Complaints, Grievances & Appeals Specialist (DQ)

DentaQuest; Milwaukee (WI); Sur place; USD 45 000 - 60 000; Plein temps

Résumé du poste

DentaQuest in Milwaukee, WI seeks a dedicated professional to investigate and resolve complaints, grievances and appeals in accordance with regulatory requirements. The role involves daily collaboration with market contacts and internal teams to ensure timely, compliant outcomes.

You will support the company’s mission to improve oral health by applying rigorous processes, meeting turnaround times, and upholding policy-driven workflows across departments.

Qualifications

• Investigate and resolve complaints, grievances and appeals in line with regulatory requirements.

Responsabilités

• Daily interaction with assigned market/ client contacts, as well as various internal departments.
• Ensure mandated turnaround times are met and required processes/workflows are adhered to.

Description du poste

At DentaQuest, we believe that everyone should live life free of dental disease. As a purpose-driven, double bottom line company that is improving oral health for everyone, we are transforming the oral health system – from the way we provide care and pay for it, to how we talk about it and prioritize it in our policies and communities.

Meaningful change requires a revolution in oral health. We are redefining what it means to prevent disease and provide better access to care for everyone. We are going beyond the dental chair to reshape the oral health system, addressing total health and the social and cultural factors that impact it.

To make this revolution a reality, we harness our unique reach and insights to advance policy, financing, care, and the community. That means solving problems in a flexible and efficient way, testing and trialing to create new solutions and deliveringmeasurableoutcomes for the people we serve.

The people of DentaQuest have a common purpose, and we work together with passion, perseverance and focus to achieve a nation where no child suffers from the pain of tooth decay. Where adults keep all their teeth for their entire lives. Where every person has access to quality dental care.

ABOUT THE POSITION

This position investigates and resolves complaints, grievances and appeals based upon specific regulatory requirements. This includes responsibility for daily interaction with assigned market/client contacts, as well as various internal departments. This position ensures that all mandated turnaround times are met as well as required processes and workflows are adhered to.