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OpTech LLC

Grievance &Appeals Coordinator

Detroit, MI · On-site

$21.75 - $27/hr

Grievance & Appeals Coordinator Location: Remote Top 3 Required Skills/Experience - • Experience handling a large load of work in a fast-paced environment and have computer skills! • Insurance ...

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How much do grievance jobs pay per hour?

As of Jul 22, 2026, the average hourly pay for grievance in the United States is $18.29, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $19.95 per hour, depending on experience, location, and employer.

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

To thrive as a Grievance Specialist, you need a solid understanding of regulatory compliance, case management, and investigative procedures, often supported by a background in healthcare administration or customer service. Familiarity with claims processing systems, CRM platforms, and relevant regulations such as HIPAA or Medicare guidelines is typically required. Strong communication, problem-solving, and empathy are vital soft skills for effectively addressing member concerns and de-escalating sensitive situations. These competencies ensure grievances are resolved accurately and efficiently, maintaining regulatory compliance and customer satisfaction.

What are grievance officers?

Grievance officers are professionals designated to handle complaints or concerns raised by employees, customers, or other stakeholders within an organization. Their main role is to ensure that issues are addressed fairly, promptly, and in accordance with company policies and regulations. They act as a bridge between the complainant and management, facilitating communication, investigating complaints, and recommending solutions or disciplinary actions if necessary. Grievance officers also help maintain a positive work environment by promoting transparency and trust in the resolution process.

What is the difference between Grievance vs HR Specialist?

AspectGrievanceHR Specialist
Required credentialsVaries; often no formal certificationBachelor's degree in HR, Business, or related field; certifications like SHRM or HRCI
Work environmentEmployee relations, conflict resolution, internal investigationsRecruitment, employee management, policy implementation
Employer & industry usageUsed across industries for handling employee complaintsCommon in HR departments across all industries
Comparison intentUnderstanding dispute resolution rolesUnderstanding HR roles involved in employee relations

While a Grievance role focuses on addressing employee complaints and resolving conflicts, an HR Specialist handles broader HR functions including recruitment, policy enforcement, and employee management. Both roles are vital in maintaining positive workplace relations but differ in scope and responsibilities.

What are some common challenges faced by professionals working in grievance management roles, and how can they effectively address them?

Grievance management professionals often encounter emotionally charged situations and high-pressure deadlines, as they are responsible for investigating and resolving complaints from employees or clients. Balancing empathy with objectivity is crucial, as is adhering to company policies and legal regulations. Effective communication and active listening skills help in de-escalating conflicts, while strong organizational abilities ensure thorough documentation and timely resolution. Collaborating closely with HR, legal, and management teams is also essential for comprehensive and fair outcomes.
More about Grievance jobs
What cities are hiring for Grievance jobs? Cities with the most Grievance job openings:
What are the most commonly searched types of Grievance jobs? The most popular types of Grievance jobs are:
What states have the most Grievance jobs? States with the most job openings for Grievance jobs include:
What job categories do people searching Grievance jobs look for? The top searched job categories for Grievance jobs are:
Grievance jobs near you
Infographic showing various Grievance job openings in the United States as of July 2026, with employment types broken down into 87% Full Time, 9% Part Time, 2% Temporary, and 2% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution, with an average salary of $38,052 per year, or $18.3 per hour.
Clinical Grievance Specialist

Clinical Grievance Specialist

Children's Health

Dallas, TX

Full-time

Medical

Posted 22 days ago

Children's Health rating

7.6

Company rating: 7.6 out of 10

Based on 83 frontline employees who took The Breakroom Quiz

189th of 888 rated healthcare providers

Job description

Job Title & Specialty Area: Clinical Grievance Specialist

Department: Quality Patient Safety

Location: Children's Health Dallas

Shift: Full-time; Monday through Friday 8:00a to 5:00p

Job Type: Onsite

Why Children's Health?

At Children's Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal.

Through our cutting-edge treatments and affiliation with UT Southwestern, we strive to deliver an extraordinary patient and family experience, ensuring that every moment, big or small, contributes to their overall well-being.

Our dedication to promoting children's health extends beyond our organization and encompasses the broader community. Together, we can make a significant difference in the lives of children and contribute to a brighter and healthier future for all.

Summary:
Manages the intake of grievances that come in through multiple formats (email, phone call, letters, inperson visits, and online reviews). Facilitates grievance and allegations of abuse investigations throught the organization. Provides leadership, education, and mentoring to clinical stakeholders. Collaborating with multidisciplinary teams to resolve grievances and communicate outcome of the reviews with families.

Responsibilities:
* Coordinates and facilitates the investigation, review and disposition of grievances though interviews, medical record and literature reviews and utilization of appropriate investigative tools.
* Utilizes high level organizational skills to manage case load.
* Serves as an expert in safety science and patient safety processes and outcomes to assist clinical and organizational stakeholders with information to improve patient safety.
* Works, in partnership, with clinical stakeholders; aggregates and analyzes data; identifies opportunities to improve patient safety and patient experience; identifies trends and patterns related to grievances; develops conclusions and makes recommendations through data and case presentations to appropriate committees and/or teams.
* Conducts special projects / audits as assigned.
* Collaborates with Accreditation and Regulatory Compliance to support necessary processes and documentation of event reviews. Services as a super user of various software systems such as, Excel, Power Point, Word, EPIC; able to design and develop necessary patient safety reports.

How You'll Be Successful:

WORK EXPERIENCE
* At least 5 years' experience in a healthcare or clinical environment and an advanced degree Required
* At least 7 years Experience in a healthcare or clinical environment Required
EDUCATION
* Four-year Bachelor's degree or equivalent experience BSN Required
* Graduate or professional work or advanced degree; or equivalent experience Preferred
LICENSES AND CERTIFICATIONS
* CPPS or CPXP within 1 Year Required
* Current license to practice professional nursing in the State of Texas Upon Hire Required

A Place Where You Belong

We put our people first. We welcome, value, and respect the beliefs, identities and experiences of our patients and colleagues. We are committed to delivering culturally effective care, creating meaningful partnerships in the communities we serve, and equipping and developing our team members to make Children's Health a place where everyone can contribute.

Holistic Benefits - How We'll Care for You:

Employee portion of medical plan premiums are covered after 3 years.

4%-10% employee savings plan match based on tenure

Paid Parental Leave (up to 12 weeks)

Caregiver Leave

Adoption and surrogacy reimbursement

As an equal opportunity employer, Children's Health does not discriminate against employees or applicants because of race, color, religion, sex, gender identity and expression, sexual orientation, age, national origin, veteran or military status, disability, or genetic information or any other Federal or State legally protected status or class. This applies to all aspects of the employer-employee relationship including but not limited to recruitment, hiring, promotion, transfer pay, training, discipline, workforce adjustments, termination, employee benefits, and any other employment-related activity.

Employment Type: FULL_TIME

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