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Grievance Analyst Jobs (NOW HIRING)

Alivia Health

PR · On-site

Analyze complaint and grievance data to identify trends and areas of opportunities for improvement of process and system issues that contribute with the receipt of complaints and grievances.

Alivia Health

PR · On-site

Analyze complaint and grievance data to identify trends and areas of opportunities for improvement of process and system issues that contribute with the receipt of complaints and grievances.

Frederick Health

Grievance Coordinator

Frederick, MD · On-site

$19.75 - $24.75/hr

Job Summary The Grievance Coordinator coordinates, supervises and ensures timely resolution of ... Experience with cost analysis and patient accounts required. * Familiar with MS office products to ...

Frederick Health

Grievance Coordinator

Frederick, MD · On-site

$28.86 - $41.22/hr

Job Summary The Grievance Coordinator coordinates, supervises and ensures timely resolution of ... Experience with cost analysis and patient accounts required. * Familiar with MS office products to ...

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$84.2K

$133.5K

How much do grievance analyst jobs pay per year?

As of Aug 6, 2026, the average yearly pay for grievance analyst in the United States is $84,207.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,000.00 and $98,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a grievance analyst, and why are they important?

To thrive as a Grievance Analyst, you need strong analytical abilities, attention to detail, and experience with case management or compliance procedures, often supported by a bachelor's degree in a related field. Familiarity with case management systems, regulatory compliance databases, and sometimes certifications like Six Sigma or healthcare compliance can be advantageous. Excellent written communication, critical thinking, and the ability to manage sensitive situations with empathy set top candidates apart. These skills are crucial for ensuring fair, thorough resolution of grievances and maintaining organizational integrity.

What is a grievance analyst?

A Grievance Analyst is responsible for reviewing, investigating, and resolving complaints or grievances submitted by customers, employees, or members of an organization. They analyze concerns related to policies, procedures, or services to ensure compliance with regulations and company guidelines. This role requires strong communication, problem-solving, and attention to detail to provide fair and accurate resolutions. Grievance Analysts often collaborate with different departments to address issues and implement process improvements.

What are some common challenges grievance analysts face in their day-to-day work?

Grievance Analysts often handle complex cases that require careful investigation, balancing the needs and perspectives of all parties involved while ensuring adherence to regulatory standards and company policies. Managing high caseloads and tight deadlines can be demanding, particularly when numerous cases require simultaneous follow-up and documentation. Analysts must also regularly communicate with various departments, such as customer service, legal, and compliance teams, to gather information and coordinate resolutions. Successfully navigating these challenges requires strong organizational skills, resilience, and a commitment to fairness and accuracy.

More about Grievance Analyst jobs
What cities are hiring for Grievance Analyst jobs? Cities with the most Grievance Analyst job openings:
What are the most commonly searched types of Grievance Analyst jobs? The most popular types of Grievance Analyst jobs are:
What states have the most Grievance Analyst jobs? States with the most job openings for Grievance Analyst jobs include:
What job categories do people searching Grievance Analyst jobs look for? The top searched job categories for Grievance Analyst jobs are:
Grievance Analyst jobs near you
Infographic showing various Grievance Analyst job openings in the United States as of July 2026, with employment types broken down into 81% Full Time, 3% Part Time, 3% Temporary, and 13% Contract. Highlights an 84% In-person, and 16% Remote job distribution, with an average salary of $84,207 per year, or $40.5 per hour.

Grievance Analyst

Convey Health Solutions

Fort Lauderdale, FL • On-site, Remote

Full-time

Posted 22 days ago

Job description

Job Title: Grievance Analyst
Position Summary:
The Grievance Analyst is responsible for the timely and accurate research and resolution, within CMS guidelines, of customer complaints with added focus on root cause analysis and, when necessary, systemic and process correction recommendations. Identified resolutions will be communicated to customers verbally and/or in writing based on the method of delivery and customer request.
Key Duties and Responsibilities:
  • Accurately identify and document customer complaints based upon notes received from customer service, correspondence received from the customer and/or review of the recorded customer interaction
  • Utilize knowledge of program processes and systems to research assigned grievance cases in their entirety to identify the cause of received complaints and identify a resolution appropriate to the situation
  • Convey the identified resolution to the customer or his/her representative either in writing or verbally
  • Identify and document the resolution and root cause for any assigned grievances including accurate
  • Report identified trends in complaints and root causes to management for escalation
  • Prepare reports as requested by management.
  • Display positive demeanor, technical accuracy, and conformity to company policies.
  • Understand CMS Guidance and ensure that communication is in accordance with CMS Guidance.
  • Ensure HIPAA regulations are maintained within the immediate environment.
  • Documentation is detailed and concise as it pertains to member records.
  • Identifies need for outbound calls for purposes of validating information and addresses and conducts member outreach.
  • Communicate with coworkers, management, staff, customers, and others in a courteous and professional manner.
  • Conform with and abide by all regulations, policies, work procedures and instructions.
  • Respond promptly when replying to correspondence and faxes.
  • Act, dress, and behave in a professional manner to reflect a positive image of the company.

Education and Experience:
  • High School Diploma. Associate's or Bachelor's Degree preferred
  • Three to five years' customer service experience in a federally regulated or insurance related field.
  • Excellent writing skills

Knowledge, Skills, and Abilities:
  • Excellent written, verbal, and interpersonal communication skills
  • Excellent organizational skills and attention to detail
  • Excellent documentation skills
  • Ability to provide clear and accurate information through multiple media
  • Ability to manage open requests and follow up when necessary without outside direction
  • Ability to effectively manage time with strong attention to detail
  • Ability to read and interpret documents including safety rules, operating and maintenance instructions, procedure manuals and general correspondence
  • Ability to write routine reports and correspondence
  • Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals
  • Ability to carry out instructions furnished in written, oral, or diagram form
  • Ability to deal with problems involving several concrete variables in standardized situations
  • Ability to politely, tactfully and firmly interact with a wide range of people and personalities
  • Ability to work in an environment with potential interruptions
  • Must be able to operate computer, calculator, copier, fax machine, phone and other office equipment

About Us
Convey Health Solutions, together with Pareto Intelligence™, delivers a powerful combination of purpose-built technology, advanced analytics, and expert services to help health plans thrive in a complex, post--Affordable Care Act environment.
As a trusted partner to Medicare and commercial payers, we provide scalable, compliant solutions that span the entire member lifecycle--from enrollment and billing to risk adjustment, Stars performance, and member engagement. Pareto's deep analytics and financial intelligence complement Convey's operational expertise, enabling our clients to improve performance, reduce costs, and create better healthcare experiences for millions of Americans--especially seniors and vulnerable populations.
Together, we help health plans scale smarter, grow stronger, and make healthcare work better for the people who need it most. Learn more at http://www.ConveyHealthSolutions.com

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