Jamie Rice

Bonney Staffing has partnered with a local, innovative, not-for-profit healthcare organization in Maine. Their staff embraces a culture of trust and respect, embodying our shared values of self-care, learning, mutual assistance, and enjoyment, which shape their daily operations

The Grievance Specialist I job in Portland, Maine is responsible for receiving, processing, investigating, and resolving member inquiries and grievances for the organizations health plans as well as works across the organization to ensure the appropriate information is gathered in handling issues. Provides resolution of complaints verbally and in writing with multiple stakeholders including members, providers, State and/or Federal regulators, and senior leadership in compliance with regulatory requirements. You’ll have a solid understanding of assisting in developing appropriate policies and procedures, managing and monitoring incoming calls and/or voicemail messages to ensure timely member response; forwards calls to appropriate case owners and sends a follow up email, and conducting telephone work with members, providers, and third-party administrators. This is a full-time, day shift position.  

Grievance Specialist I Qualifications: 

• Bachelor’s Degree or equivalent experience and education.

• Maintains case files in an organized and secure manner.

• Ability to formulate and write reports and professional correspondence.

• Strong organizational and research skills.

• Must be able to work well with all levels in the organization.

• Ability to take direction/feedback.

• Provides quality customer service to internal and external customers.

Required Skills: 

• 3+ years of experience in managed care plan; knowledge of grievances and appeals required

• Excellent oral and written communications skills.

• Strong analytical and problem-solving skills.

• Able to operate PC-based software programs.

Grievance Specialist I Details: 

• Schedule: Full Time Monday - Friday 

• Pay Rate: $21.67 – $28.04

• Start Date: ASAP

Grievance Specialist I Benefits:

• Health and prescription coverage (while on assignment through Bonney Staffing)

• Benefits offered by the employer once hired permanently

• Ask us about our $$Referral Bonus Program$$

If you believe you are a qualified candidate for our Grievance Specialist I role please apply or contact us today!