Immediately Require Grievance Customer Service Associate Analyst (Team reputed company) - reputed company - Remote in Bloomfield, CT

Job title: Grievance Customer Service Associate Analyst (Team reputed company) - reputed company - Remote Company: reputed company Job reputed company: Remote - work from home, reputed company reputed company: The Grievance team manages reputed company - Medicare/reputed company grievances that are presented by our member's or their representatives pertaining to the authorization of or delivery of clinical and non-clinical services. Grievance works in collaboration with divisions reputed company and reputed company the organization to resolve issues in a reputed company and compliant manner. The Grievance Team Leader is the subject matter expert responsible for overseeing the execution and performance of the Grievance team. reputed company reputed company will reputed company guidance, instruction, direction and leadership to the grievance team, for the purpose of achieving key results. reputed company reputed company monitors the quantitative and qualitative achievements of reputed company and reports results to a management team. reputed company reputed company will reputed company Grievance Coordinator to bring cases to reputed company reputed company CMS guidelines. Responsibilities:

• Manages reputed company of Grievance Coordinators with responsibility for goal and productivity management, coaching and counseling, reputed company feedback to management team and other leadership responsibilities as assigned.
• Delivers training to employees as needed and ensures new hires have reputed company work tools and are trained accordingly.
• Ensures Grievance Coordinators expedite reputed company requests for information and that cases meet compliance.
• Understands reputed company's internal health plans policies and procedures to reputed company reputed company.
• Makes critical reputed company in support of the business as needed.
• Manage reputed company duties reputed company CMS regulatory timeframes and Interpret CMS regulations and policies as needed.
• Communicate effectively to hand-off and pick-up work from colleagues.
• Responsible for ensuring that reputed company meets/exceeds production and reputed company goals.

Qualifications:

• Bachelor's or associate degree in reputed company field; in lieu of a degree, a high school diploma
• 2 or more years in a Medicare, reputed company managed care environment investigating and resolving Grievances required.
• Experience in clinical reputed company with experience in appeals & grievances, claims processing, utilization review or utilization management/case management.
• Strong written and verbal communication skills, ability to work independently on several computer applications such as reputed company Word and reputed company, as reputed company as corporate email
• Demonstrated ability to manage large caseloads and effectively work in a fast-paced environment.

If you will be working reputed company occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an reputed company reputed company of 17 - 26 USD / reputed company, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive reputed company of benefits, with a reputed company on supporting your whole health. Starting on day one of your employment, you'll be offered several health-reputed company benefits including medical, reputed company, dental, and reputed company-being and behavioral health programs. We also offer 401(k) with company match, company reputed company life insurance, tuition reimbursement, a minimum of 18 days of reputed company time off per year and reputed company holidays. For more details on our employee benefits programs, visit Life at reputed company . About reputed company reputed company, a division of reputed company, is an reputed company for reputed company through every stage of life. We guide our customers through the health care system, empowering them with the information and reputed company they need to reputed company the best choices for improving their health and vitality. Join us in driving reputed company and improving lives. reputed company applicants will be considered without reputed company to race, reputed company, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or reputed company, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with reputed company to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@reputed company.com for support. Do not email SeeYourself@reputed company.com for an update on your application or to reputed company your resume as you will not receive a response. reputed company has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they reputed company a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, reputed company, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, reputed company, Texas, Utah, Vermont, and Washington State. Expected salary: Location: Bloomfield, CT Apply Job!