Grievance Investigation Manager

3 weeks ago


Philadelphia, Pennsylvania, United States Community Behavioral Health. Full time

About the Job:

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As a Complaints & Grievances Specialist with Community Behavioral Health, you will play a critical role in ensuring that members receive fair and timely resolution of their complaints and grievances. This is a unique opportunity to make a positive impact on people's lives and work in a dynamic and fast-paced environment.

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Job Summary:

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This role involves reviewing, documenting and processing complaints and grievances, conducting investigations and hearings, and addressing Quality Concerns. You will work closely with our team to ensure that all State mandates are followed and that members receive the best possible service.

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Responsibilities:

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  • Review and process complaints and grievances">
  • Conduct investigations and hearings">
  • Address Quality Concerns">
  • Travel for work-related purposes">
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Requirements:

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  • Master's Degree in behavioral health, healthcare or social sciences">
  • Minimum 2 years of experience in managed care or quality management">
  • Proficient in Microsoft Office applications">
  • Excellent communication and interpersonal skills">
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What We Offer:

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We offer a competitive salary range of $60,000 - $80,000 per year, depending on qualifications and experience. Our benefits package includes medical, dental and vision insurance, retirement plan, and paid time off.



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