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Job Details

Member Services Representative I Temporary

Company name
Central California Alliance for Health

Location
Merced, CA, United States

Employment Type
Full-Time

Industry
Customer Service, Administrative, Bilingual

Posted on
May 18, 2022

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Profile

We have an opportunity to join the Alliance as a Temporary Member Services Representative (English/Spanish Bilingual) in the Member Services Department.

The length of assignment is from June 2022 through October 31, 2022.

WHAT YOU'LL BE RESPONSIBLE FOR

Reporting to the Member Services Supervisor you will acts as the frontline customer service representative within the Member Services Department, providing assistance to members and providers and facilitate and coordinate non-medical transportation benefits for members.

WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position description, and list of requirements click here

Knowledge of:

Bilingual (English/Spanish) required

Working knowledge of the principles and practices of customer service

General administrative procedures, standard business office practices and the operation of general office equipment, such as computer, fax and copier

Proper grammar, spelling, punctuation and formatting

Windows-based PC systems and Microsoft Word, Outlook and Excel, and database systems

The basic principles and practices of health care

Ability to:

Understand and communicate the complex operations and processes of the Alliance, particularly those related to Member Services and Care Management

Translate healthcare-related terminology and complex processes into simple language and step-by-step instructions when communicating with members and providers

Utilize a variety of computer systems, including the Alliance information system and external web sites and databases

Demonstrate strong organizational skills and attention to detail

Interpret, apply, and explain policies standards, regulatory requirements, and guidelines

Gather and evaluate information, ask appropriate questions, and utilize active listening and problem solving skills

Effectively, clearly and independently document, summarize and resolve member’s concerns and inquiries related to routine and moderately complex issues and recognize those issues requiring escalation to a higher level staff member

Education and Experience:

High school diploma or equivalent

Minimum of two years of customer service experience in member services, health care, public assistance or human services or three years of experience in a customer service or call center environment (an Associate’s degree may substitute for one year of the required experience); or an equivalent combination of education and experience may be qualifying

OTHER DETAILS

While this position is connected to one of our Alliance offices, we are in hybrid telecommute work environment right now and we anticipate that the interview process will take place remotely.

Our Alliance office locations have officially re-opened as of May 2, 2022 and while some employees may work in full-time telecommute schedules, attendance at quarterly company-wide events or department meetings will be expected.

Based on the nature of work, this position may require onsite presence, which is dependent on business need. Details about this can be reviewed during the interview process.

COVID-19 Vaccine Requirement:

At this time, this position requires vaccination or regular testing upon office entry. Fully vaccinated and boosted is defined as receipt of the second dose in a 2-dose series (ex: Pfizer & Moderna vaccines) OR receipt of a single-dose vaccine (ex: Johnson & Johnson); AND receipt of the booster (if eligible); AND a 2-week period having passed since the administration of the last vaccine dose. If you state that you are vaccinated, proof of vaccination must be submitted at time of hire.

Additionally, all positions at the Alliance are required to meet these minimum qualifications

OUR BENEFITS

Medical, Dental and Vision Plans

Ample Paid Time Off

11 Paid Holidays per year

401(a) Retirement Plan

457 Deferred Compensation Plan

Robust Health and Wellness Program

EV Charging Stations

And many more

ABOUT US

We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.

Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve over 377,000 members in Santa Cruz, Monterey and Merced counties. To learn more about us, click here

At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.

Company info

Central California Alliance for Health
Website : http://www.ccah-alliance.org/

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