Grievance Coordinator; Temporary

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Grievance Coordinator (Temporary)

OUR COMMITMENT TO A HUMAN HIRING PROCESS

We believe every candidate deserves thoughtful consideration.

That’swhy we do not use AI or automated systems toreview applications . Every application is reviewed bya real human member of our team. Because we take the time to give each submission the attention it deserves, our review process may take a little longer — and we genuinely appreciate your patience as we work through applications carefully and respectfully.

SERVICE AREA PREFERENCE

While we encourage all interested applicants to apply, we do give priority to those who live in , or near, our service counties:
Santa Cruz, Monterey, Merced, San Benito, and Mariposa . Our mission of accessible, quality health care guided by local innovation leads everything we do, and having team members who are connected to the communities we serve strengthens our ability to deliver on that commitment.

This is a temporary position. The length of the assignment is estimated to go from October 2026 through December 31,2026, but this is always dependent on business need, and these dates may change. While the assignment would be at the Alliance, you would be an employee of a temporary employment agency that we would connect you with if hired for this position.

This is a full-time (40 hours/week) temporary assignment.

WHAT YOU'LL BE RESPONSIBLE FOR

Reporting to the Grievance Supervisor, this position:

• Assists in the administration and resolution of low complexity cases in support of the Alliance Grievance function
• Performs administrative duties to track, organize, monitor, and follow up on casework
• Participates in departmental and cross-departmental trainings, work groups, and operational improvement activities
• The principles and practices of managed healthcare, healthcare coverage and benefit structures, principles of coordination of benefits and medical billing
• Title 22 and Title 28 utilization management and grievance regulations
• The diverse needs of the Medi-Cal population
• Proper grammar, spelling, punctuation, and formatting
• Ability to:
  • Understand and communicate the complex operations and processes of the Alliance, particularly in the Utilization Management, Care Management, and Member Services departments
  • Use the Alliance's internal tracking systems
  • Draft professional correspondence
  • Verbally communicate the program mission, vision, and roles
• Education and Experience:
  • Associate's d egree in health, social services or a related field
  • O ne year of experience in a managed health care setting, health plan, or provider office interacting with members, patients, or providers and receiving complaints , preferably related to healthcare administration or public assistance ; or an equivalent combination of education and experience which would provide the required knowledge, skills and abilities may be qualifying

• We are in a hybrid work environment, and we anticipate that the interview process will take place remotely via Microsoft Teams.
• While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
• In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
• This is a temporary position and does not provide the benefits that are listed below (this is standard language from our regular job posts and cannot be altered or removed). Temporary employees on assignment at the Alliance will be connected to a staffing agency with separate benefit options.

COMPENSATION INFORMATION

• Zone 1 Pay Range: $26.00 - $32.50
  Typical areas in Zone 1:
  Santa Cruz, San Benito, and Monterey…