Escalation Response Specialist II - Remote

Centene Corporation; North Carolina; On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Remote, hybrid, field or office work

Job summary

Centene Corporation is seeking a role focused on responding to member and provider complaints and escalations. The position supports escalation handling, problem tickets, and provides feedback to senior team members to improve processes.

Responsibilities include timely resolution of escalated issues, cross-functional coordination, and documentation of inquiries. The role may require weekend work during peak months and strict adherence to policies.

Qualifications

• Must have high school diploma or GED and 1–2 years related experience.
• Preferred: healthcare or health plan experience, call center, phone-based, and call escalation experience.
• Medicare experience is preferred.

Responsibilities

• Provide timely resolutions to escalated issues from multiple channels.
• Liaise between departments to ensure timely issue resolution.
• Document, track, and resolve complaints and inquiries in writing or by phone.
• Support root cause analysis to identify trends and enterprise-wide solutions.
• Coordinate with contact center to research facts and evaluate remedies.

Skills

Customer service

Communication

Escalation handling

Team coordination

Education

High School diploma or GED

Job description

Centene Corporation is seeking a role focused on responding to member and provider complaints and escalations. The position supports escalation handling, problem tickets, and provides feedback to senior team members to improve processes.

Responsibilities include timely resolution of escalated issues, cross-functional coordination, and documentation of inquiries. The role may require weekend work during peak months and strict adherence to policies.