Illinois Licensed Grievance Coordinator

Supporting the Illinois Health Plan Medicaid and YouthCare grievance and appeals processing team, the full-time remote Lead Grievance & Appeals Coordinator will manage a smaller caseload, provide updates on daily case completion, and oversee team performance while ensuring compliance with internal standards. Key responsibilities Monitor team workload and output to ensure compliance with internal and NCQA standards Provide training and support for new and existing team members on processes and policies Prepare for audits and respond to complaints, ensuring appropriate documentation and reporting Required qualifications Bachelor's degree in a related field or equivalent experience 2+ years of grievance and appeals experience in a Healthcare or Managed Care setting Experience with state fair hearing processes and compliance standards