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Centers Plan for Healthy Living is seeking a Grievance and Appeals Coordinator
Centers Plan for Healthy Living (CPHL), is a Managed Care Organization servicing members with Medicare and/or Medicaid. Our goal is to provide members and all those involved in their care with the guidance and health plan choices they need for healthy living. CPHL is committed to providing quality, coordinated health care to some of the most honored and yet still vulnerable members of our community
As an integral part of the Grievance and Appeals (G&A) Department, the G&A Coordinator lends their support in processing member-related grievances and appeals across CPHL’s various lines of business. Process includes gathering, documenting, tracking, and pursuing resolution of complaints in accordance with regulatory and organizational guidelines to the member’s satisfaction.
High school diploma or equivalent required. Associate’s Degree preferred
Minimum two years of experience in customer service or health service environment. Previous experience in Managed Care grievances/appeals preferred. Strong communication, organizational, critical thinking, and problem solving skills.
We are an Equal Opportunity Employer –M/F/D/V