Member Support Specialist – Escalations, Accommodations

Job Description

Join Foodsmart as a Member Support Specialist and expertly manage high-priority member escalations. As the ultimate point of contact for unresolved concerns, you'll thoroughly investigate grievances using multiple systems and stakeholder input. Ensure timely and compliant resolution of escalations, while also assessing accommodation requests with consistency. Your role involves clear communication with health plans and partners, leading de-escalation efforts with empathy and making key decisions within established guidelines to ensure member satisfaction and regulatory compliance.

Qualifications

1. Bachelor’s degree or higher. 2. 3-5+ years in member/patient support, escalations, grievances, or case management. 3. Experience working with health plans, healthcare systems, or regulated environments preferred. 4. Demonstrated experience handling complex escalations or complaint resolution. 5. Familiarity with accessibility and accommodation processes (preferred). 6. Experience reviewing formal documentation (e.g., authorized representative forms, medical or legal documentation) is a plus.

Benefits

- Remote-First Company - Unlimited PTO - Flexible & remote location - Healthcare Coverage (Medical, Dental, Vision) - 401k & bonus - Registered Dietitian Sessions