Qureos Mentor

RELI Group Inc

<div><p><b>About Us:</b><br>
<i>At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact&mdash;whether we&rsquo;re supporting data-driven decisions, modernizing systems or safeguarding critical programs.</i></p><p></p><div><div><b>
Responsibilities:</b></div></div><ul><li><div><br>
Support the Complaints Lead with functions of the task order, including the review of complaints and disputes from dispensers, pharmacies, manufacturers, and other stakeholders to ensure adherence to Negotiation Program requirements</div></li><li><div>
Serve in primary escalation role, responding quickly and accurately to complaint staff inquiries</div></li><li><div>
Independently conduct initial triage of written complaints and disputes to determine and prioritize risk and appropriate next steps</div></li><li><div>
Analyze documentation and data submitted with complaints, identifying and assessing potential risks or violations</div></li><li><div>
Collaborate with the Complaints and Investigations Leads on referrals to the investigations team</div></li><li><div>
Provide day-to-day oversight of complaint staff, under the direction of the Complaints Lead</div></li><li><div>
Develop, provide guidance, and give feedback to complaint staff</div></li><li><div>
Collaborate with data analysts and subject matter experts (SMEs) to identify trends in complaints and disputes</div></li><li><div>
Ensure accuracy in complaint documentation, tracking that each assigned complaint meets all documentation requirements</div></li><li><div>
Use existing reporting and analytics to track all complaints, ensuring they are closed within the defined Service Level Agreement (SLA)</div></li><li><div>
Facilitate interrater reliability (IRR) activities</div></li><li><div>
Maintain confidentiality and adhere to HIPAA and CMS data protection requirements</div></li><li><div>
Serve as a subject matter expert (SME) for junior staff members</div></li><li><div>
Perform other duties as assigned</div></li></ul><ul><li><div><br>
Bachelor&rsquo;s degree plus 5 years of relevant professional experience, or</div></li><li><div>
Associates degree plus 8 years of relevant professional experience, or</div></li><li><div>
High school diploma plus 9 years of relevant professional experience</div></li><li><div>
Ability to develop and mentor staff to build cohesive teams</div></li><li><div>
Strong analytical and problem solving skills</div></li><li><div>
Knowledge of federal healthcare regulations and compliance with government programs</div></li><li><div>
Highly organized with strong attention to detail and the ability to manage multiple activities simultaneously</div></li><li><div>
Ability to thrive in a fast paced environment</div></li><li><div>
Effective communication and writing skills</div></li><li><div>
Proficiency with Microsoft Office</div></li></ul><p></p><p><b>
EEO Employer:</b></p><p>
RELI Group is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.</p><p><b>
HUBZone:</b></p><p>
We encourage all candidates who live in a HUBZone to apply. You can check to see if your address is located in a HUBZone by accessing the SBA HUBZone Map.</p><p>
The annual salary range for this position is $50,000.00 to $80,000.00. Actual compensation will depend on a range of factors, including but not limited to the individual&rsquo;s skills, experience, qualifications, certifications, location, other business and organizational needs, and applicable employment laws. The estimate displayed represents the typical salary range for this position and is just one component of the total compensation package for employees. RELI Group provides a variety of additional benefits to its employees. For additional details on the benefits that RELI Group offers click here</p></div><p></p>

Complaint Analyst III

Join RELI Group Inc and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

RELI Group Inc

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Complaint Analyst III