College Co-op: CTM & Medicare Member Outreach: Complaints and Escalation Co-op (MZ)
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- May 20, 2025 Post Date
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- 250353 Requisition #
College Co-op Student Job Description:
Job Location: 1900 Market Street, Philadelphia, PA 19103
The goal of the Medicare Complaints team is to investigate and resolve all facets of Medicare Advantage member and provider complaints based on Standard Operating Procedures regulated by the Center for Medicare and Medicaid Services (CMS). Each associate serves as an advocate to the complainant working with a sense of urgency in a fast-paced environment, generally under time constraints, and has an ability to assess and address complainant needs while providing appropriate expectations. The team ensures all compliance timeframes and regulatory processes are met, and works closely with the Plan's CMS Stars team who, among other processes, is responsible to evaluate quality and customer service measures for Medicare Advantage members.
The Medicare Complaints and Escalation Co-op Student will:
· Support the Medicare Complaints and Escalations Team with a primary focus on analyzing and interpreting historical and current complaint details, providing insights on operational impacts, trends, process gaps and identifying opportunities to improve the member experience.
· Create and produce reports, ad hoc requests, dashboards, etc.
Qualifications:
· Intermediate to advanced Excel and PowerPoint knowledge level.
· Strong analytical, communication and critical thinking skills.
· Able to creatively present data insights in a comprehensive, concise, logical, and easily digested format.
Analytics, Computer Science, Mathematics
Preferred Classification:
Junior, Senior or Recent Graduate
GPA:
3.4+
Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
Inclusion and Belonging
At IBX, everyone can feel valued, supported, and comfortable to be themselves, and all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. Celebrating and embracing diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
About Our Company
Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.
At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com. We’re revolutionizing health care, and our focus is on you!
Equal Employment Opportunity
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Agency Disclaimer
All resumes submitted directly to an Independence Blue Cross employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of Independence Blue Cross and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by Independence Blue Cross or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.