Job Description:
Remote healthcare job with Lumeris. Look into Medicare member complaints, contact members and providers, and document how each case is resolved. Needs a bachelor's degree or equivalent and 1+ year of related experience (or the skills to succeed). Pays $44,100 to $54,825 a year.
About the Role
Lumeris is hiring a Grievance Coordinator for its Medicare Grievances Program. You will review and investigate member complaints, work with internal and external partners to resolve them, and handle each grievance under organizational and regulatory guidelines in a high-volume, high-touch environment.
What You Will Do
- Investigate member complaints, identify every issue in the grievance, and resolve it through action and education
- Do root cause analysis on escalated grievances to find system, plan, or provider issues
- Research cases and reach out to members, providers, and partners on time
- Keep an accurate, complete record of each investigation and how the member was notified
- Manage several cases at once and escalate urgent or sensitive issues
- Report on your assignments in weekly team meetings
What You Need
- Bachelor's degree or equivalent
- 1+ year of related work experience, or the knowledge, skills, and abilities to succeed in the role
- Good investigation, critical thinking, and problem-solving skills
- Organized, able to multitask and meet deadlines
- Good communication and customer service skills
- Authorized to work in the US (no visa sponsorship)
- This is a member-facing role: proof of at least the initial COVID-19 vaccine series is required
Location & Pay
Remote, USA. Full time. The hiring range is $44,100 to $54,825 a year, and some roles may qualify for a performance incentive. Benefits include medical, vision, and dental plans, FSA and HSA, life and disability insurance, paid time off, and a 401(k) with company match. No drug screen, MVR, or credit check required.