Company Statement
Connecticare is a leading health plan in the state of Connecticut and a subsidiary of EmblemHealth, a health and wellness company that provides insurance plans, primary and specialty care, and wellness solutions. WellSpark is a digital wellness company and national subsidiary of EmblemHealth that offers a full suite of products and solutions to reward people for healthy behaviors.
Director, Grievance & Appeals Regulatory Complaints
Qualifications:
- Bachelors’ degree
- 10 years’ experience in a healthcare or customer service-related field required
- 5 years’ staff and process/operational management experience required
- Ability to interpret and implement federal, state and local guidelines for all aspects of the member and provider process required
- Ability to review and analyze procedures and workflows and to make process streamlining recommendations required
- Excellent organization and interpersonal skills are required to interact effectively with all levels of staff required
- Ability to work under pressure and prioritize a heavy workload in a dynamic fast paced environment required
- Ability to perform tasks with a sense of urgency; submitting assignments in a timely manner required
- Strong analytical and technical ability; and attention to detail required
- Proven ability to establish and maintain relationships of trust with departmental staff and management required
- Proven ability to coordinate and lead interdepartmental work teams and meet established goals required
- Demonstrated ability to lead and motivate staff; and affect change required
Security Disclosure
If you are offered a job from one of the EmblemHealth family of companies that includes ConnectiCare, AdvantageCare Physicians, and WellSpark, the offer confirmation email will come from “HRTalentAcquisition” with the subject line: “Offer of Employment for (job title)” – Please respond online”.
We never ask you to join a Google Hangout, request you to purchase your own equipment or pay to apply. We do not send email from a third-party email service such as Yahoo or Gmail.
Pay Disclosure
A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, internal peer equity, and market and business considerations. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. It is not typical for an individual to be hired at or near the top of the range, as compensation decisions depend on each case’s facts and circumstances. Union roles covered by a collective bargaining agreement will compensate in accordance with the union contract.
EEOC Statement
We are committed to leveraging the diverse backgrounds, perspectives, and experiences of our workforce to create opportunities for our people and our business. We are an equal opportunity/affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy or related condition, marital status, national origin, disability, protected veteran status or any other characteristic protected by law.