Grievances & Appeals Supervisor — Lead Resolution

DentaQuest; Milwaukee (WI); Presencial; USD 60.000 - 95.000; Jornada completa

Descripción de la vacante

DentaQuest in Milwaukee, WI, seeks a Supervisor for Complaints, Grievances & Appeals to lead the Complaints and Grievances Specialists and ensure regulatory compliance across client programs. The role focuses on timely resolution, audit readiness, and continuous improvement of grievance handling processes.

The supervisor will monitor turnaround times, prepare Client Corrective Action Plans, and contribute to ongoing policy and procedure evaluations to drive better outcomes for members and

Responsabilidades

• Oversee the Complaints and Grievances Specialists to ensure compliance with client regulatory requirements.
• Monitor turnaround times, prepare Client Corrective Action Plans, audit files, and assist in ongoing evaluation of departmental policies and procedures.

Descripción del empleo

DentaQuest in Milwaukee, WI, seeks a Supervisor for Complaints, Grievances & Appeals to lead the Complaints and Grievances Specialists and ensure regulatory compliance across client programs. The role focuses on timely resolution, audit readiness, and continuous improvement of grievance handling processes.

The supervisor will monitor turnaround times, prepare Client Corrective Action Plans, and contribute to ongoing policy and procedure evaluations to drive better outcomes for members and