Healthcare Complaint Resolution Specialist
Healthfirst
Healthfirst is seeking a Performance Support Specialist in New York City who will be responsible for resolving escalated customer complaint issues. The role involves pulling non-urgent complaint reports, reviewing matters, and maintaining a tracking system while reaching out to members. Qualified candidates should possess a high school diploma or GED, have experience in the healthcare industry, and be proficient in Microsoft Office. The position offers comprehensive benefits including medical, dental, and 401(k) contributions. #J-18808-Ljbffr Healthfirst
- ..., and clinical excellence to healthcare. As such, we are a leading authority... ...the department. The Appeals Specialist level II performs research,... ..., and other types of complaints filed by providers and clients to administer timely resolution. Responsible for all aspects...Complaints
- ...A healthcare solutions company is seeking an Appeals Coordinator to support the Appeals Department with administrative tasks and manage appeals and complaints. The ideal candidate will have 3+ years of healthcare experience, a strong background in claims processing, and...ComplaintsRemote work
- ...health service provider in New York seeks a Customer Success Specialist I to enhance customer experience and support MetroPlusHealth members... ..., assisting with enrollment activities, and addressing member complaints. The ideal candidate will have an Associate’s Degree and...Complaints
- ...II - FT - Day - Rheumatology Specialists Pennington, NJApplylocations... ...employees. Addresses complaints and exercises discretion and... ...organizational, interpersonal, conflict resolution, and verbal and written... ...Spending Account (FSA)- Healthcare FSA- Dependent Care FSA* Retirement...ComplaintsFull timeTemporary workPart timeWork at officeFlexible hoursNight shift
$107.36k - $166.75k
...America Pharmaceutical Inc. is a global healthcare company with the corporate philosophy:... ...customer engagement model, a Neuroscience Specialist engages healthcare providers (HCPs)... ...contact the FBI through the Internet Crime Complaint Center at: , or your local authorities...ComplaintsTemporary workWork at officeLocal areaRemote workWorldwideFlexible hours$75k - $90k
...The Agency Engagement and Facilitation Specialist drives Independent Agent engagement and... ...concerning the laws and procedures for filing complaints of violations of the laws with the... ..., Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro...ComplaintsContract workWork at officeRemote workWork from homeVisa sponsorshipWork visa- ...opportunity and a great way to start working with a top-tier healthcare organization! Job Title: EEO Investigator Location: New York... ...22/2026 Primary Responsibilities: Investigate internal complaints involving: Employment discrimination Harassment...ComplaintsHourly payContract workWork at officeLocal area
- ...fulfill Genesis’ mission of providing compassionate, quality healthcare for oxygen and sleep therapy in a courteous, professional, compassionate... ...quality improvement initiatives. Documents customer complaints and completes the follow-up process for quality customer service...ComplaintsAll shiftsShift workRotating shiftDay shift
$13.41 - $29.06 per hour
...including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance... ...certified coder, billing, or medical assistant). Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay...ComplaintsHourly payWork experience placementWork at office$62.87k - $72.3k
...review, and adjudication of discrimination complaints. One of the OEEO's responsibilities'... ...a Reasonable Accommodation (RA) Specialist who is interested in diversity, equity,... ...divisions, and outside parties in the resolution of employee reasonable accommodation requests...ComplaintsWork at officeLocal area$23.5 - $25.5 per hour
...General Correspondence Specialist Remote position at Carrington Holding Company, LLC. Target... ...business units to assess appropriate resolution when necessary. Compose responses or... ...Review and respond to escalated verbal complaints from the Customer Contact Division. Draft...ComplaintsRemote workFlexible hours- ...The Patient Advocacy Specialist I serves as the primary point of contact... ...issues and finding resolutions. Essential Duties And Responsibilities... ...from patients regarding healthcare questions and concerns... ...satisfaction with servicesResolve complaints, problems, and inquiries to...ComplaintsWork at officeRemote work
- ...times of the Expedited Appeal unit, the Specialists are required to work weekends and... ...timely authorization effectuation and resolution of cases.Perform necessary follow-up with... ...casesMust be well versed in all aspects of the complaint, grievance and appeal process and be...ComplaintsHourly payContract workRemote workWeekend work
$56.1k - $72k
...Summary: The Food Safety & Quality Assurance Specialist is responsible for supporting and enhancing food safety... ...Activities Participate in the investigation and resolution of consumer complaints (as assigned), including documentation and follow-up....ComplaintsTemporary workWork at office- ...Senior Diagnostics Specialist - New York Reporting to the Product Investigation Manager... ...in the efficient diagnosis and resolution of "hard to fix" vehicles to maintain customer... .... Evaluating cases concerning customer complaints, previous warranty repairs and software...ComplaintsWork experience placement
