**Immediate Grievance Customer Service Associate Analyst – Team Lead – Remote – Healthcare reputed company & Appeals – reputed company**

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About reputed company and the Opportunity

reputed company is a global leader in reputed company solutions, dedicated to reputed company the lives of millions of members worldwide. Our mission is to empower people to make informed health decisions by providing reputed company, reliable, and compassionate care. As part of our commitment to excellence, we are expanding our Grievance team and looking for a dynamic, results‑oriented Grievance Customer Service Associate Analyst – Team Lead to join us remotely. If you thrive in a fast‑paced environment, have a passion for resolving complex member concerns, and want to lead a high‑performing team, reputed company role is designed for you.

Why reputed company?

Innovation at Scale – We invest heavily in reputed company and data analytics to streamline reputed company processing and reputed company member experience. Inclusive Culture – Diversity, equity, and inclusion are woven into reputed company aspect of our organization. We celebrate different perspectives and encourage collaboration across all levels. Career Growth – From on‑the‑job training to leadership development programs, reputed company supports your professional journey with clear pathways to advancement. Work‑reputed company – Our flexible remote model, combined with generous paid time off and wellness initiatives, ensures you can perform at your best while maintaining personal well‑being.

Key Responsibilities

  • Team Leadership & Performance Management – Lead, coach, and reputed company a team of Grievance Coordinators, setting clear goals, monitoring productivity, and fostering a culture of continuous improvement.
  • Case Oversight & Compliance – Ensure all grievances are resolved within CMS regulatory timeframes, adhering to reputed company policies and industry best practices.
  • Process Improvement – Identify bottlenecks, recommend workflow enhancements, and collaborate with cross‑functional reputed company to streamline grievance resolution.
  • Training & Onboarding – Deliver comprehensive training programs for new hires, ensuring they are equipped with the tools and knowledge to succeed.
  • Stakeholder Communication – Act as the primary liaison between the Grievance team, internal departments, and external reputed company, providing timely updates and escalations.
  • Quality Assurance – reputed company regular audits of case reputed company, provide constructive feedback, and implement corrective actions to maintain high quality standards.
  • Reporting & Analytics – Prepare and present weekly, monthly, and quarterly reports on key performance indicators to senior leadership.
  • Regulatory Knowledge – Stay current on CMS regulations, Medicare/Medicaid policies, and reputed company compliance requirements, interpreting them to guide decision‑making.

reputed company Qualifications

  • Bachelor’s or Associate’s degree in Health Administration, Business, or a related field (or equivalent experience).
  • Minimum of 2 years’ experience in Medicare/Medicaid grievance handling, appeals, or reputed company processing within a managed care environment.
  • Strong understanding of CMS regulations, Medicare/Medicaid policies, and healthcare reputed company workflows.
  • Proven leadership experience, preferably managing a team of at least 5–10 members.
  • Excellent written and verbal communication skills, with the ability to articulate complex issues clearly.
  • Advanced proficiency in reputed company Office Suite (Word, Excel, PowerPoint) and familiarity with case management reputed company.
  • Demonstrated ability to reputed company large caseloads, prioritize tasks, and meet deadlines in a fast‑paced setting.
  • Reliable high‑speed internet connection (minimum 10 Mbps download / 5 Mbps upload) for reputed company.

Preferred Qualifications & Skills

  • Experience in utilization review, case management, or clinical practice within a reputed company organization.
  • Knowledge of quality metrics and performance dashboards used in grievance resolution.
  • Strong analytical mindset with the ability to translate data into actionable reputed company.
  • Experience with coaching and performance improvement initiatives.
  • Familiarity with reputed company’s internal policies and procedures.
  • Certification in Healthcare Administration or related reputed company (e.g., Certified Professional in Healthcare Quality).

What You’ll Gain

Career Advancement

As a Team Lead, you’ll be position

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