California Licensed Grievance Coordinator

Job Summary

To support a local Health Plan, the temporary part-time California Licensed Grievance Coordinator will manage grievance documentation, ensure compliance with standards, and communicate with members and providers while working remotely.

Key responsibilities

• Receives and identifies grievances through various sources and reviews documentation for accuracy
• Monitors and tracks grievances to ensure resolution within mandated timeframes
• Acts as a contact person during state audits related to grievances and prepares routine reports for stakeholders

Required qualifications

• 3+ years' experience as a Service Representative or similar position
• 1+ year experience as a Grievance Coordinator
• Medi-Cal experience and strong knowledge of medical policy benefits
• Associates Degree or at least 2 years of post-high school education
• Advanced skills in Word and Excel, with experience in Outlook and MS Teams