Job Description

Job Summary

Pay Range: $47,500 - $88,000

Note: Individuals typically begin between the minimum to middle of the pay range.

Manage, research and respond to member and provider inquiries, complex complaints, grievances and appeals relating to all aspects of health plan coverage consistent with contract, regulatory and/or accreditation requirements (., Department of Labor, employer group, NCQA, BCBSA, .

Minimum Qualifications

  • Bachelor's degree in related field (ex. communications, statistics, political science, English, business administration) and four years of related work experience (ex. analyst, investigator, researcher, paralegal or closely related occupations which demonstrate analytical ability and experience handling complex customer appeals/complaints); or an equivalent combination of education and related work experience.
  • Demonstrated experience in handling complex situa...

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