Kansas Medicare Advantage Specialist

Providing exceptional customer service, the full-time Kansas Medicare Advantage Specialist will process and resolve member appeals, grievances, and inquiries while ensuring compliance with regulatory guidelines, with the option to work remotely or onsite. Key responsibilities Process Medicare Advantage member and provider appeals, grievances, and complaints to meet regulatory standards Analyze and interpret MA benefit offerings and corporate policies to address complex issues Develop and maintain effective relationships with internal and external stakeholders for timely issue resolution Required qualifications High school diploma or equivalent required; college coursework in communications or medical fields preferred Minimum 2 years of customer service experience required At least 3 years of experience in Medicare Advantage or Medicaid Appeals and Grievances required Preferred experience in call center or production-based customer service Familiarity with Blue Plan processes preferred