Experienced Grievance Customer Service Associate Analyst – Team Lead – arenaflex Healthcare – Remote

Are you a results-driven professional with a passion for delivering exceptional customer service? Do you have a strong background in grievance management and a desire to lead a team of dedicated professionals? If so, we invite you to join arenaflex Healthcare as a Grievance Customer Service Associate Analyst – Team Lead in a remote work environment. At arenaflex Healthcare, we're committed to driving growth and improving lives through our innovative approach to healthcare. As a Grievance Customer Service Associate Analyst – Team Lead, you'll play a critical role in ensuring that our customers receive the highest level of service and support. You'll lead a team of Grievance Coordinators, providing guidance, instruction, direction, and leadership to achieve key results. Your expertise will be essential in resolving grievances in a timely and compliant manner, while ensuring that our customers receive the best possible experience.

About arenaflex Healthcare

arenaflex Healthcare is a leading advocate for better health through every stage of life. We guide our customers through the healthcare system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Our commitment to innovation and customer satisfaction has earned us a reputation as a trusted partner in the healthcare industry.

Responsibilities

As a Grievance Customer Service Associate Analyst – Team Lead, you'll be responsible for:

• Managing a team of Grievance Coordinators, including goal and productivity management, coaching, and counseling
• Delivering training to employees as needed and ensuring new hires have proper work tools and are trained accordingly
• Ensuring Grievance Coordinators expedite timely requests for information and that cases meet compliance
• Understanding arenaflex Healthcare's internal health plans policies and procedures to frame decisions
• Making critical decisions in support of the business as needed
• Managing all duties within CMS regulatory timeframes and interpreting CMS regulations and policies as needed
• Communicating effectively to hand-off and pick-up work from colleagues
• Responsible for ensuring that the team meets/exceeds production and quality goals

Qualifications

To be successful in this role, you'll need:

• A Bachelor's or Associate degree in a related field (or equivalent experience)
• 2+ years of experience in a Medicare, Medicaid managed care environment investigating and resolving grievances
• Experience in clinical practice with experience in appeals & grievances, claims processing, utilization review, or utilization management/case management
• Strong written and verbal communication skills
• Ability to work independently on several computer applications, including Microsoft Word and Excel, as well as corporate email
• Demonstrated ability to manage large caseloads and effectively work in a fast-paced environment

Skills and Competencies

To excel in this role, you'll need:

• Strong leadership and management skills, with the ability to motivate and guide a team of professionals
• Excellent communication and interpersonal skills, with the ability to build strong relationships with colleagues and customers
• Strong analytical and problem-solving skills, with the ability to interpret complex data and make informed decisions
• Ability to work in a fast-paced environment, with multiple priorities and deadlines
• Strong attention to detail and organizational skills, with the ability to manage multiple tasks and projects simultaneously

Career Growth Opportunities and Learning Benefits

At arenaflex Healthcare, we're committed to helping our employees grow and develop their careers. As a Grievance Customer Service Associate Analyst – Team Lead, you'll have access to:

• Ongoing training and development opportunities, including leadership development programs and industry-specific training
• Mentorship and coaching from experienced professionals
• Opportunities for career advancement and professional growth
• A comprehensive benefits package, including medical, vision, dental, and well-being and behavioral health programs
• A 401(k) plan with company match
• Paid time off and holidays
• A tobacco-free policy and a commitment to creating a healthy and balanced work environment

Work Environment and Company Culture

As a remote employee, you'll have the flexibility to work from home and enjoy a better work-life balance. Our company culture is built on a foundation of innovation, collaboration, and customer satisfaction. We're committed to creating a positive and inclusive work environment that supports the growth and development of our employees.

Compensation and Benefits

As a Grievance Customer Service Associate Analyst – Team Lead, you'll be eligible for a competitive salary, ranging from $17 to $26 per hour, depending on your experience and location. You'll also be eligible for an annual bonus plan and a comprehensive benefits package, including medical, vision, dental, and well-being and behavioral health programs.

How to Apply

If you're a motivated and results-driven professional with a passion for delivering exceptional customer service, we invite you to apply for this exciting opportunity. Please submit your application through our website, including your resume and a cover letter outlining your qualifications and experience.

Equal Employment Opportunity

arenaflex Healthcare is an equal opportunity employer, committed to creating a diverse and inclusive work environment. We welcome applications from qualified candidates of all backgrounds and perspectives.

Reasonable Accommodation

If you require reasonable accommodation in completing the online application process, please email: [[email protected]](mailto:[email protected]) for support.

Tobacco-Free Policy

arenaflex Healthcare has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment.

Location

This role is based in Bloomfield, CT, and is eligible for remote work.

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