Complaint Analyst jobs in United States
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California Department of Managed Health Care ยท 12 hours ago

Complaint Analyst

The California Department of Managed Health Care is dedicated to ensuring health plan members have access to equitable and high-quality health care. The Complaint Analyst will assist in evaluating and resolving complaints while implementing health care regulations and policies.

ComplianceGovernmentHealth Care
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Diversity & Inclusion
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Responsibilities

Evaluating, monitoring, and resolving standard complaints and health program activities
Performing technical, consultative, administrative, and programmatic work within the Standard Complaint Branch

Qualification

Health care knowledgeComplaint resolutionAnalytical skillsCustomer serviceWritten communicationOrganizational skillsMicrosoft OfficeIndependenceTactFlexibility

Required

Possession of Minimum Qualifications will be verified prior to interview and/or appointment
If you are using education to meet the minimum qualifications for this position, you must submit a copy of your high school transcripts or college/university transcript(s). Unofficial transcripts may be accepted during the application process; however, submission of official transcripts may be required prior to appointment
The position(s) require(s) a Background Investigation be cleared prior to being hired
All applicants not currently employed by the DMHC will be subject to a pre-employment background investigation
Eligibility for this classification requires the equivalent to completion of the 12th grade; candidates must submit high school transcripts or college/university transcript(s) to demonstrate the equivalent to completion of the 12th grade with their application package

Preferred

Candidates with health care insurance and/or health care services experiences strongly advised
Knowledge of principles, practices, and trends with health care insurance
Ability to work in a fast-paced and customer service-oriented program environment and to organize/prioritize workload to meet demands
Experience analyzing complex issues and or writing recommendations
Ability to work well under pressure and meet deadlines
Ability to perform multiple tasks with accuracy, precision and neatness
Ability to provide accurate, clear, and timely advice and direction
Independently resolve consumer complaints within a short time frame
Provide excellent oral and written communications
Good organizational skills to ensure timely and accurate resolution of complaint cases
Work well under pressure
Demonstrated ability to act independently, with open-mindedness, flexibility, and tact
Knowledge and proficiency in the use of personal computers and standard office software (i.e. Outlook, Word, Excel, Access and PowerPoint)

Company

California Department of Managed Health Care

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California Department of Managed Health Care is a government body that provides health plan oversight and consumer complaint assistance.

Funding

Current Stage
Growth Stage

Leadership Team

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Chris Jaeger, MD, MBA
Chief Medical Officer
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