Medicare Complaint Analyst

Position Summary

The Complaint Analyst will manage the Medicare Part D complaints received from the Centers for Medicare and Medicaid Services (CMS) to ensure issues are resolved timely and in compliance with CMS guidelines.  This person will identify and analyze trends and emerging issues and recommend solutions, while also assisting the development and maintenance of tools for program oversight.

Additionally, the Complaint Analyst must maintain strong working relations with all internal and external personnel and be comfortable speaking with our Part D members, Pharmacists and CMS Representatives.  This person will maintain strict enforcement of confidentiality rules, have the ability to work independently under tight time frames and perform other duties as assigned. The position requires excellent problem solving skills and the ability to write clear, concise, effective correspondence and the ability to determine when a situation is complex enough and/or carries significant consequences to present to Senior Management.

 

Requirements include:Bachelor's degree in business, healthcare or related field or equivalent experience or combination of education and experience. Some Medicare Part D or Managed Care knowledge Prior knowledge of or exerience handling Medicare grievances, appeals or complaints strongly preferred. Computer proficency with MS Word, Exel and Project

 Working Conditions/Physical Demands

The physical demands described below are representative of those that must be met by the employee to perform the essential functions of the job.  If requested, reasonable accommodation may be made to enable individuals with disabilities to perform essential job functions.

 

While performing the duties of this job the employee is regularly required to sit, stand, walk, talk, hear and see.  The employee must use both hands to feel and operate a computer keyboard.  The vision requirements include:  close vision, distance, vision, peripheral vision, depth perception and ability to focus.

 

HealthSpring offers a competitive

salary and a full range of benefits.

 



Please visit www.myhealthspring.com

and complete the on line application.

 

All interested applicants must complete an on line application

 

Select Department: Compliance

Select Position:Government Programs Analyst

 

No Phone calls accepted

 



HealthSpring, Inc. is an EEO/AA employer.