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Grievance Manager Jobs in San Ramon, CA (NOW HIRING)

Apex Informatics

Case Manager

Pleasanton, CA · On-site

$22.25 - $28.75/hr

Job Title : Case Manager Location : Case Manager Case Manager Need candidates at the earliest Appeals and Grievance- 5 yrs : Member relations- Medicare / medicaid / commercial Blueshield / Aetna ...

Sylvania

Labor Relations Manager (0991)

San Francisco, CA · On-site

$123 - $165/hr

Manage the District's grievance process, including intake, investigation, analysis, written responses, settlements, and arbitration preparation. * Lead or support collective bargaining negotiations ...

New

Sodexo

Human Resources Manager 3

Menlo Park, CA · On-site

You will manage payroll with precision, support labor relations through CBA interpretation and grievance handling, and coordinate HR initiatives that strengthen culture, engagement, performance, and ...

Career Movement

Operations Manager

Oakland, CA · On-site

Manage and supervise longshore workers, foremen, supercargoes, and planners across vessel, yard ... Handle discipline, grievances, and labor dispatch in compliance with collective bargaining ...

Career Movement

Operations Manager

Oakland, CA · On-site

Manage and supervise longshore workers, foremen, supercargoes, and planners across vessel, yard ... Handle discipline, grievances, and labor dispatch in compliance with collective bargaining ...

Career Movement

Operations Manager

Oakland, CA

Manage and supervise longshore workers, foremen, supercargoes, and planners across vessel, yard ... grievances, and labor dispatch in compliance with collective bargaining agreement provisions.

Daiso

Store Manager

Alameda, CA · On-site

$29/hr

Deal with all issues that arise from staff or customers (complaints, grievances, etc) * Managing the store, both retail and company, inventory, including loss prevention through theft and breakage

KQED

Labor Relations Specialist

San Francisco, CA · On-site

Organizing and conducting Step 2 grievance meetings, acting as the lead Organization spokesperson to present management positions, gathering and maintaining records relevant to the defense such ...

Daiso

Store Manager

Dublin, CA · On-site

$29/hr

Deal with all issues that arise from staff or customers (complaints, grievances, etc) * Managing the store, both retail and company, inventory, including loss prevention through theft and breakage

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All JobsGrievance JobsGrievance Manager JobsGrievance Manager Jobs in San Ramon, CA

Grievance Manager information

What are some common challenges faced by grievance managers, and how can candidates prepare to handle them effectively?

Grievance Managers often deal with sensitive and complex employee or client concerns, which can involve emotional situations and high expectations for resolution. A common challenge is balancing the interests of all parties while ensuring compliance with company policies and legal standards. Successful candidates can prepare by developing strong communication, empathy, and conflict resolution skills, as well as maintaining up-to-date knowledge of relevant regulations. Building rapport with internal teams and fostering a transparent, fair process are also critical to managing grievances effectively.

What is a grievance manager?

Grievance Managers are professionals responsible for overseeing the process of handling complaints and concerns raised by employees, customers, or clients within an organization. They ensure that grievances are addressed fairly, efficiently, and in compliance with company policies and legal requirements. Their duties often involve investigating complaints, mediating disputes, and recommending solutions to resolve issues. Grievance Managers play a key role in maintaining a positive workplace environment and supporting organizational integrity.

What are the key skills and qualifications needed to thrive as a grievance manager?

To thrive as a Grievance Manager, you need expertise in conflict resolution, regulatory compliance, and case management, often supported by a degree in business, healthcare administration, or a related field. Familiarity with case tracking systems, complaint management software, and knowledge of relevant laws such as HIPAA or labor regulations is typical. Strong interpersonal skills, attention to detail, and the ability to remain impartial help build trust and resolve issues effectively. These skills are crucial for ensuring fair, compliant, and timely resolution of grievances, which protects the organization and maintains stakeholder satisfaction.

What is the difference between Grievance Manager vs HR Coordinator?

