Remote Member Grievances & Appeals Coordinator I

UPMC · Workfromhome, United States

UPMC Health Plan is seeking a Member Complaints & Grievances Coordinator I in the Member CGA department. This full-time role is remote, with daylight hours Monday through Friday, focusing on tracking, trending, and managing member grievances, appeals, and IRE requests for Medicare and SNP lines.

You will ensure timely resolutions, compose professional letters, follow CMS guidelines, and contribute to improvement initiatives through data analysis.