Medicare Grievance Specialist

Gratitude Inc

100 Views

1 week ago

Medicare Grievance Specialist

1-4 Year(s)

30 - 40 Thousand p.m

Manila

Job Description

Key Skills

HIPAA US Healthcare attention to details Healthcare Experience BPO Healthcare. Problem-Solving Skills Proficient in MS Office Experience in Healthcare BPO industry and knowledge of healthcare vertical US Healthcare account Excellent verbal and written English communication skills Excellent Customer Service Grievances Support Experience

1 candidate(s) have already applied for this Job. Apply now

Job Title: Medicare Grievance Specialist (Open to Pharma Technicians & Allied Medical Graduates)

Shift: Night shift (US hours)

Work Setup: 100% On-site in Bridgetowne, Quezon City

Salary Package: Up to ₱40,000 (inclusive of night differential)

Target Start Date: December 16, 2025 (urgent hiring)

We are urgently seeking compassionate, detail-oriented professionals to join a growing Medicare Part D support team that handles member grievances for a major US healthcare program.

Key Responsibilities:

Investigate and resolve Medicare Part D grievances related to drug coverage, claims denials, and pharmacy issues

Act as the liaison between members, providers, and pharmacies

Ensure all cases are resolved and documented within strict CMS regulatory timelines

Maintain strict compliance with CMS guidelines and HIPAA

Accurately document all interactions and prepare compliance reports

Collaborate with internal teams to resolve complex cases and improve processes

Qualifications:

Graduate of any Medical Allied Health course (licensed or non-licensed)

At least 1 year of experience in a healthcare contact centre setting (e.g., pharmacy technician, claims processing, provider services, customer support in healthcare/BPO)

Experience in handling grievances or healthcare-related escalations is a strong advantage

Solid understanding of HIPAA and US healthcare regulations

Excellent English communication skills (both verbal and written)

Strong problem-solving, empathy, and attention to detail

Proficient in MS Office (Word, Excel, Outlook)

Willing to work night shifts, US holidays, and fixed weekends off

If you’re a healthcare professional who thrives in a regulated, member-focused environment and wants to make a real difference in patients’ access to medications, this is your opportunity!

Apply now — we are moving fast with interviews and offers this week!

Send your CV to david.abulu@gratitudeindia.com

Role

Medical Helpdesk

Timings

US-Type Shift (Permanent)

Industry

BPO

Work Mode

Work from office

Functional Area

Medical Professional / Healthcare Practitioner / Technician

Note: Myglit doesn't charge any money from candidates. If you have been asked to pay money to get this job then report to us immediately at support@myglit.com.