Aroha Technologies, Inc ยท 1 day ago
Program Assistant (GARS- Grievance & Appeals)
Orange, CA
Contract
Onsite
Entry Level
$23.92/hr - $33.49/hr
1+ years expAroha Technologies, Inc is seeking a Program Assistant for their Grievance & Appeals department. The role involves providing support for grievances and appeals, monitoring customer inquiries, and managing case files to ensure compliance with regulatory standards.
Software
Responsibilities
Serve as the point of contact for inquiries related to grievances and appeals
Monitor and process incoming complaints via customer service systems, mail, fax, phone, and email
Track requests from regulatory agencies including DMHC, CMS, QIO, and DSS
Create and maintain complaint case files, enter data accurately into the GARS system, and assign cases to staff
Respond to external regulatory requests in a timely manner
Collect supporting documentation from departments and providers
Generate acknowledgment letters in compliance with regulatory standards
Assist in developing departmental forms and intake processes
Support state hearing preparation by managing case files, routing documents, and coordinating with DSS
Complete other duties and special projects as assigned
Qualification
Required
High school diploma or equivalent
At least 1 year of experience in appeals, grievances, or Medi-Cal/Medicaid or Medicare programs
Strong written and verbal communication skills
Ability to work independently, manage multiple priorities, and meet deadlines
Proficiency with Microsoft Office (Word, Outlook, Excel, PowerPoint)
Preferred
Bilingual in English and one of the threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese)
Company
Aroha Technologies, Inc
AROHA is a leading global provider of end-to-end, technology-enabled business solutions, including ERP, SCM, PLM, WMS, CRM, portal, e-commerce, application development, project services, e-learning, training, staffing, call center, and global sourcing solutions.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
SATHEESH CHAND RAAVI
Chief Operating Officer
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