Complaint and Appeals Analyst

• Research and process grievances and appeals for Dual eligible members and providers
• Perform outreach to obtain additional information
• Interact with Medical Directors and Nurses as well as Leadership

• 1 year of experience processing health insurance grievance and appeal cases
• High School Diploma or GED required

6+ years of experience Medicare and Medicaid appeal and grievance preferred

• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• employee stock purchase plan
• No-cost programs including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
• paid time off
• flexible work schedules
• family leave
• dependent care resources
• colleague assistance programs
• tuition assistance
• retiree medical access