5 days ago
• Ensures grievance resolutions meet member concerns and CMS guidelines. • Interacts with clients and internal partners while mentoring caseworkers. • Performs quality reviews of grievance resolution letters. • Identifies quality issues and develops improvement plans with staff. • Supports audits and delivers interdepartmental training.
• 2 plus years of customer service experience. • Experience with multiple computer applications and complex databases. • Advanced knowledge of grievance processes. • Bachelor’s Degree preferred.
• Full range of medical, dental, and vision benefits. • 401(k) retirement savings plan. • Employee Stock Purchase Plan. • Fully-paid term life insurance plan. • Short-term and long-term disability benefits. • Well-being programs, education assistance, and free development courses. • CVS store discount and discount programs with partners. • Paid Time Off (PTO) and paid holidays.
Apply Now5 days ago
501 - 1000
Trading Analyst managing client accounts for a wealth management firm.
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Review and resolve grievances/appeals for health insurance provider Highmark Health.
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