Job is Expired
Location: Arizona, California, Connecticut, Florida, Georgia, Illinois, Maryland, Massachusetts, Michigan, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Virginia, Washington
Compensation: To Be Discussed
Staff Reviewed: Fri, Jul 15, 2022
Job Summary
A health insurance company that offers plans for individuals, families, and employers needs applicants for an opening for a Remote Insurance Complaints Grievances and Appeals Senior Manager.
Must be able to:
- Manage the daily success and operations of the team, including KPI results
- Assess and provide ongoing career development for CG&A staff
- Manage people-related decisions, including attendance, behavioral coaching conversations, and performance management outcomes
Qualifications Include:
- 5+ years of experience managing, coaching, and developing teams
- 2+ years Healthcare experience; specifically with Complaints and Grievances for Medicare Advantage plans
- 2+ years managing relationships with regulatory bodies including CMS, State Regulators, & NCQA
- Knowledge of and coaching on audit protocols and reporting requirements, adherence to policies and procedures, as project efforts
- Knowledge of process flows, and business continuity plans specific to your team's processes.
