Medicare Grievance Specialist (Pharma Technicians)

Job Title: Medicare Grievance Specialist (Pharma Technicians)

Shift: Night shift

Work Set-up: On-site in Bridgetowne, Quezon City

Salary range: 40K package

Target Start Date: December 16, 2025

Role Overview

Investigate and resolve Medicare Part D grievances involving drug coverage, claims, and pharmacy issues within CMS timelines. Act as liaison between members, providers, and pharmacies while maintaining compliance with healthcare regulations and documenting all interactions accurately.

Required Qualifications

Education & Experience

• Medical Allied Health graduate (licensed or non-licensed)


• Minimum 1 year healthcare contact center experience (pharmacy technician, claims processor, provider services)


• Grievance handling or healthcare customer support background


• Pharmacovigilance/drug safety review experience preferred

Essential Skills

• Microsoft Office proficiency


• Strong problem-solving and decision-making


• Excellent English communication (verbal and written)


• High empathy, patience, and active listening


• Strong organizational and documentation abilities


• Attention to detail and accuracy

Requirements

• HIPAA and healthcare regulations knowledge


• Flexible for US hours and holidays


• Not current/former Concentrix employee

Kindly answer the pre-screening questions

1. Are you a Medical Allied Health graduate?


2. How many years of work experience do you have in a healthcare contact setting (e.g.,
   
   pharmacy technician, claims processor, provider services)?


3. How many years of experience do you have in handling grievances or healthcare-related customer support in a contact center/BPO setting?


4. Do you have a strong pharmacovigilance/ drug safety review experience


5. Do you have an understanding of HIPAA and other healthcare regulations?


6. How much is your last drawn salary?


7. How much is your salary expectation?


8. Are you amenable to working onsite in Bridgetowne, Quezon City, with a night shift and fixed weekends off schedule?


9. This is an urgent hiring. Are you able to start on or before December 16?