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