Executive Escalation Response Specialist II

Centene Corporation

. Assist with responding to complaints and escalations from members/providers .

Posted 10/15/2026full-timeRemote • United StatesJunior💰 $18 - $28 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong problem-solving abilities and effective communication skills to manage escalations and improve member and provider experiences. Proficient in root cause analysis and complaint resolution within a compliance-driven environment.

Highest-signal resume keywords

Root Cause AnalysisComplaint ResolutionMedicare KnowledgeMedicaid KnowledgeStrong Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Complaint TrackingIssue ResolutionEscalation ManagementClaims Payment ResearchDocumentation Skills

Soft Skills

Verbal CommunicationWritten CommunicationInterpersonal Skills

Industry Keywords

Member ExperienceProvider ExperiencePolicy ComplianceEnterprise-Wide Trends

About the role

Key responsibilities & impact

Assist with responding to complaints and escalations from members/providers
Support handling escalations and problem tickets
Provide feedback to senior team members regarding member/provider issues
Provide timely and appropriate resolutions to escalated issues from various communication channels
Serve as a liaison between departments to ensure timely issue resolution
Document, track, and resolve assigned complaints and inquiries in writing and/or by telephone
Support root cause analysis to identify enterprise-wide trends and solutions
Coordinate with the contact center team to research escalated inquiries and evaluate complaint remedies
Review complaint trends and develop draft recommendations to improve member and provider experience and reduce complaints and escalations
Maintain introductory knowledge of products and services to support customers
Research basic claims payment errors and make appropriate adjustments
Comply with all policies and standards
Perform other duties as assigned

Requirements

What you’ll need

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
High School diploma or GED
1–2 years of related experience
May require vocational or technical education in addition to prior work experience
Strong written and verbal communication skills preferred
Experience managing executive-level member escalations preferred
Medicare and Medicaid knowledge preferred
Root cause analysis experience preferred

Benefits

Comp & perks

Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Additional forms of incentives may be included in total compensation
Equal opportunity employer committed to diversity