Grievance Coordinator (Temporary)

OUR COMMITMENT TO A HUMAN HIRING PROCESS

We believe every candidate deserves thoughtful wedo not use AI or automated systems toreview applications. Every application is reviewed bya realhumanmember 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 ofaccessible quality health care guided by local innovationleadseverything 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 312026 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 YOULL 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 workgroups and operational improvement activities

To read the full position description and list of requirements click here.

• Knowledge of:
• 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
• Conflict resolution
• 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 Alliances internal tracking systems
  • Draft professional correspondence
  • Verbally communicate the program mission vision and roles
• Education and Experience:
  • Associatesdegree in health social services or a related field
  • One yearof experience in a managed health care setting health plan or provider officeinteracting with members patients or providers andreceiving 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 Counties Bay Area Sacramento Los Angeles and San Diego areas
  
  
• Zone 2 Pay Range: $24.00 - $30.50
  Typical areas in Zone 2: Mariposa and Merced Counties Fresno area Bakersfield Eastern California San Luis Obispo area and the Central Valley (except Sacramento)

Available for all regular Alliance employees working more than 30 hours per benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance.

• Medical Dental and Vision Plans
• Ample Paid Time Off
• 12 Paid Holidays per year
• 401(a) Retirement Plan
• 457 Deferred Compensation Plan
• Robust Health and Wellness Program
• Onsite EV Charging Stations

We are a group of over 500 dedicated employees committed to our mission of providing accessible quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.

Join us at Central California Alliance for Health (the Alliance) where you will be part of a culture that is respectful diverse professional and fun and where you are empowered to do your best work. As a regional non-profit health plan we serve members in Mariposa Merced Monterey San Benito and Santa Cruz counties. To learn more about us take a look at ourFact Sheet.

The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race color religion sex (including pregnancy) sexual orientation gender perception or identity national origin age marital status protected veteran status or disability status. We are an E-Verify participating employer

At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time ongoing basis without current or future needs for any type of employer supported or provided sponsorship.