Complaint Analyst

Job Summary

A company is looking for a Complaint Analyst II to support the Center for Medicare & Medicaid Services (CMS) Drug Price Negotiation Program.

Key Responsibilities

• Review and categorize complaint and dispute data, prioritizing cases based on severity
• Collaborate with cross-functional teams to analyze complaints, identify trends, and recommend process improvements
• Maintain confidentiality while adhering to HIPAA and CMS data protection requirements

Required Qualifications

• Bachelor's Degree (or equivalent experience) and at least 5 years of healthcare experience
• Proficiency in using Microsoft Office product suite
• Knowledge of federal healthcare regulations
• Experience evaluating healthcare data, including prescription drug claims