Devoted Health
Senior Medicare Complaints Specialist
Devoted Health, Myrtle Point, Oregon, United States, 97458
Employer Industry: Healthcare Services
Why consider this job opportunity:
Salary up to $30 per hour
Generous paid time off and employer-sponsored health, dental, and vision plans
$100 monthly mobile or internet stipend
Bonus eligibility for all roles excluding Director and above
Opportunity to contribute to meaningful healthcare improvements for older Americans
Work in a supportive and diverse environment with a commitment to treating members like family
What to Expect (Job Responsibilities):
Research and resolve Medicare‑submitted complaints in accordance with CMS guidelines and internal SOPs
Communicate with members via phone, email, and written correspondence to resolve complaints
Handle complex or highly escalated cases with professionalism and empathy
Conduct root cause analyses and help categorize complaints appropriately
Document all complaint activity with accuracy across multiple systems and platforms
What is Required (Qualifications):
Minimum of 3 years of experience in Medicare Advantage, with a focus on complaints, appeals, or grievances
Familiarity with CMS Chapter 2 and Chapter 3 guidelines
Excellent customer service and conflict resolution skills
Strong written and verbal communication skills
Ability to work both independently and collaboratively in a fast‑paced environment
How to Stand Out (Preferred Qualifications):
Bachelor’s degree or equivalent experience in healthcare, conflict resolution, or a related field
Experience working directly with CMS submissions and CTM documentation
Knowledge of health insurance products and claims processing
Familiarity with RCA methodologies and reporting best practices
Experience mentoring peers or participating in training initiatives
#HealthcareServices #MedicareAdvantage #CustomerService #CareerOpportunity #DiversityAndInclusion
We prioritize candidate privacy and champion equal‑opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top‑tier employer.
#J-18808-Ljbffr
Why consider this job opportunity:
Salary up to $30 per hour
Generous paid time off and employer-sponsored health, dental, and vision plans
$100 monthly mobile or internet stipend
Bonus eligibility for all roles excluding Director and above
Opportunity to contribute to meaningful healthcare improvements for older Americans
Work in a supportive and diverse environment with a commitment to treating members like family
What to Expect (Job Responsibilities):
Research and resolve Medicare‑submitted complaints in accordance with CMS guidelines and internal SOPs
Communicate with members via phone, email, and written correspondence to resolve complaints
Handle complex or highly escalated cases with professionalism and empathy
Conduct root cause analyses and help categorize complaints appropriately
Document all complaint activity with accuracy across multiple systems and platforms
What is Required (Qualifications):
Minimum of 3 years of experience in Medicare Advantage, with a focus on complaints, appeals, or grievances
Familiarity with CMS Chapter 2 and Chapter 3 guidelines
Excellent customer service and conflict resolution skills
Strong written and verbal communication skills
Ability to work both independently and collaboratively in a fast‑paced environment
How to Stand Out (Preferred Qualifications):
Bachelor’s degree or equivalent experience in healthcare, conflict resolution, or a related field
Experience working directly with CMS submissions and CTM documentation
Knowledge of health insurance products and claims processing
Familiarity with RCA methodologies and reporting best practices
Experience mentoring peers or participating in training initiatives
#HealthcareServices #MedicareAdvantage #CustomerService #CareerOpportunity #DiversityAndInclusion
We prioritize candidate privacy and champion equal‑opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top‑tier employer.
#J-18808-Ljbffr