Senior Medicare Complaints Specialist

Job description

Job Description A bit about this role: As a Senior Medicare Complaint Specialist at Devoted Health, you will serve as a key contributor in resolving complaints submitted directly to Medicare by our members. These cases often require thoughtful investigation, strong collaboration across departments, and compassionate communication. You will play a crucial role in ensuring member concerns are addressed promptly, accurately, and in compliance with CMS regulations—helping build trust with our members while supporting Devoted’s mission and contributing to star rating improvement efforts. This position is ideal for someone who is detail-oriented, member-obsessed, and passionate about quality improvement and operational excellence. You’ll also work on complex and escalated cases, contribute to root cause analysis (RCA) reporting, and help drive continuous learning across the team. Your Responsibilities and Impact will include: Research and resolve Medicare-submitted complaints in accordance with CMS guidelines and internal SOPs Maintain current knowledge of Devoted Health products and benefit offerings. Support a culture of continuous learning and member advocacy, helping Devoted fulfill...