Appeals & Grievances Coordinator I (Pharmacy Tech)

MedImpact Healthcare Systems, Inc.; San Diego (CA); On-site; USD 26,000 - 41,000; Full time

Benefits offered by this job

Medical / Dental / Vision / Wellness

Paid Time Off / Holidays

Incentive Compensation

401K with Company match

Life and Disability Insurance

Tuition Reimbursement

Employee Referral Bonus

Job summary

MedImpact Healthcare Systems, Inc. in San Diego is seeking an Appeals and Grievances Coordinator I to support intake, processing, notification, and compliance for appeals and grievances. A Certified Pharmacy Technician license is required, with GED/HS diploma and 1+ year experience.

Proficiency in MS Office (Word/Excel) and strong communication skills are essential. Responsibilities include handling outreach, ensuring timely turnarounds, and cross-training across divisions.

Qualifications

• GED/HS Diploma with 1+ year experience or equivalent
• Certified Pharmacy Technician state licensure required; CPt certification preferred
• Ability to obtain Kentucky licensure within 3 months of hire
• Strong communication and customer service skills
• Proficient with MS Office (Word/Excel) and data entry

Responsibilities

• Evaluate and process Appeals and Grievances per work instructions
• Perform outreach to obtain information required for processing
• Ensure timely completion of Appeals and Grievances per laws and policies
• Cross-train across appeal and grievance tasks
• Support weekend rotation schedule
• Protect confidentiality of health information

Skills

Oral Communication

Written Communication

Teamwork

Organizational Skills

Problem Solving

Education

GED/HS Diploma

Kentucky licensure within 3 months

Certified Pharmacy Technician license

Tools

MS Office Suite

Microsoft Word

Microsoft Excel

Job description

MedImpact Healthcare Systems, Inc. in San Diego is seeking an Appeals and Grievances Coordinator I to support intake, processing, notification, and compliance for appeals and grievances. A Certified Pharmacy Technician license is required, with GED/HS diploma and 1+ year experience.

Proficiency in MS Office (Word/Excel) and strong communication skills are essential. Responsibilities include handling outreach, ensuring timely turnarounds, and cross-training across divisions.