Role Description The Grievances & Appeals Specialist is responsible for managing, investigating, and resolving member complaints, grievances, and appeals in compliance with client, state, and federal requirements. This role plays a critical part in protecting member rights, identifying service gaps, and driving continuous quality improvement across MediDrive’s operations. - Ensure all cases are handled timely, accurately, and in accordance with contractual turnaround times. - Maintain a strong focus on member advocacy, regulatory compliance, and service excellence. Key Responsibilities - Case Management & Investigation - Receive, log, and acknowledge grievances and appeals from members, providers, clients, and regulatory agencies. - Conduct thorough investigations by collecting trip records, call recordings, provider documentation, GPS data, and relevant system notes. - Analyze root causes of service failures and recommend corrective and preventive actions. - Draft clear, compliant written responses to members and clients within required turnaround timeframes. - Escalate urgent or high-risk matters to the Quality Assurance Manager and leadership as appropriate. - Compliance & Reporting - Ensure all grievances and appeals are processed in accordance with Medicaid, Medicare Advantage, and client-specific contractual requirements. - Monitor and track turnaround time compliance to avoid penalties or liquidated damages. - Maintain accurate documentation within the Grievance & Appeals tracking system. - Assist with internal audits, client audits, and regulatory reviews related to complaint resolution. - Identify trends and provide reporting to support performance improvement initiatives. - Collaboration & Resolution - Partner with Operations, Network Development, Call Center, and Technology teams to resolve issues and implement sustainable solutions. - Engage with transportation providers (TPs) to gather documentation and ensure corrective actions are completed. - Coordinate with clients, government agencies, and legal/compliance departments when cases fall outside standard workflows. - Monitor member trips when necessary to ensure real-time issue resolution and service recovery. - Continuous Quality Improvement - Identify systemic issues impacting member experience and escalate patterns to leadership. - Support quality improvement initiatives and contribute to policy and procedure enhancements. - Participate in special projects and additional duties as assigned by the Quality Assurance Manager. Qualifications - High school diploma required; Associate or Bachelor’s degree preferred. - Minimum of two (2) years of experience in grievance resolution, customer service, healthcare operations, NEMT, or managed care. - Experience working in Medicaid or Medicare Advantage environments preferred. - Strong knowledge of complaint resolution processes and regulatory turnaround requirements. - Excellent written and verbal communication skills, including professional phone etiquette. - Strong analytical and problem-solving abilities with attention to detail. - Ability to manage a high volume of cases in a fast-paced environment. - Proficiency in Microsoft Office Suite (Word, Excel, Outlook). - Typing speed of 35+ words per minute with high accuracy. - Ability to learn and navigate multiple systems efficiently. - Ability to work independently while collaborating effectively within a cross-functional team environment. - Medical front-office, case management, social work, or healthcare administrative experience preferred. - Bilingual (English/Spanish or other languages) preferred. Company Description MediDrive is an equal opportunity employer committed to providing reliable, compliant, and member-centered Non-Emergency Medical Transportation services.

Public Trust Eligibility Required This is a contingent position, meaning employment is dependent upon the successful award of the associated contract to Aretum and completion of any required background investigation or security clearance verification.  About Aretum Aretum is a mission-driven organization committed to delivering innovative, technology-enabled solutions to our customers across defense, civilian, and homeland security sectors. Our teams work at the intersection of strategy, technology, and transformation, helping agencies solve their most critical challenges. We believe in investing in our people and creating a culture where collaboration, inclusion, and professional growth are at the forefront.  Job Summary Aretum is seeking an Accessibility Specialist to join our team supporting a large-scale federal technology modernization program. As an Accessibility Specialist, you will be embedded within a User Experience and Accessibility Services workstream, performing accessibility evaluation throughout the software development lifecycle using both automated and manual techniques. You will evaluate design concepts and coded solutions against Section 508 (36 C.F.R. 1194.1), WCAG 2.1 A and AA, and applicable agency digital accessibility standards, beginning during wireframing and continuing through high-fidelity prototypes and code review. You will document accessibility issues and fixes in the program's tracking systems, author Accessibility Conformance Reports (ACRs) and Voluntary Product Accessibility Templates (VPATs) prior to major releases, and collaborate daily with the program's accessibility leads, product owners, UX designers, and developers to ensure accessibility issues are identified early and remediated within sprint cadence. This is a hands-on role that requires deep, current expertise in digital accessibility evaluation and the ability to work effectively inside a SAFe Agile environment.  