Supervisor, Complaints, Grievances & Appeals (DQ)

DentaQuest; Milwaukee (WI); On-site; USD 60,000 - 95,000; Full time

Job summary

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

Responsibilities

• 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.

Job description

Supervisor, Complaints, Grievances & Appeals (DQ)

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

The Complaints and Grievances Supervisor oversees the Complaints and Grievances Specialists to ensure compliance with client regulatory requirements. The Complaints and Grievances Supervisor monitors turnaround times, prepares Client Corrective Action Plans, audits files, and assists in the ongoing evaluation of departmental policies and procedures.