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Member Care Specialist Jobs

Care Specialist Jobs
By The CGC Group At New York, NY, United States
Additional years of experience/certifications/training may be considered in lieu of educational requirements. (R)
Responsible for the execution of the non-clinical aspects of the Care Management process.
Assist the entire Care Management interdisciplinary team in managing members with Care Management needs.
Work collaboratively, as a critical component of the Medical Management team, to facilitate all clerical and administrative processes and activities.
Perform member telephonic outreach for program enrollment with the goal of retaining members in the Care Management Program.
Provide phone queue management for both incoming and outgoing calls.
Member Care Assistant Manager
By iFIT At Logan, UT, United States
Work closely with WorkForce management to find proper scheduling blocks based on the need of the business.
Teach and motivate the leadership team to actively participate in call floor programs as discussed by management.
Review and request agent needs, areas of concern, and certification information.
Have working knowledge of web based computer systems.
Administer corrective actions for any item that is detrimental to providing the customer with the best experience possible.
Help encourage a positive and professional work environment.
Manager, Member Care Services
By Included Health At , Remote
Manage workflows/processes, competencies, staffing models, and metrics for each of your teams
Partner with training and Customer Success Managers to provide feedback and/or guidance on training needs
Healthcare experience and a minimum of 5 years professional experience
Bachelor's degree or experience in lieu of degree
Prior experience managing operations, budgeting, and forecasting
Experience creating new processes and modifying existing processes to meet business needs
Member Specialist Jobs
By Jasper Health At United States
Knowledge, Skills, And Abilities Required
Provides member feedback to clinical team, helps develop strategic improvements to the member experience
2+ years of healthcare and patient customer service experience (required)
Strong interpersonal skills and the ability to effectively communicate with a wide range of individuals and constituencies in a diverse community.
Meticulous organizational skills and particular attention to detail
Provides product support through phone/video calls and chat including rotating evening and weekend coverage
Care Specialist Jobs
By ArchAngel Home Care At Little River, SC, United States

Ability to provide Personal Care to Elderly and Disabled. Some experience preferred

Member Care Center Member Care Specialist (Virtual Teller)
By UnitedOne Credit Union At , Manitowoc, Wi
Must have a high school diploma and exceptional member service experience.
Must effectively uncover member needs by and offer products and services that provide value to the member/prospective members.
Must possess strong listening skills and be able to focus, paraphrase, and empathize, with others
Must possess exceptional member service and sales skills with an emphasis on exceeding expectations.
Must possess an enthusiastic, positive attitude and work ethic and genuinely enjoy working with people.
Must be a strong and active member of a service and sales team and believe in collaboration.
Member Specialist Jobs
By Kitsap Credit Union At , Port Orchard, 98366, Wa $22.36 - $33.54 an hour
Enhance member experience and loyalty through relationship building
One year of experience in a financial institution performing teller, new accounts and account maintenance
One year of consumer lending experience
Excellent interpersonal communication skills including effective listening, speaking and writing
Member Specialist Typical Job Duties
Assist the teller line with tellering functions
Florida Blue - Member Care Specialist, Remote
By Florida Blue At , Remote $18 - $26 an hour
2 years of customer service experience or equivalent combination of education and experience
Life Insurance, Disability Benefits, Pet Insurance, Work-Life Balance Programs and more
Using sound problem solving and decision-making skills resolving simple to complex issues
Demonstrated empathy and compassion, with outstanding listening and communication skills
Previous experience working with a health insurance company
Benefits that start on the first of the following month after your start date! The benefits include:
Managed Care Member/Provider Specialist
By State of Iowa - Executive Branch At Des Moines, IA, United States
Seven years of full-time work experience in management analysis or project management.
Manage within a capitated rate.
Modified CMS service requirements, State regulations and administrative rules.
Prepare monthly, quarterly, and annual MCO member and provider reports to meet state and federal requirements.
Review and provide feedback to Iowa Medicaid policies impacting MCO contract requirements and performance.
Key Responsibilities Are As Follows
Sr. Manager, Member Care
By Included Health At , Remote
Work closely with your supervisors and manager to help lead our care teams
Manage workflows/processes, competencies, staffing models, and metrics for each of your teams
Partner with training and Customer Success Managers to provide feedback and/or guidance on training needs
Healthcare experience strongly preferred and a minimum of 5 years professional experience
Prior experience managing operations, budgeting, and forecasting
Experience creating new processes and modifying existing processes to meet business needs
Manager, Member Care Services
By Included Health At United States
Manage workflows/processes, competencies, staffing models, and metrics for each of your teams
Partner with training and Customer Success Managers to provide feedback and/or guidance on training needs
Healthcare experience and a minimum of 5 years professional experience
Bachelor's degree or experience in lieu of degree
Prior experience managing operations, budgeting, and forecasting
Experience creating new processes and modifying existing processes to meet business needs
Member Care Coordinator -743
By HCSC At , Downers Grove, 60515, Il
Experience coordinating member medical related needs, providing assistance to members, and analyzing member needs
We encourage people of all backgrounds and experiences to apply.
PC proficiency including Microsoft Office applications
Come join us and be part of a purpose driven company who is invested in your future!
This is a Union Role

Are you looking for an exciting and rewarding career in Member Care? We are looking for a Member Care Specialist to join our team and provide excellent customer service to our members. You will be responsible for responding to inquiries, resolving customer issues, and providing support to our members. If you are passionate about helping people and have excellent communication skills, this could be the perfect job for you!

Overview Member Care Specialists are customer service professionals who provide support to members of an organization. They are responsible for responding to inquiries, resolving customer issues, and providing information about the organization’s products and services. Member Care Specialists must have excellent communication and problem-solving skills, as well as a strong knowledge of the organization’s policies and procedures. Detailed Job Description Member Care Specialists are responsible for providing customer service and support to members of an organization. They answer inquiries, address customer issues, and provide information about the organization’s products and services. Member Care Specialists must have a thorough understanding of the organization’s policies and procedures, and must be able to communicate effectively with customers. They must also be able to troubleshoot customer issues and provide solutions in a timely manner. Job Skills Required
• Excellent communication skills
• Strong problem-solving skills
• Knowledge of the organization’s policies and procedures
• Ability to troubleshoot customer issues
• Ability to provide timely solutions
• Proficiency in customer service software
Job Qualifications
• High school diploma or equivalent
• Previous customer service experience
• Knowledge of the organization’s products and services
• Ability to work independently and as part of a team
• Ability to multitask and prioritize tasks
Job Knowledge
• Knowledge of customer service principles and practices
• Knowledge of the organization’s policies and procedures
• Knowledge of customer service software
• Knowledge of the organization’s products and services
Job Experience
• Previous customer service experience
• Previous experience working in a customer service role
• Previous experience working in a call center
Job Responsibilities
• Respond to customer inquiries in a timely manner
• Address customer issues and provide solutions
• Provide information about the organization’s products and services
• Troubleshoot customer issues and provide solutions
• Follow up with customers to ensure satisfaction
• Maintain customer records and update customer information
• Adhere to the organization’s policies and procedures