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Foodsmart

Foodsmart was founded in 2010 as Zipongo to offer "eating well made simple." As an employer, Foodsmart considers its team's health and happiness central to its success, and the com

Member Support Specialist – Escalations, Accommodations

Location

United States

Posted

28 days ago

Salary

$60K - $75K / year

Seniority

Senior

Bachelor Degree3 yrs expEnglish

Job Description

Member Support Specialist – Escalations, Accommodations

Foodsmart

• Own and resolve high-priority, complex, or sensitive member escalations end-to-end. • Serve as the “last line” point of contact for unresolved member concerns. • Investigate grievances thoroughly, synthesizing information from multiple systems and stakeholders. • Ensure timely, compliant, and well-documented resolution of all escalations. • Review and assess accommodation and accessibility requests with sound judgment and consistency. • Evaluate supporting documentation, including authorized representative forms and related records. • Determine appropriate next steps, including approvals, denials, or escalations. • Communicate professionally and clearly with health plans, providers, and external partners. • Lead de-escalation efforts with empathy, professionalism, and control. • Make independent, high-stakes decisions within established guidelines.

Job Requirements

  • Bachelor’s degree or higher.
  • 3–5+ years in member/patient support, escalations, grievances, or case management.
  • Experience working with health plans, healthcare systems, or regulated environments preferred.
  • Demonstrated experience handling complex escalations or complaint resolution.
  • Familiarity with accessibility and accommodation processes (preferred).
  • Experience reviewing formal documentation (e.g., authorized representative forms, medical or legal documentation) is a plus.

Benefits

  • Remote-First Company
  • Unlimited PTO
  • Flexible & remote location
  • Healthcare Coverage (Medical, Dental, Vision)
  • 401k & bonus
  • Registered Dietitian Sessions

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