Grievances and Appeals (GAD) Triage Specialist
Core
Implement, analyze, and continuously improve an ERP system for Medicare Advantage Grievances and Appeals (GAD) triage, focusing on CTM and FCR work and tracking.
Role type
Junior ERP functional specialist (GAD)
Builds
ERP system configurations and workflows for grievance and appeals tracking
Domain
Healthcare (Medicare Advantage) + Enterprise Resource Planning
Required skills
ERP system implementation, CTM and FCR tracking, user acceptance testing, MS Office (Word, Excel, PowerPoint, Outlook, Teams), Visio, basic debugging, basic problem solving
Preferred skills
Medicare Advantage Grievances and Appeals experience, AI curiosity
Technologies
ERP systems, MS Office, Visio
Responsibilities
Assess functional requirements and initiate complex ERP installations, ensure cross-functional system access, map business processes to ERP modules, administer user acceptance testing, document and deliver training materials, provide basic system support
Seniority
Entry-level, direct supervision