Grievances Specialist

The Grievance Specialist is a member of the Appeals & Grievances (A&G) team at Healthfirst and is responsible for managing and resolving member or authorized representative–initiated grievances and complaints across Healthfirst’s product lines. This is a non-clinical role focused exclusively on grievance and complaint resolution.

Requirements

• Independently manage a caseload of grievances through the full case lifecycle
• Conduct detailed research by collaborating cross-functionally with internal departments
• Partner with external vendors to ensure member issues are appropriately addressed and resolved
• Draft and issue acknowledgement and resolution letters
• Ensure timely and accurate case documentation

Benefits

• Medical, dental and vision coverage
• Incentive and recognition programs
• Life insurance
• 401k contributions