What are the responsibilities and job description for the Grievance Analyst position at Convey Health Solutions?
Exciting Career Opportunity - Grievance Analyst
Paid Training Monday – Friday 8:00am – 4:30pm EST
Check us out: www.conveyhealthsolutions.com
Grievance Analysts are empowered to provide each Customer with the best experience possible through the clear and timely resolution of the concerns and feedback members share.
A keen eye for details, passion for serving the unique needs of the Medicare population, and critical-thinking and communication skills will be the keys to success for the successful candidates in this mission-critical role.
JOB RESPONSIBILITIES
- Research, investigate, and resolve grievances for all products in accordance with regulatory requirements, internal policies and claims events
- Identify correct resource and reroute inappropriate work items that do not meet complaint and grievance criteria
- Ability to translate complex information into a simple message on assigned grievance cases including written and verbal communication to the appropriate individuals including the member, clients, and internal department(s)
- Analyzes and renders determinations on assigned grievances and completion of the respective written communication documents to support the determination
EDUCATION AND QUALIFICATIONS
- Associates degree, Bachelor’s preferred or High School Diploma with 3 years of Customer Service experience
- Preferred one or more years of experience working with Pharmacy Benefit Manager (PBM), Experience in Health Plan, managed care plan or Part D/Prescription Drug plan sponsor
- Comfortable working in fast paced environment with the ability to work with tight deadlines
- Comfortable performing repetitive tasks at times
- Strong verbal and written communication skills and strong problem-solving and investigational abilities
- Comfort level with technology and aptitude for learning new software
- Ability to meet demands of a high paced environment with tight turnaround times
Job Type: Full-time
Pay: $16.00 - $17.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Employee discount
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Schedule:
- 8 hour shift
- Overtime
Experience:
- Recruiting: 1 year (Preferred)
Work Location:
- One location
Work Remotely:
- Yes