Experienced Grievance Customer Service Associate Analyst Team Lead – Medicare and Medicaid Managed Care Environment with Strong Leadership and Problem-Solving Skills

Introduction to blithequark At blithequark, we are dedicated to improving the lives of our customers through every stage of their health journey. As a leader in the healthcare industry, we strive to empower our customers with the information and insight they need to make informed decisions about their health and well-being. Our team is passionate about delivering exceptional service and support to our members, and we are seeking a highly skilled and experienced Grievance Customer Service Associate Analyst Team Lead to join our team. About the Role The Grievance Customer Service Associate Analyst Team Lead will play a critical role in overseeing the execution and performance of our Grievance team. As a subject matter expert, you will provide guidance, instruction, direction, and leadership to the grievance team, ensuring that we resolve issues in a timely and compliant manner. You will be responsible for managing a team of Grievance Coordinators, delivering training to employees, and ensuring that new hires have the proper tools and training to succeed in their roles. Key Responsibilities Manage a team of Grievance Coordinators, with responsibility for goal and productivity management, coaching and counseling, and providing feedback to the management team and other leadership responsibilities as assigned. Deliver training to employees as needed and ensure that new hires have proper work tools and are trained accordingly. Ensure that Grievance Coordinators expedite timely requests for information and that cases meet compliance requirements. Understand blithequark's internal health plans policies and procedures to frame decisions and make critical decisions in support of the business as needed. Manage all duties within CMS regulatory timeframes and interpret CMS regulations and policies as needed. Communicate effectively to hand-off and pick-up work from colleagues and ensure that the team meets/exceeds production and quality goals. Qualifications and Requirements To be successful in this role, you will need to have a strong background in Medicare and Medicaid managed care, with experience in investigating and resolving grievances. You should have a Bachelor's or associate degree in a related field, or a high school diploma with equivalent experience. Additionally, you should have: 2 or more years of experience in a Medicare, Medicaid managed care environment, with a focus on investigating and resolving grievances. Experience in clinical practice, with experience in appeals and 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. Essential Skills and Competencies To excel in this role, you will need to have: Strong leadership and management skills, with the ability to motivate and direct a team of Grievance Coordinators. Excellent problem-solving and analytical skills, with the ability to interpret complex regulations and policies. Strong communication and interpersonal skills, with the ability to work effectively with colleagues, management, and external stakeholders. Ability to work in a fast-paced environment, with multiple priorities and deadlines. Career Growth and Development Opportunities At blithequark, we are committed to the growth and development of our employees. As a Grievance Customer Service Associate Analyst Team Lead, you will have access to a range of training and development opportunities, including: Comprehensive training programs to help you develop your skills and knowledge in Medicare and Medicaid managed care. Opportunities for career advancement and professional growth, with a focus on leadership development and succession planning. Access to a range of employee benefits, including medical, vision, dental, and well-being and behavioral health programs. Work Environment and Company Culture At blithequark, we are proud of our company culture, which is built on a foundation of respect, empathy, and inclusivity. We believe in creating a work environment that is supportive, collaborative, and empowering, where our employees can thrive and grow. As a Grievance Customer Service Associate Analyst Team Lead, you will be part of a dynamic and dedicated team, working together to deliver exceptional service and support to our members. Compensation and Benefits We offer a competitive hourly rate of $17 - $26 per hour, depending on relevant factors, including experience and geographic location. Additionally, this role is eligible to participate in an annual bonus plan, with a range of employee benefits, including: Medical, vision, dental, and 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. Conclusion If you are a motivated and experienced professional, with a passion for delivering exceptional service and support, we encourage you to apply for this exciting opportunity. As a Grievance Customer Service Associate Analyst Team Lead at blithequark, you will be part of a dynamic and dedicated team, working together to improve the lives of our customers. Don't miss out on this chance to join our team and take your career to the next level. Apply now and become a part of our mission to deliver better health through every stage of life. Apply for this job