Description
The Regulatory Complaint Coordinator, Intermediate manages inquiries from state regulatory agencies and other agencies, prepares detailed file summaries, researches timelines and data for health provider services and claims, resolves complex regulatory complaints, and responds to correspondence involving members, non-members, and senior executives. The role requires a high school diploma or GED, at least three years of experience, and at least two years in health insurance operations or appeals/grievances, including one year of direct appeals/grievance experience. It is a hybrid virtual role with full-time virtual work and occasional office attendance.
