Incident Management Specialist III

Job Summary

Resolving complex grievances and appeals, the full-time Incident Management Specialist III will coordinate case resolutions, communicate with members and advocates, and ensure compliance with regulations while working remotely.

Key responsibilities:

• Manage and monitor the resolution of grievances and appeals, collaborating with cross-functional teams
• Conduct thorough case research and documentation for moderately complex incident cases
• Provide customer service by communicating case statuses and resolving issues for members and stakeholders

Required qualifications:

• Minimum one (1) year of experience in customer service or a related field
• Bachelor's degree in Business Administration, Health Care Administration, or a related field, or equivalent experience
• Minimum two (2) years of experience in health care, health insurance, or a directly related field
• Knowledge of health care compliance and incident management processes
• Proficiency in Microsoft Office and data entry