Grievance Coordinator

About the role

The organization is a Managed Care Organization serving 46 counties in North Carolina. It focuses on managing services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/developmental disabilities. The organization aims to support individuals and families in building strong foundations for healthy and fulfilling lives.

The Grievance Coordinator plays a critical role in managing and coordinating grievance and complaint processes. This position ensures proper handling and resolution of concerns raised by members, providers, and other stakeholders, supporting the organization's commitment to regulatory compliance and quality service.

Responsibilities

• Evaluate and investigate grievances and complaints by gathering relevant information.
• Collaborate with internal departments and external entities to resolve issues.
• Determine appropriate responses to grievance content based on policies.
• Maintain timely adjudication and accurate notification to complainants per regulations.
• Update grievance tracking systems and report data for compliance purposes.
• Ensure grievance files meet federal, contractual, and accreditation standards.

Requirements

• High School Diploma/GED with six years of relevant experience; or Associate's degree with four years of experience; or Bachelor's degree with two years of experience; or equivalent combination.
• Valid driver’s license.
• Residency within North Carolina.
• Ability to travel within the service area as required.
• Preferred: Experience in crisis intervention within mental health, developmental disabilities, or substance abuse populations.

Pay

Salary range: $56,270 - $69,898

Benefits

• Health insurance with no premium for employee coverage
• Flexible spending accounts
• 24 days of paid time off plus 12 paid holidays in the first year
• North Carolina Local Government Retirement Pension (defined-benefit plan)
• 401(k) with 5% employer match and immediate vesting
• Public Service Loan Forgiveness qualifying employer
• Quarterly stipend for remote work supplies