Experienced Grievance Customer Service Associate Analyst (Team Lead) - arenaflex Healthcare - Remote in the USA

At arenaflex Healthcare, we're dedicated to providing exceptional healthcare services to our members, and we're seeking an experienced and skilled Grievance Customer Service Associate Analyst (Team Lead) to join our team. As a Team Lead, you'll play a critical role in overseeing the execution and performance of our Grievance team, ensuring that our members receive timely and compliant resolutions to their grievances.

About arenaflex Healthcare

arenaflex Healthcare is a leading healthcare organization that's committed to improving the health and well-being of our members. We're a dynamic and innovative company that's constantly seeking new ways to deliver exceptional healthcare services. Our team is passionate about making a difference in the lives of our members, and we're looking for like-minded individuals to join our team.

Job Summary

The Grievance Customer Service Associate Analyst (Team Lead) will be responsible for managing a team of Grievance Coordinators, providing guidance, instruction, direction, and leadership to ensure the team achieves key results. The Team Lead will monitor the quantitative and qualitative achievements of the team and report results to a management team. The successful candidate will have a strong background in Medicare and Medicaid managed care, with experience in investigating and resolving grievances.

Key Responsibilities

As a Grievance Customer Service Associate Analyst (Team Lead), you'll be responsible for:

• Managing a team of Grievance Coordinators, including goal and productivity management, coaching and counseling, and providing feedback to management team and other leadership responsibilities as assigned.
• Delivering training to employees as needed and ensuring new hires have proper work tools and are trained accordingly.
• Ensuring Grievance Coordinators expedite timely requests for information and that cases meet compliance.
• Understanding arenaflex's internal health plans policies and procedures to frame decisions.
• Making critical decisions in support of the business as needed.
• Managing all duties within CMS regulatory timeframes and interpreting CMS regulations and policies as needed.
• Communicating effectively to hand-off and pick-up work from colleagues.
• Responsible for ensuring that the team meets/exceeds production and quality goals.

Qualifications

To be successful in this role, you'll need:

• A Bachelor's or Associate degree in a related field (or a high school diploma in lieu of a degree).
• 2 or more years of experience in a Medicare, Medicaid managed care environment investigating and resolving grievances.
• Experience in clinical practice with experience in appeals & grievances, claims processing, utilization review or utilization management/case management.
• Strong written and verbal communication skills, with the ability to work independently on several computer applications such as Microsoft Word and Excel, as well as corporate email.
• Demonstrated ability to manage large caseloads and effectively work in a fast-paced environment.

Skills and Competencies

To excel in this role, you'll need:

• Strong leadership and management skills, with the ability to motivate and guide a team.
• Excellent communication and interpersonal skills, with the ability to work effectively with colleagues and stakeholders.
• Strong analytical and problem-solving skills, with the ability to interpret complex data and make informed decisions.
• Ability to work in a fast-paced environment, with multiple priorities and deadlines.
• Strong attention to detail and organizational skills, with the ability to manage multiple projects and tasks.

Career Growth Opportunities and Learning Benefits

At arenaflex Healthcare, we're committed to helping our employees grow and develop their careers. As a Grievance Customer Service Associate Analyst (Team Lead), you'll have opportunities to:

• Develop your leadership and management skills, with training and development programs to help you succeed.
• Work on complex and challenging projects, with the opportunity to make a real impact on our members' lives.
• Collaborate with a talented and dedicated team, with opportunities to learn from and share knowledge with colleagues.
• Participate in our annual bonus plan, with opportunities to earn additional compensation based on performance.

Work Environment and Company Culture

arenaflex Healthcare is a dynamic and innovative company that's committed to creating a positive and inclusive work environment. As a Grievance Customer Service Associate Analyst (Team Lead), you'll have the opportunity to work in a fast-paced and challenging environment, with a talented and dedicated team. We're committed to providing a comprehensive range of benefits, with a focus on supporting your whole health.

Compensation, Perks, and Benefits

We're offering a competitive hourly rate of $17-$26 per hour, 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're committed to providing a comprehensive range of benefits, with a focus on supporting your whole health. These benefits include:

• Medical, vision, and dental coverage
• Well-being and behavioral health programs
• 401(k) with company match
• Company-paid life insurance
• Tuition reimbursement
• A minimum of 18 days of paid time off per year
• Paid holidays

How to Apply

If you're a motivated and experienced professional who's passionate about delivering exceptional healthcare services, we encourage you to apply for this exciting opportunity. Please submit your application through our website, including your resume and a cover letter outlining your qualifications and experience.

Equal Employment Opportunity

arenaflex Healthcare is an equal opportunity employer, committed to diversity and inclusion. We're committed to creating a workplace that's inclusive and respectful of all employees, regardless of their background, culture, or identity. We're proud to be an employer of choice for talented and dedicated professionals who share our values and commitment to excellence.

Reasonable Accommodation

If you require reasonable accommodation in completing the online application process, please email [[email protected]](mailto:[email protected]) for support. Do not email [[email protected]](mailto:[email protected]) for an update on your application or to provide your resume, as you will not receive a response.

Tobacco-Free Policy

arenaflex Healthcare 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 enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Apply for this job