Grievance Coordinator
Job Description
<div class="content-intro"><p>Akido builds AI-powered doctors<strong>.</strong> Akido is the first AI-native care provider, combining cutting-edge technology with a nationwide medical network to address America’s physician shortage and make exceptional healthcare universal. Its AI empowers doctors to deliver faster, more accurate, and more compassionate care.</p> <p>Serving 500K+ patients across California, Rhode Island, and New York, Akido offers primary and specialty care in 26 specialties—from serving <a href="https://www.fastcompany.com/91231274/how-one-la-doctor-is-using-ai-to-help-homeless-communities-get-medical-care">unhoused communities</a> in Los Angeles to <a href="https://www.wsj.com/articles/the-ai-doctor-will-see-new-york-ride-share-drivers-now-5ba53e6c?mod=Searchresults_pos1&page=1">ride-share drivers</a> in New York.</p> <p>Founded in 2015 (YC W15), Akido is expanding its risk-bearing care models and scaling ScopeAI, its breakthrough clinical AI platform. <a href="https://www.businesswire.com/news/home/20250515102298/en/Akido-Raises-%2460-Million-Series-B-to-Expand-Reach-of-ScopeAI-its-Breakthrough-Health-Artificial-Intelligence">Read more about Akido’s $60M Series B</a>. More info at <a href="http://Akidolabs.com">Akidolabs.com</a>.</p></div><p><strong><span data-contrast="auto">Position Summary</span></strong> </p> <p><span data-contrast="auto">The Grievance Coordinator is responsible for the management, investigation, documentation, and resolution of all health plan grievances, complaints, appeals support, and regulatory inquiries for clinics across the region. This role serves as the central point of contact for health plan grievance communications and ensures timely, accurate, and compliant responses in accordance with federal, state, health plan, and organizational requirements.</span><span data-ccp-props="{}"> </span></p> <p><span data-contrast="auto">The Grievance Coordinator partners closely with clinic leadership, providers, operations teams, patient relations, quality, compliance, and health plans to investigate concerns, gather supporting documentation, identify root causes, and prepare comprehensive grievance responses. The position plays a critical role in maintaining regulatory compliance, improving patient satisfaction, identifying operational opportunities for improvement, and strengthening relationships with health plan partners.</span><span data-ccp-props="{}"> </span></p> <p><span data-contrast="auto">The ideal candidate possesses strong investigative skills, exceptional written communication abilities, healthcare operations knowledge, and the ability to manage multiple deadlines in a fast-paced environment.</span><span data-ccp-props="{}"> </span></p> <p><span data-ccp-props="{}"> </span><strong><span data-contrast="auto">Essential Functions</span></strong></p> <ul> <li><span data-contrast="auto">Serve as the primary coordinator for all health plan grievances, complaints, and member concerns received across the region. </span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="auto">Receive, review, investigate, and respond to grievances within required regulatory and contractual timelines. </span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="auto">Collaborate with clinic leaders, providers, departments, and operational teams to gather information needed for grievance investigations. </span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="auto">Pre