Due to the nature of our work as a federal consulting organization, employees may be expected to handle Controlled Unclassified Information (CUI) and must adhere to applicable safeguarding and compliance requirements.   Responsibilities - Evaluate design concepts for accessibility issues and opportunities in alignment with applicable federal digital accessibility standards, providing expert guidance on how to address gaps in design concepts - Collaborate with the program's accessibility lead and federal accessibility staff to ensure early identification and resolution of accessibility barriers - Conduct manual and automated accessibility evaluations on coded solutions, beginning during wireframing and continuing through high-fidelity prototypes and code review - Document accessibility issues and fixes in the program's project tracking and documentation systems, with WCAG 2.1 success criteria mapping, severity classification, and clear remediation guidance for developers - Report accessibility test results on coded solutions and ongoing issues per Sprint and on a major release basis for the federal accessibility team's review and validation - Author Accessibility Conformance Reports (ACRs) and/or Voluntary Product Accessibility Templates (VPATs) prior to major releases, aligned to Section 508 and applicable agency accessibility standards - Produce accessibility review notes, annotated design files, issue summaries, and full accessibility conformance evaluation reports as program deliverables - Verify accessible code per the standards defined in the applicable Quality Assurance Surveillance Plan and support remediation of accessibility issues identified in the program backlog - Ensure designs and patterns support users without vision; with limited vision; without perception of color; without hearing; with limited hearing; without speech; with limited manipulation; with limited reach and strength; and with limited language, cognitive, and learning abilities - Proactively identify potential accessibility barriers in design and development solutions and raise them for discussion and remediation with the program's accessibility architects and product owners, working closely with the development team to ensure successful remediation - Review documentation of accessibility considerations included with design handoffs in collaboration with federal accessibility staff - Participate in the User-Centered Design (UCD) process (Discover, Define, Ideate, Prototype, and Validate) ensuring accessibility is considered from the earliest stages of UX work, including information architecture, wireframes, visual design, and content strategy - Participate fully in SAFe Agile ceremonies (Sprint Planning, Daily Standup, Sprint Review, Retrospective, and Backlog Refinement), planning and estimating accessibility work within normal sprint workflows rather than as external dependencies - Contribute to design system governance by reviewing proposed components, patterns, and tokens against WCAG 2.1 A and AA standards prior to final approval - Coordinate with product owners, federal subject matter experts, software engineering staff, user experience design staff, accessibility staff, and IT security staff as needed to align accessibility work with program priorities

Fully remote position; requires availability during standard East Coast (ET) business hours. With 150+ locations in 17 states, QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S. At QualDerm we are united in our purpose: to educate, protect, and care for your skin. We are committed to bringing you the very best in comprehensive skin care so that you can achieve a confident, healthier, and more beautiful you!  Our mission is to educate communities and healthcare professionals about the importance of skin health; including skin cancer prevention, risk factors and how to achieve healthy skin through annual skin exams and dermatologic care. We strive to provide the latest proven, proactive and comprehensive dermatologic care to populations in the expanding geographies we serve by making high-quality skin care timelier and more accessible all while creating a rewarding work environment for our providers and employees. Not only do we offer aggressive compensation and benefit packages, but we offer a culture that is unsurpassed! Purpose: The purpose of a Triage Specialist is to perform effective telephone triage to support dermatology patients based on their needs. Essential Duties and Responsibilities: - Answer phones/returning voicemails to handle all questions and/or transfer accordingly. - Understand and relay stat emergent situations, pathology results, navigate EMA/EMR-faxes, tasks, general knowledge. - Relay pathology results including biopsies, scheduling returns and minor procedures. - New patient scheduling, making charts and notes. - Answer questions to patient’s satisfaction using basic medical terminology and understanding. - Document all conversations appropriately in EMA. - Schedule various surgeries in template according to provider specific needs and guidelines. - Prioritize skin cancers based on type, subtype, size, location and aggressive nature. - Explain Mohs procedures to patients – what to expect. - Perform and complete pre-op assessments and send in required antibiotics or other medications, if necessary, under the guidelines set by providers.

