Grievance Analyst - Caseworker
Description:
- Responsible for researching, resolving, and communicating member issues regarding their coverage and benefits
- Work cross-functionally with different departments to support research into members’ issues
- Responsible for outreach to members with verbal and/or written responses explaining resolutions
- Measured by ability to close grievances cases daily and within specified turnaround times
Requirements:
- 2 plus years of experience working within a customer service role on several computer applications and complex databases for research, including Microsoft Office products (Excel, Word, and Outlook)
- Previous experience within Pharmacy Benefit Management (PBM) or pharmaceutical related industry
- Previous Med D grievance experience
- Bachelors Degree Preferred
Benefits:
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings
- Tobacco cessation and weight management programs
- Confidential counseling and financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access