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Recruited by The Hawthorns Golf & Country Club 10 months ago Address Fall Creek, IN, United States

Membership Specialist - Remote

Company

McLaren Integrated HMO Group
Address , Indianapolis, In
Employment type FULL_TIME
Salary
Expires 2023-06-10
Posted at 1 year ago
Job Description

About Us

McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan, Indiana and Ohio. The McLaren system includes 14 hospitals in Michigan and Ohio, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 51 National Cancer Institute-designated comprehensive cancer centers in the U.S.


We are looking for a Membership Specialist in the Membership department to join us in leading our organization forward.

McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives.

McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can thrive. As an employee MIG, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.

McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org

MDwise is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at https://www.mdwise.org/

Position Overview:


Position Summary:

Under the general direction of the Supervisor, the Membership Specialist administers, facilitates, problem solves, researches and communicates information related to the specialized benefit line assigned (i.e. FSA, COBRA, complex product lines). Typically, the incumbent also performs professional and analytical work of moderate difficulty and is proficient in communicating information that can be moderately complex.

This position is fully remote.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

Qualifications:

Required:

  • One (1) years’ experience in Membership and Enrollment maintenance, including state eligibility specifications and regulations
  • High School Diploma or equivalent (GED)

Preferred:

  • Working knowledge of benefits or human resources functions
  • Associate degree in business, health care or related field.
  • Experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions.

MDwise, Inc. is an Equal Opportunity Employer.


Additional Information
  • Daily Work Times: 8:30 am - 5:00 pm
  • On Call: No
  • Weekends: No
  • Schedule: Full-time
  • Requisition ID: 23002295
  • Hours Per Pay Period: 80

Per Centers for Medicare & Medicaid Services (CMS) regulations, all McLaren employees must be vaccinated for COVID-19 by January 4, 2022. The regulation permits exemptions for employees with qualified medical disabilities or religious beliefs.

Equal Opportunity Employer

McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.