Medicare Grievance Specialist (Pharma Technician
Gratitude IncMedicare Grievance Specialist (Pharma Technician
Job Description
Key Skills
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Job Title: Medicare Grievance Specialist (Pharma Technicians)
Shift: Night shift
Work Set-up: On-site in Bridgetowne, Quezon City
Salary range: 40K package
Target Start Date: December 16, 2025
QUALIFICATIONS:
Education and Certifications:
• Medical Allied Health graduate required (licensed/non-licensed)
• Strong pharmacovigilance/ drug safety review experience (preferred but not required)
Experience:
• Minimum 1 year of experience in a healthcare contact setting work experience (e.g.,
pharmacy technician, claims processor, provider services)
• Experience handling grievances or healthcare-related customer support in a
contact center setting
Other Requirements:
• Understanding of HIPAA and other healthcare regulations.
• Willingness to work flexible schedules, including UShours
Recommended Minimum Skills Requirements (MSRs):
1. Technical Skills:
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook)
2. Soft Skills:
• Strong problem-solving and decision-making abilities
• Excellent verbal and written communication skills in English
• High level of empathy, patience, and active listening
3. Operational and Communication Skills:
• Ability to prioritize tasks and meet deadlines in a fast-paced environment
• Strong organizational and documentation skills
• Accuracy and attention to detail
• Ability to communicate effectively and convey complex information
KEY RESPONSIBILITIES:
1. Grievance Handling:
o Investigate and resolve member grievances related to Medicare Part D drug
coverage, claims, and pharmacy issues
o Ensure all grievances are resolved within required CMS timelines and documented
appropriately
2. Communication:
o Act as a liaison between members, providers, and pharmacies for Medicare
grievance resolution
o Provide clear and empathetic communication throughout the grievance process
3. Compliance:
o Adhere to all CMS (Centers for Medicare & Medicaid Services) guidelines and
company policies
o Maintain confidentiality of sensitive member information
4. Documentation:
o Accurately document all interactions and resolutions in the client system
o Prepare reports as required for compliance and auditing purposes
5. Collaboration:
o Work closely with other departments to investigate and resolve grievances
o Provide insights and feedback on recurring issues to improve processes
Recommended Minimum Skills Requirements (MSRs)
PRE-SCREENING QUESTIONS:
1. Are you a Medical Allied Health graduate?
2. How many years of work experience do you have in a healthcare contact setting (e.g.,
pharmacy technician, claims processor, provider services)?
3. How many years of experience do you have in handling grievances or healthcare-related customer support in a contact center/BPO setting?
4. Do you have a strong pharmacovigilance/ drug safety review experience
5. Do you have an understanding of HIPAA and other healthcare regulations?
6. How much is your last drawn salary?
7. How much is your salary expectation?
8. Are you amenable to working onsite in Bridgetowne, Quezon City, with a night shift and fixed weekends off schedule?
9. This is an urgent hiring. Are you able to start on or before December 16?
Role
Any Other
Timings
Night Shift (Permanent)
Industry
BPO
Work Mode
Work from office
Functional Area
Any Other
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.
Interview Tips
- Giving the VNA round?
- What are the most important skills you acquired as a Soft Skills/VNA trainer?
- How would you handle an irate customer?
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