Grievance Coordinator

Job Summary

Working remotely in a full-time capacity, the Grievance Coordinator will review and investigate member complaints within the Medicare Grievances Program, ensuring resolution in accordance with organizational and regulatory guidelines.

Key responsibilities

• Conduct thorough investigations into member complaints and achieve resolutions through action and education
• Perform root cause analysis on escalated grievances to identify underlying issues
• Document investigations and maintain accurate records of actions taken and resolutions provided

Required qualifications

• Bachelor's degree or equivalent experience
• 1+ years of related work experience or relevant knowledge and skills
• Ability to maintain high ethical standards and demonstrate good critical thinking
• Strong investigatory skills with the ability to assess risk and respond appropriately
• Organizational skills to prioritize tasks effectively in a high-volume environment