appeals, disputes, and claims within the managed care sector, ensuring compliance with NCQA and contract requirements while leading and developing a high-performing team.

Highest-signal resume keywords

Managed Care ExperiencePeople LeadershipNCQA Requirements KnowledgeContract CompliancePerformance Evaluation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Appeals ProcessingDispute ResolutionClaims ManagementPerformance StandardsQuality Improvement

Soft Skills

Team CoachingGuidance and MentoringChange Leadership

Industry Keywords

Contract RequirementsPolicies and ProceduresTimely ProcessingOnboarding and Training

About the role

Key responsibilities & impact

Supervise processing and review of appeals, disputes, and reconsiderations
Escalate the most complex issues in accordance with state and NCQA requirements
Supervise day-to-day activities and guide the team to ensure timely processing
Monitor and track issues to ensure proper documentation, processing, and resolution
Provide expert guidance for issue resolution and processing
Ensure team compliance with contract requirements, policies, procedures, and performance standards
Identify opportunities for process and quality improvements
Evaluate team performance and provide feedback on performance, goals, and career milestones
Coach and guide the team to ensure timely resolution
Assist with onboarding, hiring, and training team members
Lead and champion change within the scope of responsibility
Perform other duties as assigned

Requirements

What you’ll need

Bachelor's degree and 4+ years of related experience, or equivalent experience acquired through applicable knowledge, duties, scope and skill
Experience in managed care, appeals, and claims
People leadership experience
Knowledge of state and National Committee for Quality Assurance (NCQA) requirements
Knowledge of contract requirements, policies, procedures, and performance standards
Availability to work Central Time Zone hours
Compliance with all policies and standards

Benefits

Comp & perks

Competitive pay
Health insurance
401K plan
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Additional forms of incentives may be included in total compensation
Equal opportunity employer committed to diversity