Consumer Liaison Specialist

Job Summary

A company is looking for a Consumer & Provider Liaison I.

Key Responsibilities

• Research appeals and grievances to ensure compliance with plans and internal policies
• Assist in preparing cases for second level appeals and representation in State Fair Hearings
• Collaborate with internal business partners on process improvements and modifications

Required Qualifications

• 2+ years of related experience or a Bachelor's degree
• Knowledge of state and federal regulatory policies and health plan products
• High school diploma or equivalent and legal authorization to work in the U.S
• Proficient in multiple PC-based software applications and systems
• Ability to work independently and collaboratively in a team environment