Executive Escalation Specialist

Job Summary

Supporting the resolution of complaints and escalations, the full-time Executive Escalation Response Specialist II will manage escalated issues from members and providers, ensuring timely and effective solutions in a remote environment.

Key responsibilities

• Provide timely resolutions to escalated issues received from various communication channels
• Serve as a liaison between departments to maintain relationships and ensure appropriate issue resolution
• Support documentation, tracking, and resolution of all assigned complaints and inquiries in a professional manner

Required qualifications

• High School diploma or GED required
• 1 - 2 years of related experience preferred
• Knowledge of Medicare and Medicaid processes is a plus
• Experience in root cause analysis of member/provider issues
• Vocational or technical education may be required in addition to work experience