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← Chaparral Medical Group

Grievance Coordinator

Chaparral Medical Group
Location
Ontario, California
Posted
3 days ago
Department
Clinical
What they actually want (must-haves)
  • High School Diploma or equivalent
  • Minimum of one (1) year of healthcare operations, patient relations, grievance management, quality, compliance, or health plan experience
  • Experience investigating and responding to patient complaints, grievances, or regulatory inquiries
  • Knowledge of managed care, healthcare operations, regulatory compliance, and health plan requirements
  • Strong written communication skills with the ability to draft professional and detailed correspondence
  • Excellent organizational and time management skills
Nice to have
  • Experience working with Medicare, Medicaid, Commercial Health Plans, or Delegated Medical Groups
  • Prior experience in grievance and appeals management
  • Knowledge of CMS, DHCS, NCQA, and health plan grievance requirements
  • Experience with quality improvement and performance improvement initiatives
  • Experience preparing regulatory responses and corrective action plans
What the job really is

The Grievance Coordinator at Chaparral Medical Group is responsible for managing and resolving health plan grievances and complaints across clinics in the region. This role involves investigating issues, preparing written responses, and collaborating with various teams to ensure compliance with regulatory requirements. The coordinator also analyzes grievance trends to identify opportunities for process improvement and enhances patient satisfaction.

Things to weigh
  • No specific benefits or perks mentioned
  • Role requires managing multiple deadlines in a fast-paced environment
  • Experience with regulatory compliance is essential
  • The position involves significant written communication and documentation responsibilities
Job score2.6/5
Benefits1/5
Freshness5/5
Career value3/5
Role clarity4/5
Pay transparency0/5

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