Associate BPM Lead (Appeals & Grievances Analyst)

Role Description

UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. Our BPaaS solutions manage complex admin tasks, allowing our customers to prioritize members well‑being. With our commitment to simplicity, honesty, and leadership, we navigate challenges with our customers to achieve affordable health care for all.

We have a strong global presence and a dedicated workforce of over 4000 people spread across the world. Our brand is built on the strong foundation of simplicity, integrity, people‑centricity, and leadership. We stay inspired in our goal to unburden healthcare and ensure it reaches all, equitably and effectively.

Responsibilities

• Follow Grievances and Appeals processes and systems to ensure data quality and support UST HealthProof’s quality, production and financial goals.
• Investigate and thoroughly document findings on all grievances and appeals.
...