Description remote - may require the odd trip to the office to process mail Role Responsibilities: Point of contact for Health Plan member grievances and internally identified potential quality of care issues PQI. Responsible for coordinating the process with receipt and initial processing including data entry record requests and follow ups for member grievances and other quality of care concerns from internal and external sources. Maintains documentation in databases as required coordinates and communicates with provider offices and other involved entities ensuring documentation is requested and received while managing TATs within Health Plan timelines 24 hours to 10 days depending on type of request. Requirements Healthcare Experience Open to remote with some in-office days Microsoft experience Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .