Case Review Grievance Analyst
Posted on: September 21, 2023
A company is looking for a Case Review Grievance Analyst.
Review and ensure Grievance resolutions align with CMS guidelines
and address member concerns
Provide feedback to caseworkers on the quality of written
grievances resolution letters and summaries
Conduct root-cause analysis and make process improvement
recommendations to enhance the member experience
2+ years of experience with Microsoft Office Suite
1+ years of Med D work experience
2+ years of general business experience
1+ year of PBM/pharmaceutical related work strongly desired
High school diploma or equivalent; Bachelor's degree preferred
Keywords: VirtualVocations, Plano , Case Review Grievance Analyst, Professions , Plano, Texas
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