Employer Industry: Healthcare Services

Why consider this job opportunity:
- Salary up to $42.80 per hour
- Excellent benefits package, including fully paid medical, dental, and vision coverage
- Retirement plan with employer contributions equivalent to 10% of annual compensation
- Opportunities for professional development through tuition reimbursement
- Supportive work environment with a focus on employee wellness
- Work in a dynamic and collaborative team setting

What to Expect (Job Responsibilities):
- Analyze data and processes to identify trends and quality issues within the Grievance and Appeals department
- Design and produce visualizations of data reports to support reporting and analysis
- Develop and implement training plans for staff to enhance processing of grievances and appeals
- Collaborate with cross-functional teams to ensure accurate reporting and quality assurance
- Lead team preparation for audits and responses to regulatory agencies

What is Required (Qualifications):
- Bachelor's Degree preferred
- 3+ years of experience in managed care and/or grievance and appeal in a healthcare environment
- Knowledge of local, state, and federal health plan guidelines and regulations
- Proficiency in Microsoft Office Suite applications, including Excel and Access
- Strong analytical skills with attention to detail

How to Stand Out (Preferred Qualifications):
- Medicare/Medicaid experience preferred
- Subject-matter expertise in training and facilitation skills
- Experience with database management and health care compliant systems
- Ability to communicate effectively in both group and one-on-one settings
- Proven track record of prioritizing multiple tasks in a fast-paced environment

#HealthcareServices #GrievanceAndAppeals #CareerOpportunity #CompetitivePay #EmployeeBenefits

"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."