Responsible for researching and resolving member and provider complaints, the full-time Complaint Resolution Analyst will ensure compliance with state timing requirements and accuracy standards while working remotely. Key responsibilities Researches, investigates, and coordinates the resolution of member and provider complaints Utilizes the IMAC database to track complaint information and compiles statistical reports Writes complaint resolution letters and conducts follow-ups with internal areas to ensure timely resolutions Required qualifications High School Diploma or GED required Minimum of 2 years of customer service or healthcare experience Knowledge of healthcare delivery systems and relevant state and federal regulations preferred Proficiency in PC and related software Strong analytical skills and ability to handle conflict resolution effectively