Job Title: Medicare Grievance Specialist (Open to Pharma Technicians & Allied Medical Graduates)

Shift: Night shift (US hours)

Work Setup: 100% On-site in Bridgetowne, Quezon City

Salary Package: Up to ₱40,000 (inclusive of night differential)

Target Start Date: December 16, 2025 (urgent hiring)

We are urgently seeking compassionate, detail-oriented professionals to join a growing Medicare Part D support team that handles member grievances for a major US healthcare program.

Key Responsibilities:

Investigate and resolve Medicare Part D grievances related to drug coverage, claims denials, and pharmacy issues

Act as the liaison between members, providers, and pharmacies

Ensure all cases are resolved and documented within strict CMS regulatory timelines

Maintain strict compliance with CMS guidelines and HIPAA

Accurately document all interactions and prepare compliance reports

Collaborate with internal teams to resolve complex cases and improve processes

Qualifications:

Graduate of any Medical Allied Health course (licensed or non-licensed)

At least 1 year of experience in a healthcare contact centre setting (e.g., pharmacy technician, claims processing, provider services, customer support in healthcare/BPO)

Experience in handling grievances or healthcare-related escalations is a strong advantage

Solid understanding of HIPAA and US healthcare regulations

Excellent English communication skills (both verbal and written)

Strong problem-solving, empathy, and attention to detail

Proficient in MS Office (Word, Excel, Outlook)

Willing to work night shifts, US holidays, and fixed weekends off

If you’re a healthcare professional who thrives in a regulated, member-focused environment and wants to make a real difference in patients’ access to medications, this is your opportunity!

Apply now — we are moving fast with interviews and offers this week!

Send your CV to david.abulu@gratitudeindia.com