Case Manager, Member Complaints and Grievances

Job overview

The Case Manager role is onsite in Portland, OR. Compensation is not specified. The position handles health plan member complaints and grievances, supporting compliant case resolution and member experience.

What you'll do

• Investigate complaints and grievances by collecting and documenting data
• identify specialty or flagged cases and follow applicable processes
• communicate with members and internal and external stakeholders
• research and resolve cases and convey health plan decisions
• meet regulatory and performance timeframes
• maintain accurate departmental database records
• manage open cases and the resolution inbox
• participate in meetings, training, and audits
• and escalate issues as appropriate.

What we're looking for

Skills & competencies

case manager

portland or

artech

member complaints

grievances

health plan

case investigation

regulatory compliance

member experience

high school diploma or ged

conflict resolution

Work arrangement

• Weekend coverage required

Why this role

High school diploma or GED required; some college and experience in a complex healthcare environment are preferred. The listing emphasizes regulatory compliance, sensitive member issues, and conflict resolution.

About the employer

Artech LLC is hiring for this role. Industry: Temporary Help Services. Sector: 56.