$75k - $85k
...Senior Facilities Management Specialist to join our Enterprise... ...verify safe, efficient, and complaint operations, promptly addressing... ...service agreements, timely resolutions of operational needs, and property... ...BBH from long-term savings, healthcare, and income protection to...ComplaintsCasual workWork at officeLocal areaRelocation$250k
## Specialist, Transfer & Acquisitions (Personal Lines)Applylocations: United States - Remotetime... ...of internal and external contacts, resolution and presentation skills.Other criteria,... ...prohibits retaliation for reporting complaints or violations. For more information on...ComplaintsFull timeTemporary workPart timeCasual workWork at office$66.3k - $75k
...team as a Patient Relations Specialist - Brooklyn - Required Spanish... ...and responding to patient complaints and grievances that may involve... ...,investigation, resolution, and response to the patient... ...visitors by engaging with their healthcare providers. Works collaboratively...ComplaintsWork experience placement$75k - $120k
.... The Role As a People Relations Specialist, you will partner with our Employment Counsel... ...addition to resolving investigations, complaints and determining appropriate... ...meetings, investigations, and conflict resolution. ~ Experience in building out Employee...ComplaintsWork experience placementWork at officeRemote workWork from homeRelocation package- ...Position Title: Patient Relations Specialist Department: Patient Experience... ...documentation, investigation, and resolution of patient and visitor complaints system wide. Actively participates... ...personnel in an impacted area or healthcare team. Effectively collaborates in...ComplaintsFull time
$65k - $85k
...incentives Flexible spending accounts for healthcare and dependent care Professional... ...Will Do - Essential Functions The Spec, Complaints is processes quality-of-care complaints... ...findings with the medical director, and resolution processes. This position requires knowledge...ComplaintsFull timeWork at officeLocal areaRemote workWork from homeFlexible hours- ...licensing schemes, failures to provide ASL interpretation in healthcare and law enforcement settings, and employment... ...on novel legal questions, and manage federal cases from complaint through resolution. You will work directly with senior partners on high-stakes...Complaints
$55k - $65k
...Overview The Provider Relations Specialist serves as a key liaison... ...divisions, including HeadsUp Healthcare and Carisk Outcomes. This role... ...retention, education, issue resolution, and the cultivation of... ...Address provider concerns and complaints by coordinating with internal...ComplaintsTemporary workWork at officeLocal areaRemote workFlexible hours- ...pets. Job Summary The Strategic Partner Specialist is a senior‑level subject matter expert... ...teams to address and own the resolution of complex, business‑critical platform... ...positioning to help agents close sales. Complaint & Escalation Management Proactively coordinate...ComplaintsFull timeFlexible hours
$72 - $74 per hour
...conducting impartial investigations of internal complaints involving discrimination, harassment,... ...laws and regulations. Assist in the resolution of EEO complaints and provide support... ...sensitive matters. Travel to healthcare facilities throughout New York City as...ComplaintsWork at officeLocal area- ...the following: Investigate internal complaints of discrimination, including claims of... ...redress through the investigation and resolution of complaints of unlawful employment discrimination... ...Must be able to report to various healthcare facilities throughout New York City to...ComplaintsLocal areaShift work
- ...program and participates in the constructive resolution of conflict. Focuses on improving... ...referral services as needed. Housing Specialist works with customers in need of short‑term... ...affect work. Recognizes problems and complaints and escalates to team leaders and/ou...ComplaintsPermanent employmentTemporary workWork at officeLocal areaNight shift
$16.54 - $24.71 per hour
...LoanCare, LLC is seeking a Default Resolution Analyst I to enhance client outcomes. This remote role involves processing requests and... ...teams, all while maintaining confidentiality and managing client complaints. The ideal candidate will have a High School Diploma, proven...ComplaintsHourly payRemote work- ...Mediator and Intake Specialist This position may be eligible for remote work for up to... ...to resources and, by helping to resolve complaints, DCWP protects the marketplace from... ...consumers and businesses for equitable resolutions on behalf of both parties. The Mediator...ComplaintsPermanent employmentRemote work2 days per week
- ...Life Safety Code Specialist (LSCS) Location: Remotely – Home Office. Job Overview Medxcel leads the transformation of healthcare facilities management by incorporating a new approach... ...deficiencies, guidance, and cost‑effective resolution strategies. The LSCS also provides...Local areaRemote workHome officeFlexible hoursNight shift
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