Job Description

Immediate need for a talented Case Manager. This is a 12 months contract opportunity with long-term potential and is located in Portland, OR (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-90108

Pay Range: $25 - $27/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Remote Options (Fully Remote, Partially Remote, KP Onsite): If Remote: Will the worker need to be Remote local to the office or Remote anywhere in the US: Remote covering work across markets in Portland, Oregon .

Key Requirements and Technology Experience:

• Key Skills; Appeals, Grievances and Insurance experience
• Required Level of Education: HS Diploma or GED required Preferred Level of Education: Bachelors is preferred
• How many years of related experience are you looking for in your ideal candidate?: 6 years customer service. Heavy writing and speaking with customers over the phone. Microsoft excel, word, really help. Healthcare environment is a plus. BlueShield, Aetna, Healthcare providers (this is a huge plus)
• Specific Systems Knowledge Required: Extensive working knowledge of personal computers to include Windows based software applications, MS Word, etc.
• Specific Systems Knowledge Preferred: Extensive working knowledge of personal computers to include Windows based software applications, MS Word, etc.
• Any Required Certifications?: No
• Expected Shift: M-F Normal business hours 8:30-5pm PST with opportunities for overtime.
• Interview Process: Group (NW only)
• Top Three things Worker will be doing: 1. Research and respond to member grievances and appeals that pos a risk to the organization in short timeframes 24 hours to 72 hours. 2. Meet regulatory requirements 3. Improve Member Experience
• Top Three Skillsets needed: 1. Extensive organization skills, 2 Excellent verbal and written communication skills 3. Time Management

Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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