Case Manager

Job description : Hello,

I hope you are doing well.

Please review the job description and let me know if you are available and interested in the position below.

Job Title : Grievances & Appeals Specialist / Case Manager

Location : Remote Corona CA / Portland Or- Remote

Duration : 12+ Months Contract

Client : HEALTHCARE

Total Position - 6

Job Description :

Required Level of Education and Preferred Level of Education : HS Diploma but bachelor’s is preferred

How many years of related experience are you looking for in your ideal candidate? 6 years customer service. Heavy writing and speaking with customers over the phone. Microsoft excel, word, really help. Healthcare environment is a plus. BlueShield, Aetna, Healthcare providers (this is a huge plus)

Expected Shift : M-F Normal business hours 8 : 30-5pm with opportunities for overtime.

Interview Process : 1 interview -phone interview (teams is preferred if possible)

Top Daily Responsibilities :

• Research and respond to member grievances and appeals
• Meet regulatory requirements
• Improve Member Experience

Top (3) Required Skills Candidate Should Have :

Additional Skills Preferred