2 manager systems development jobs found

JOB DESCRIPTION The Legal Project Manager/Analyst is a key member of the Legal Operations team, responsible for supporting operational activities for the Legal and Compliance department, driving operational excellence across the legal function. This role leads the full lifecycle of complex, cross-functional initiatives - from scoping and design through execution, adoption, and continuous improvement. The ideal candidate brings deep project management expertise combined with strong technical acumen, thrives in ambiguous environments, and works with internal stakeholders and external vendors to support projects, programs and day-to-day operations. Working with the VP and Director, Global Legal Technology, and the Legal Operations team, the Legal Project Manager/Analyst will: Project Management Support: Assist in the planning, execution, and monitoring of legal department projects from initiation to completion, ensuring timely delivery and alignment with objectives....

Position Summary The Manager of Medicare Appeals & Grievances is responsible for the end‑to‑end operational, regulatory, and quality oversight of Medicare Advantage (Part C) and Medicare Part D appeals and grievance activities. This role ensures compliance with CMS regulations, NCQA standards, and contractual requirements, while driving operational efficiency, audit readiness, and a positive member experience. The Manager provides direct leadership to non‑clinical staff, oversees daily inventory management, ensures timely and accurate determinations, and partners closely with Compliance, Quality, Legal, Utilization Management, Delegation Oversight, and external vendors. Key Responsibilities Operational Leadership ·        Manage day‑to‑day operations of Medicare Appeals & Grievances teams, including staffing, workload distribution, case assignment, escalations, and performance monitoring. ·        Ensure appeals and grievances are processed accurately and...