**Experienced Grievance Customer Service Associate Analyst (Team Lead) - arenaflex Healthcare - Remote in Bloomfield, CT**

At arenaflex Healthcare, we're dedicated to delivering exceptional healthcare services to our customers. As a leading advocate for better health through every stage of life, we're seeking an experienced Grievance Customer Service Associate Analyst (Team Lead) to join our team. This is an exciting opportunity to lead a team of Grievance Coordinators and contribute to the success of our Medicare/Medicaid grievance management process. **About arenaflex Healthcare** arenaflex Healthcare, a division of The arenaflex Group, is an advocate for better health through every stage of life. We guide our customers through the healthcare system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. **Job Summary** The Grievance Customer Service Associate Analyst (Team Lead) is a critical role within our organization, responsible for overseeing the execution and performance of the Grievance team. As a subject matter expert, you will provide guidance, instruction, direction, and leadership to the Grievance team, ensuring that we achieve our key results. You will be responsible for monitoring the quantitative and qualitative achievements of the team and reporting results to our management team. **Key Responsibilities** As a Grievance Customer Service Associate Analyst (Team Lead), you will be responsible for: * Managing a team of Grievance Coordinators with responsibility for goal and productivity management, coaching and counseling, providing feedback to management team, and other leadership responsibilities as assigned. * Delivering training to employees as needed and ensuring new hires have proper work tools and are trained accordingly. * Ensuring Grievance Coordinators expedite timely requests for information and that cases meet compliance. * Understanding arenaflex's internal health plans policies and procedures to frame decisions. * Making critical decisions in support of the business as needed. * Managing all duties within CMS regulatory timeframes and interpreting CMS regulations and policies as needed. * Communicating effectively to hand-off and pick-up work from colleagues. * Responsible for ensuring that the team meets/exceeds production and quality goals. **Qualifications** To be successful in this role, you will need: * A Bachelor's or Associate degree in a related field (in lieu of a degree, a high school diploma with relevant experience). * 2 or more years of experience in a Medicare, Medicaid managed care environment investigating and resolving grievances. * Experience in clinical practice with experience in appeals & grievances, claims processing, utilization review, or utilization management/case management. * Strong written and verbal communication skills, ability to work independently on several computer applications such as Microsoft Word and Excel, as well as corporate email. * Demonstrated ability to manage large caseloads and effectively work in a fast-paced environment. **Skills and Competencies** To excel in this role, you will need: * Strong leadership and management skills, with the ability to motivate and guide a team. * Excellent communication and interpersonal skills, with the ability to work effectively with colleagues and stakeholders. * Strong analytical and problem-solving skills, with the ability to interpret complex data and make informed decisions. * Ability to work in a fast-paced environment, with multiple priorities and deadlines. * Strong attention to detail and organizational skills, with the ability to manage multiple tasks and projects. **Career Growth Opportunities and Learning Benefits** At arenaflex Healthcare, we're committed to helping our employees grow and develop their careers. As a Grievance Customer Service Associate Analyst (Team Lead), you will have opportunities to: * Develop your leadership and management skills, with training and development programs to help you succeed. * Work on complex and challenging projects, with the opportunity to make a meaningful impact on our business. * Collaborate with a talented and dedicated team, with a focus on delivering exceptional results. * Enjoy a comprehensive range of benefits, with a focus on supporting your whole health. **Work Environment and Company Culture** At arenaflex Healthcare, we're proud of our company culture, which is built on a foundation of: * Collaboration and teamwork, with a focus on delivering exceptional results. * Innovation and creativity, with a commitment to staying ahead of the curve. * Diversity and inclusion, with a focus on creating a welcoming and inclusive environment. * Employee well-being, with a range of benefits and programs to support your physical and mental health. **Compensation, Perks, and Benefits** As a Grievance Customer Service Associate Analyst (Team Lead), you will enjoy a comprehensive range of benefits, including: * An hourly rate of $17 - $26 per hour, depending on relevant factors, including experience and geographic location. * Eligibility to participate in an annual bonus plan. * Comprehensive health benefits, including medical, vision, dental, and well-being and behavioral health programs. * 401(k) with company match. * Company-paid life insurance. * Tuition reimbursement. * A minimum of 18 days of paid time off per year and paid holidays. **How to Apply** If you're a motivated and experienced professional looking for a new challenge, we encourage you to apply for this exciting opportunity. Please submit your resume and a cover letter, outlining your qualifications and experience. We look forward to hearing from you! **Equal Employment Opportunity** arenaflex Healthcare is an equal opportunity employer, committed to diversity and inclusion. We welcome applications from qualified candidates, regardless of their background or experience. If you require reasonable accommodation in completing the online application process, please email [[email protected]](mailto:[email protected]) for support. **Tobacco-Free Policy** arenaflex Healthcare has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Apply for this job