Program Assistant (GARS- Grievance & Appeals)

Job DetailsProgram Assistant Grievance & Appeals (GARS)Location: Orange County, CA (Onsite)Department: Grievance & AppealsEmployment Type: W2 Contract PositionCompensation$23.92 $33.49 per hour (based on experience)ScheduleMonday Friday8:00 AM 5:00 PMFull-time onsite rolePosition OverviewWe are seeking a detail-oriented Program Assistant Grievance & Appeals (GARS) to support a fast-paced healthcare operations team. This role is responsible for handling member and provider complaints, supporting regulatory processes, and maintaining accurate case documentation within the GARS system.The ideal candidate is organized, dependable, and experienced in healthcare administration, particularly in Medicaid/Medi-Cal/Medicare grievance and appeals processes.Key ResponsibilitiesProgram Support (80%)Support a mission-driven culture focused on quality, accountability, and member service Serve as a point of contact for grievance and appeal inquiries Monitor incoming complaints via phone, email, fax, mail, and internal routing systems Track regulatory inquiries from DMHC, CMS Medicare CTM, QIO, and State Hearing Office (DSS) Enter and classify cases accurately in the GARS system Assign cases to appropriate staff and ensure proper tracking and follow-up Respond to information requests in a timely manner Administrative Support (15%)Coordinate with internal and external departments to collect case documentation Prepare acknowledgment letters in compliance with regulatory timelines Assist in developing intake forms and process improvements Support state hearing coordination and documentation processing Maintain electronic case files and route documentation appropriately Other Duties (5%)Support additional departmental projects as assigned Minimum QualificationsHigh school diploma or equivalent required Minimum 1 year of experience in: Grievance and appeals processes OR Medicaid/Medi-Cal OR Medicare programs OR Healthcare administrative support in a managed care environment Preferred QualificationsExperience with healthcare grievance & appeals systems Familiarity with regulatory agencies (DMHC, CMS, QIO, DSS) Bilingual in one of the following: Arabic, Chinese, Farsi, Korean, Russian, Spanish, Vietnamese Skills & AbilitiesStrong communication skills (written and verbal) Ability to manage multiple priorities in a fast-paced environment Strong attention to detail and organizational skills Experience with Microsoft Office (Word, Excel, Outlook, PowerPoint) Ability to work independently with sound judgment Customer service mindset with professionalism and empathy Ability to handle sensitive and regulated healthcare informationThanks, and regards,Nick GlennHealthcare RecruiterDirect: 510-455-4449Aroha Technologies Inc.www.arohatechnologies.com