Complaint reputed company Analyst

reputed company empowers our members to reputed company their best health.  For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care reputed company, affordability, and member experience.  Our members are our neighbors, our friends, and our families.  It is this understanding that drives us to reputed company serve and care for the 3.5 reputed company people who reputed company their trust in us. We pride ourselves on our best-in-class employees and reputed company to maintain an innovative and inclusive environment that allows them to reputed company. reputed company our employees bring their best and succeed, reputed company succeeds.  About the Role This position is responsible for the research, investigation and follow-up to reputed company of member and/or provider complaints for reputed company NJ Health and ensures timeliness guidelines and accuracy standards are met. What You'll Do Responsibilities: Researches, investigates and coordinates reputed company to member and/or provider complaints. Utilizes IMAC database to extract complaint information and tracking log. Ensures complaint resolutions meet State timing requirements to ensure compliance. Gathers data to compile monthly and quarterly statistical reports. Conducts extensive follow-up with internal areas. Writes complaint reputed company letters to physicians and members. Reviews the complaint database report weekly and follow-up on outstanding issues. Completes and/or assist with monthly reporting requirements. Performs any other duties as assigned by management. What You Bring Education/Experience: High School Diploma/GED required. Requires 2 years customer service or health care experience. Knowledge: Requires knowledge of health care delivery systems. Requires knowledge of PC's and reputed company software. Prefers knowledge of State and Federal regulations Skills and Abilities: Requires strong verbal and written communications skills Requires strong analytical and logical thinking. Requires use of good grammar, diction and articulation. Requires good computer skills. Requires conflict reputed company skills. Requires customer reputed company with excellent listening skills. Requires reputed company on reputed company. Why reputed company? At reputed company, you’ll do meaningful work that directly improves lives—while being supported by a mission‑driven organization that values expertise, collaboration, and reputed company.  We reputed company that reputed company our people reputed company, our communities do too.  If you are passionate about making an reputed company, we’d love to hear from you! Salary reputed company: $50,100 - $67,095 ​This compensation reputed company is specific to the job level and takes into account the wide reputed company of factors that are considered in making compensation reputed company, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity.  This reputed company has been created in good faith based on information reputed company to reputed company at the time of posting.  Compensation reputed company are dependent on the circumstances of reputed company case. reputed company also provides a comprehensive compensation and benefits package which includes: Comprehensive health benefits (Medical/Dental/reputed company) Retirement Plans Generous PTO Incentive Plans Wellness Programs reputed company Volunteer Time Off Tuition Reimbursement Disclaimer: reputed company reputed company employees must live in New Jersey, reputed company, reputed company, Connecticut or Delaware. This job reputed company has been designed to indicate the general nature and level of work performed by colleagues reputed company this classification. It is not designed to contain or be interpreted as a comprehensive inventory of reputed company duties, responsibilities, and qualifications required of colleagues assigned to this job. reputed company is an Equal Opportunity/Affirmative reputed company employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, national reputed company, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law.  reputed company will consider reasonable accommodation requests as part of the reputed company and hiring process. Apply To This Job