AspectGrievance ManagerHR Coordinator
Primary RoleHandles employee grievances, resolves conflicts, ensures compliance with grievance policiesSupports HR functions, assists with recruitment, onboarding, and employee records
Required CredentialsHR certification, experience in conflict resolutionHR certification or degree, administrative skills
Work EnvironmentEmployee relations, conflict resolution teamsHR department, administrative setting
Industry UsageCommon in organizations with formal grievance proceduresWidespread across various industries for HR support

While both roles are part of the HR function, a Grievance Manager focuses specifically on resolving employee conflicts and managing grievances, whereas an HR Coordinator provides broader HR support tasks. The Grievance Manager often handles sensitive issues requiring conflict resolution skills, while the HR Coordinator manages administrative HR duties. Understanding these differences helps organizations assign the right responsibilities to each role.

What job categories do people searching Grievance Manager jobs in San Ramon, CA look for? The top searched job categories for Grievance Manager jobs in San Ramon, CA are:
What cities near San Ramon, CA are hiring for Grievance Manager jobs? Cities near San Ramon, CA with the most Grievance Manager job openings:
Grievance Manager jobs near you
Infographic showing various Grievance Manager job openings in San Ramon, CA as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution.

Temp Grievance and Appeals Coordinator

Santa Clara Family Health Plan

San Jose, CA • On-site

$67K - $101K/yr

Temporary

Medical

Posted 14 days ago

Job description

Temp Grievance and Appeals Coordinator
Salary Range: $67,863 - $101,795
The expected pay range is based on many factors, such as experience, education, and the market. The range is subject to change.
TEMPORARY POSITION
FLSA Status: Non-Exempt
Department: Grievance and Appeals
Reports To: Supervisor, Grievance and Appeals
GENERAL DESCRIPTION OF POSITION
The Grievance and Appeals Coordinator is responsible for the beginning-to-end process of receiving, researching and resolving of new and existing member and provider grievance and appeals cases for all lines-of-business including any escalated step of the grievance and appeals process in accordance with state and federal regulatory requirements and SCFHP policies and procedures as set forth for each line of business.
ESSENTIAL DUTIES AND RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each essential duty listed below satisfactorily.
  1. Act as a back-up to the Grievance and Appeals Intake Specialist during times of high volume work and/or staffing shortages to ensure appropriate intake of new and existing grievance and appeal cases, assessing the priority of each case and routing to the appropriate staff.
  2. Ensure grievance and appeals cases are accurate and include the necessary elements for processing and resolving, giving special attention to those identified as "Expedite". Create clear and concise documentation in applicable system(s).
  3. Use good judgment and department resources to identify all issues and required actions within a case, appropriately categorize cases and identify required actions in accordance with state and federal regulations.
  4. Produce and manage outbound documents, correspondence and reports in a manner that meets required timeframes.
  5. Ensure adherence with state and federal regulatory timeframes for handling cases including acknowledging cases, resolving cases, monitoring effectuation of resolution, completing resolution letters and communicating with members and providers within required timeframes.
  6. Prepare case files for State Fair Hearings, Independent Review Entities or other escalated types of cases, including documentation of the Statement of Position and case narratives. Represent SCFHP in any hearing proceedings.
  7. Develop effective and professional working relationships with internal and external stakeholders and partners. Communicate effectively with members and providers orally and in writing.
  8. Contact members and providers to seek additional information or clarification regarding grievance and appeals cases and review and resolve issues by requesting medical records, notice of action, or any other pertinent information related to grievances and appeals from medical groups, delegated entities and/or providers.
  9. Perform complete, accurate and consistent data entry into system software applications in accordance with policies, procedures and instruction from the Manager of Grievance and Appeals Operations.
  10. Maintain case files by ensuring that they are documented in accordance with state and federal requirements and organized in a manner that adheres to SCFHP standards and audit requirements.
  11. Participate in retrospective audit and review of cases and complete and correct gaps or errors in data.
