Program Assistant (GARS- Grievance & Appeals)

Job Title: Temp - Program Assistant (GARS- Grievance & Appeals) Location: Orange County, CA (Onsite – Full Office) Department: Grievance & Appeals Schedule: Monday – Friday, 8:00 a.m. to 5:00 p.m. Salary Range: $23.92 – $33.49 per hour Roles & Responsibilities Program Support (80%) Serve as the point of contact for inquiries related to grievances and appeals. Monitor and process incoming complaints via customer service systems, mail, fax, phone, and email. Track requests from regulatory agencies including DMHC, CMS, QIO, and DSS. Create and maintain complaint case files, enter data accurately into the GARS system, and assign cases to staff. Respond to external regulatory requests in a timely manner. Administrative Support (15%) Collect supporting documentation from departments and providers. Generate acknowledgment letters in compliance with regulatory standards. Assist in developing departmental forms and intake processes. Support state hearing preparation by managing case files, routing documents, and coordinating with DSS. Other (5%) Complete other duties and special projects as assigned. Qualifications Minimum Requirements: High school diploma or equivalent. At least 1 year of experience in appeals, grievances, or Medi-Cal/Medicaid or Medicare programs. Strong written and verbal communication skills. Ability to work independently, manage multiple priorities, and meet deadlines. Proficiency with Microsoft Office (Word, Outlook, Excel, PowerPoint). Preferred Qualifications: Bilingual in English and one of the threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese). Work Environment Office-based, Monday–Friday, with moderate noise level. May require flexibility for schedule changes or occasional travel. Physical requirements include ability to sit for extended periods, handle case files, and lift up to 25 lbs. Thanks and Regards, Ashu Senior Healthcare Recruiter Direct: 510-455-4427 Email: Ashu@arohatechnologies.com