Complaint Analyst

Job Details

Job Location

Windsor Mill, MD

Remote Type

Fully Remote

Position Type

Full Time

Education Level

High School

Salary Range

$30000.00 - $56000.00 Salary

Description

About Us:

At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs.

Responsibilities:

Support the Complaints Lead with functions of the task order, including the review of complaints and disputes from dispensers, pharmacies, manufacturers, and other stakeholders to ensure adherence to Negotiation Program requirements

Independently conduct initial triage of written complaints and disputes to determine and prioritize risk and appropriate next steps

Analyze documentation and data submitted with complaints, identifying and assessing potential risks or violations

Collaborate with the Complaints Lead and senior Complaint Analysts on referrals to the Investigations team

Collaborate with data analysts and subject matter experts (SMEs) to identify trends in complaints and disputes

Ensure accuracy in complaint documentation, tracking that each assigned complaint meets all documentation requirements

Ensure that all assigned complaints are addressed and closed within the defined Service Level Agreement (SLA)

Participate in interrater reliability (IRR) activities

Maintain confidentiality and adhere to HIPAA and CMS data protection requirements

Perform other duties as assigned

Qualifications

Bachelor's degree plus 3 years of relevant professional experience, or

Associates degree plus 6 years of relevant professional experience, or

High school diploma plus 7 years of relevant professional experience

Strong analytical and problem solving skills

Knowledge of federal healthcare regulations and compliance with government programs preferred

Highly organized with strong attention to detail and the ability to manage multiple activities simultaneously

Ability to thrive in a fast paced environment

Effective communication and writing skills

Proficiency with Microsoft Office

EEO Employer:

RELI Groupis an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

HUBZone:

We encourage all candidates who live in a HUBZone to apply. You can check to see if your address is located in a HUBZone by accessing theSBA HUBZone Map.

The annual salary range for this position is $30,000.00 to $56,000.00.Actual compensation will depend on a range of factors, including but not limited to the individual's skills, experience, qualifications, certifications, location, other business and organizational needs, and applicable employment laws. The estimate displayed represents the typical salary range for this position and is just one component of the total compensation package for employees. RELI Group provides a variety of additional benefits to its employees. For additional details on the benefits that RELI Group offers clickhere