Overview The U.S. Department of the Interior (DOI), Bureau of Indian Affairs (BIA), Division of Real Estate Services (DRES), headquartered in Albuquerque, New Mexico, requires the services of a Real Estate Review & Processing Support Services Team to assist with timely and efficient real estate services processing for FAST-41 and other priority projects. This work supports the administration, implementation, and enforcement of Title 41 of the Fixing America’s Surface Transportation Act (FAST-41). FAST-41 establishes procedures, governance mechanisms, and funding structures for federal environmental review and permitting for certain infrastructure projects. The purpose is to improve the efficacy of the application review process for FAST-41 projects and to improve consistency, efficiency, and coordination with Tribes, Tribal offices, state agencies, and other Federal agencies. Place of Performance The primary place of performance for this task order is remote (i.e., a professional home environment). In-person attendance at technical meetings may be required. Additional travel for site visits will be required. Hours of Operation The Realty Specialist is expected to perform 8-hours per day/40-hours per week, Monday through Friday, except for Federal Government holidays. Any overtime must be pre-authorized by the Government. Responsibilities The Realty Specialist will be responsible for performing contract management service transactions by assisting in the processing of applications regarding rights-of-way, permitting, leases, and coordination with Tribes to assist with moving the applications to approval for FAST-41 covered projects. - Review and analyze Tribal applications for consistency of required documentation. - Facilitate potential recommendations to approve secretarial waiver of regulations depending on right-of-way grant or lease negotiations. - Coordinate with Tribal applicants and representatives, NEPA staff, FAST-41 POCs, appraisers, internal BIA staff, and any other federal partners and entities. - Encode and track applications into the Trust Asset and Accounting Management System (TAAMS). - Analyze current and historical transactions, encumbrances, to include trust title and records. - Conduct outreach on the Environmental Review Improvement Fund Tribal Assistance Program to ensure Tribes are aware and provide technical assistance guidance. - Assist in data calls and reporting requirements from the BIA Regions and Agencies. - Meet all regulatory requirements including consent requirements, land status, legal description review, encumbrance verification, and verification of National Environmental Policy Act (NEPA) and Section 106 compliance, bonding, and fair market value appraisals. - Ensure proposed project survey plats/drawings are consistent with the project location by Section, Township, and Range for TAAMS encoding procedures. - Participate in meetings and coordinate with Tribes, Tribal offices, state agencies, and other Federal agencies (weekly, monthly or as requested). - Review completed NEPA project proposals and assist in review of already prepared documents (may include Environmental Assessments, Categorical Exclusion Exception Review (CEER) checklists, Environmental Impact Statements, Section 106 and Section 7 compliance documents, survey plats/drawings, tribal approval documents and other project proposal documents); submit information to the biweekly progress reports in MS Word and encrypted. - Provide specific expertise regarding real estate services and various laws and regulations relating to archaeological resources, historic preservation, and paleontology. - Provide road services and/or conducting road analyses related to broadband projects and activities. - Stay updated with all relevant and applicable regulations, policies, manuals, and handbooks. - Ensure that all parties involved are working within the current legal and regulatory framework. Qualifications The Realty Specialist must have a Bachelor of Science Degree plus general experience of five (5) years of related experience. Experience level should be equivalent to a GS-1170 Series. Other qualifications: - Shall possess documented knowledge of BIA’s regulations, policies, and procedures, reviewing contract management transactions related to tribal broadband projects. - Ability in reviewing environmental impact reports related to tribal broadband projects and be able to work collaboratively with the Division of Environmental Services and Cultural Resources Management (DESCRM) within the Office of Trust Services. - Collaborate with BIA and the National Telecommunication and Information Administration (NTIA) under the U.S. Department of Commerce’s federal program officers and tribal grantees funded through NTIA’s Tribal Broadband Connectivity Program (TBCP). Security Employment is contingent upon the ability to pass the pre-employment drug test and a federal security investigation (background check) in order to obtain a Department of the Interior Public Trust security clearance prior to start. The background investigation reviews employment, criminal, financial, and personal history to ensure there are no outstanding violations. Applicants must be a U.S. Citizen to work in support of a federal agency. Any notification from Government to Montech Inc. that the employee has compromised the security requirements will warrant immediate termination from employment on the contract. Equal Opportunity Employer Montech Inc. is dedicated to the principles of equal employment opportunity (EEO) in any term, condition, or privilege of employment. The Company prohibits unlawful discrimination against applicants or employees on the basis of age (40 and over), race, color, religion, national origin, disability, genetic information, sexual identity, sexual orientation, pregnancy, veteran status, marital status, or any other status protected by federal, state or local laws. This job description is not all inclusive of the tasks that may be assigned to the REALTY SPECIALIST.