Senior Member Services Representative

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Lokasyon: Mariposa County, California

We have an opportunity to join the Alliance as a Senior Member Services Representative in the Member Services Call Center Department. 

There is one position available in our Mariposa service area and will be on-site three days per week in the Mariposa County offices.

ANO ANG IYONG MAGIGING RESPONSIBILIDAD

Reporting to the Member Services Supervisor, this position:

• Responds to complex member issues and acts as a technical resource for Member Services Representatives
• Acts as a frontline customer service representative within the Member Services Department, providing assistance to members and providers primarily by phone
• Participating in departmental work groups and special projects

TUNGKOL SA TEAM

​Our teams work together to empower members to understand Alliance services and provide resources that meet medical, cultural and social needs to improve member health and well-being. We answer calls from Alliance members, which may include general questions about the plan, require help finding a primary care provider or bring up an issue that needs resolution.

ANG IDEAL NA KANDIDATO 

• Has a passion for providing high-quality customer service to diverse communities while also contributing to a positive and supportive work environment.
• Has strong interpersonal skills to resolve member issues and provide resources as needed.
• Is familiar with Medicare, Medi-Cal, managed health care, and social services.
• Has experience working in a call center or member services setting.
• Is adaptable and comfortable working in the office or remotely multiple days a week.
• Has the ability to work in a team-orientated environment and interact with others showing respect and understanding.

ANO ANG KAILANGAN MO PARA MAGING MATAGUMPAY

Upang basahin ang buong paglalarawan ng posisyon, at listahan ng mga kinakailangan i-click dito. 

• Kaalaman sa:
  
  • Principles and best practices of customer service
  • Eligibility processes and guidelines associated with one or more of the following: Medi-Cal program, Social Security programs, foster care, adoption assistance, and/or other public assistance programs
• Kakayahang:
  • Sagutin kaagad ang mga tawag sa telepono at bawasan ang mga pagkaantala na maaaring humantong sa mga hindi nasagot na tawag
  • Kumilos bilang isang teknikal na mapagkukunan para sa Member Services Representatives
  • Bawasan ang mga kumplikadong sitwasyon, kabilang ang mga reklamo
  • Understand and communicate the complex operations and processes of the Alliance, particularly those related to Member Services and Care Management, to members and providers
• Edukasyon at Karanasan:
  • High school diploma o katumbas nito
  • A minimum of four years of customer service experience in member services, health care, public assistance, human services or in a customer service or call center environment which included a minimum of two years of experience in a health care setting which involved assisting members and/or providers with eligibility processes and guidelines (an Associate’s degree may substitute for one year of the general customer service experience); or an equivalent combination of education and experience may be qualifying

IBANG IMPORMASYON

• Kami ay nasa isang hybrid na kapaligiran sa trabaho at inaasahan namin na ang proseso ng pakikipanayam ay magaganap nang malayuan sa pamamagitan ng Microsoft Teams.
• Habang ang ilang kawani ay maaaring gumawa ng buong iskedyul ng telecommuting, ang pagdalo sa quarterly na mga kaganapan sa buong kumpanya o mga pulong ng departamento ay inaasahan.
• Maaaring kailanganin ang presensya sa opisina o sa komunidad para sa ilang posisyon at nakadepende ito sa pangangailangan ng negosyo. Maaaring suriin ang mga detalye tungkol dito sa panahon ng proseso ng pakikipanayam.

Ang buong hanay ng kabayaran para sa posisyong ito ay nakalista ayon sa lokasyon sa ibaba. 

Ang aktwal na kabayaran para sa tungkuling ito ay tutukuyin ng aming pilosopiya sa kompensasyon, pagsusuri sa mga kwalipikasyon ng napiling kandidato (direkta o maililipat na karanasan na may kaugnayan sa posisyon, edukasyon o pagsasanay), pati na rin ang iba pang mga salik (panloob na equity, market factor, at heyograpikong lokasyon ).

Apply for Senior Member Services Representative