  12. Identify operational issues and trends with SCFHP, delegates and other external stakeholders. Communicate these issues internally and externally and assist in formulating appropriate remediation plans.
  13. Assist the Manager of Grievance and Appeals Operations and peers with special projects. Work collaboratively and cross-functionally with other departments to facilitate appropriate resolutions. Work as a team to complete departmental tasks to meet deadlines and accomplish department objectives.
  14. Attend and actively participate in Grievance and Appeals Committee meetings, operational meetings and department meetings, trainings and coaching sessions.
  15. Perform other related duties as required or assigned.
REQUIREMENTS - Required (R) Desired (D)
The requirements listed below are representative of the knowledge, skill, and/or ability required or desired.
  1. High School diploma or GED. (R)
  2. Associate's degree or equivalent experience, training or coursework. (D)
  3. Minimum two years of experience in customer service, provider service, health service, or pharmacy in a managed care or health care environment handling escalated or complex issues. (R)
  4. Knowledge of health plan benefits, processes and operations. (R)
  5. Prior experience with commercial, Medi-Cal and/or Medicare programs and working with the underserved populations. (R)
  6. Work weekends and company holidays as needed based on business regulatory requirements. (R)
  7. Spanish, Vietnamese, Chinese, or Tagalog language bi-lingual skills. (D)
  8. Detail-oriented with the ability to conduct research and identify steps required to resolve issues and follow through to effectuation.(R)
  9. Proficient in adapting to changing situations and efficiently alternating focus between tasks to support the Grievance and Appeals Department operations as dictated by business needs (R)
  10. Ability to consistently meet grievance and appeals accuracy and timeline requirements by achieving regulatory standards. (R)
  11. Working knowledge of and the ability to efficiently operate all applicable computer software including computer applications such as Outlook, Word and Excel. (R)
  12. Ability to use keyboard with moderate speed and a high level of accuracy. (R)
  13. Excellent communications skills including the ability to express oneself clearly and concisely when providing service to SCFHP internal departments, Members, Providers and outside entities over the telephone, in person or in writing. The ability to remain calm and de-escalate tense situations. (R)
  14. Ability to think and work effectively under pressure and accurately prioritize and complete tasks within established timeframes. (R)
  15. Ability to assume responsibility and exercise good judgment when making decisions within the scope of the position. (R)
  16. Ability to maintain confidentiality. (R)
  17. Ability to comply with all SCFHP policies and procedures. (R)
  18. Ability to perform the job safely with respect to others, to property and to individual safety. (R)
WORKING CONDITIONS
Generally, duties are primarily performed in an office environment while sitting or standing at a desk. Incumbents are subject to frequent contact with and interruptions by co-workers, supervisors, and plan members or providers in person, by telephone, and by work-related electronic communications.
PHYSICAL REQUIREMENTS
Incumbents must be able to perform the essential functions of this job, with or without reasonable accommodation:
  1. Mobility Requirements: regular bending at the waist, and reaching overhead, above the shoulders and horizontally, to retrieve and store files and supplies and sit or stand for extended periods of time; (R)
  2. Lifting Requirements: regularly lift and carry files, notebooks, and office supplies that may weigh up to 5 pounds; (R)
  3. Visual Requirements: ability to read information in printed materials and on a computer screen; perform close-up work; clarity of vision is required at 20 inches or less; (R)
  4. Dexterity Requirements: regular use of hands, wrists, and finger movements; ability to perform repetitive motion (keyboard); writing (note-taking); ability to operate a computer keyboard and other office equipment; (R)
  5. Hearing/Talking Requirements: ability to hear normal speech, hear and talk to exchange information in person and on telephone; (R)
  6. Reasoning Requirements: ability to think and work effectively under pressure; ability to effectively serve customers; decision making, maintain a concentrated level of attention to information communicated in person and by telephone throughout a typical workday; attention to detail. (R)
ENVIRONMENTAL CONDITIONS
General office and call center conditions. May be exposed to moderate noise levels.
EOE

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