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

Job Summary:

arenaflex Healthcare, a leading advocate for better health through every stage of life, is seeking an experienced Grievance Customer Service Associate Analyst (Team Lead) to join our remote team in the USA. As a subject matter expert, you will oversee the execution and performance of the Grievance team, providing guidance, instruction, direction, and leadership to achieve key results. If you have a passion for resolving complex issues, a strong background in Medicare and Medicaid managed care, and excellent communication skills, we encourage you to apply for this exciting opportunity.

About arenaflex Healthcare:

arenaflex Healthcare is a division of The arenaflex Group, dedicated to guiding our customers through the healthcare system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. With a focus on driving growth and improving lives, we are committed to providing exceptional customer service and support.

Responsibilities:

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

• Managing a team of Grievance Coordinators, including goal and productivity management, coaching, and counseling, as well as providing feedback to management 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 will 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, including Microsoft Word and Excel, as well as corporate email.
• Demonstrated ability to manage large caseloads and effectively work in a fast-paced environment.

Work Environment:

As a remote employee, you will have the flexibility to work from home, with the expectation of maintaining a dedicated workspace and adhering to arenaflex's remote work policies. You will need to have a reliable internet connection with speeds of at least 10Mbps download/5Mbps upload.

Compensation and Benefits:

arenaflex offers 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. You will also enjoy a comprehensive range of benefits, including:

• 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 and paid holidays

Career Growth Opportunities:

arenaflex is committed to supporting the growth and development of our employees. As a Grievance Customer Service Associate Analyst (Team Lead), you will have opportunities to:

• Develop your leadership skills and experience in managing a team.
• Expand your knowledge of Medicare and Medicaid managed care, as well as CMS regulations and policies.
• Collaborate with cross-functional teams to drive business results and improve customer satisfaction.

How to Apply:

If you are a motivated and experienced professional with a passion for resolving complex issues, 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 is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive work environment that values diversity, equity, and inclusion.

Reasonable Accommodation:

If you require reasonable accommodation in completing the online application process, please email [[email protected]](mailto:[email protected]) for support.

Tobacco-Free Policy:

arenaflex 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.

Expected Salary:

$17-$26 per hour, depending on relevant factors, including experience and geographic location.

Location:

USA

Job Date:

Sun, 03 Sep 2023 01:56:04 GMT Apply for the job now! Apply Job! Apply for this job