Remote Member Escalations & Grievances Specialist

Justremote; United States; Remote; USD 40,000 - 46,000; Full time

Benefits offered by this job

Unlimited PTO

Healthcare Coverage (Medical, Dental, 

Job summary

Foodsmart is a remote-first company seeking a dedicated specialist to own and resolve high-priority member escalations end-to-end. You will collaborate with Clinical Operations on escalations and grievances, investigate safety concerns, and communicate clearly with health plans and providers.

The role emphasizes translating complex issues into actionable insights for internal teams, maintaining documentation, and guiding de-escalation efforts with empathy and control.

Qualifications

• 1–3+ years in member/patient support, escalations, grievances, or case management.
• Experience with health plans, healthcare systems, or regulated environments preferred.
• Strong ability to handle complex escalations and complaints.

Responsibilities

• Own and resolve high-priority, complex member escalations end-to-end.
• Own all escalations and grievances relating to RDs end-to-end with Clinical Operations.
• Investigate member behavior and safety concerns and act as the last line of contact.
• Translate complex issues into actionable insights for internal teams.
• Lead de-escalation efforts with empathy and professionalism.

Job description

Foodsmart is a remote-first company seeking a dedicated specialist to own and resolve high-priority member escalations end-to-end. You will collaborate with Clinical Operations on escalations and grievances, investigate safety concerns, and communicate clearly with health plans and providers.

The role emphasizes translating complex issues into actionable insights for internal teams, maintaining documentation, and guiding de-escalation efforts with empathy and control.