Executive Escalation Response Specialist II

Job not on LinkedIn

🔥 2 minutes ago

🐊 Florida, North Carolina, +2 more states – Remote

🐊 Florida – Remote 🌲 North Carolina – Remote 🚗 Michigan – Remote 🏰 Missouri – Remote

💵 $17 - $28 / hour

⏰ Full Time

🟢 Junior

👔 Executive

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Assist with responding to complaints and escalations from members/providers • Support handling escalations and problem tickets • Provide feedback to senior team members regarding member/provider issues • Provide timely and appropriate resolutions to escalated issues from various communication channels • Serve as a liaison between departments to ensure timely issue resolution • Document, track, and resolve assigned complaints and inquiries in writing and/or by telephone • Support root cause analysis to identify enterprise-wide trends and solutions • Coordinate with the contact center team to research escalated inquiries and evaluate complaint remedies • Review complaint trends and develop draft recommendations to improve member and provider experience and reduce complaints and escalations • Maintain introductory knowledge of products and services to support customers • Research basic claims payment errors and make appropriate adjustments • Comply with all policies and standards • Perform other duties as assigned

🎯 Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • High School diploma or GED • 1–2 years of related experience • May require vocational or technical education in addition to prior work experience • Strong written and verbal communication skills preferred • Experience managing executive-level member escalations preferred • Medicare and Medicaid knowledge preferred • Root cause analysis experience preferred

🏖️ Benefits

• Health insurance • 401K • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity