Ombudsman

Stelle nicht auf LinkedIn

🕒 vor 3 Tagen

🌶️ New Mexico – Remote

infoinfo

💵 $48.000 - $58.000 / Jahr

⏰ Vollzeit

🟢 Junior

🟡 Mittelstufe

🚫👨‍🎓 Kein Abschluss erforderlich

👻 Geisterscore 0%

infoinfo

🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of MTM, Inc.

MTM, Inc.

1001 - 5000 Mitarbeiter

Gegründet 1995

📦 Logistik

🏥 Gesundheitswesen

⚕️ Krankenversicherung

💰 €2.500.000 Debt Financing im 2016-06

Logistics • Healthcare • Healthcare Insurance

MTM, Inc. ist ein Gesundheitsdienstleistungsunternehmen, das sich auf die Verwaltung von Transportleistungen für Medicaid- und Medicare-Programme spezialisiert hat. Durch fortschrittliche Technologien stellt MTM Health zuverlässige nicht-notfallmedizinische Transporte (NEMT), mobile integrierte Gesundheitslösungen (MIH) sowie häusliche und gemeinschaftsbasierte Dienstleistungen (HCBS) bereit, die den Zugang zur medizinischen Versorgung verbessern. Das Unternehmen zielt darauf ab, die Gesundheitsergebnisse zu verbessern, indem es soziale Determinanten der Gesundheit anspricht und Mitglieder mit wichtigen Gemeinschaftsressourcen verbindet.

Beschreibung

• Investigate issues and work toward resolution for all members in the assigned New Mexico region • Identify and report systematic issues leading to complaints and develop solutions • Drive processes based on contract requirements in partnership with market leadership • Attend meetings with advocacy groups on behalf of MTM • Identify special advocacy groups and tribal organizations and educate them on partnership benefits • Handle specialized trips, member interactions, and escalations • Determine appropriate groups and outreach plans based on assigned market needs • Host and manage Member Advisory Committee meetings • Participate in Transportation Advisory Committees meetings • Create market-specific resources and presentations • Participate in member ride-alongs to determine whether appropriate service was provided • Investigate and document reported issues with thorough and timely follow-up • Analyze data and present information to improve member experience • Develop and implement processes with onsite and corporate stakeholders • Document escalations and action plans in intake systems • Maintain impacted member lists and follow up to ensure safe, timely transportation • Educate members about their rights • Triage complaints submitted via fax, voicemail, or email • Follow up with recipients regarding complaint resolution • Use complaint data to recommend education and process improvements • Proofread data submitted to the state for escalated issues • Monitor and report member access for people with disabilities, language barriers, and technology barriers • Assist the Facility Coordinator and Program Director with member and advocacy group issues • Update Logistics Management regarding transportation-provider noncompliance and incident/accident issues • Respond to Client, Program Manager, and Account Manager inquiries • Communicate with Contact Center leadership regarding customer service complaints • Produce and share member success stories • Perform other duties as assigned

🎯 Anforderungen

• High School Diploma or G.E.D. required • 2+ years’ experience in a role within Quality Management, Health Care, Social Work or member advocacy • 2+ years’ experience in Customer Service • Experience delivering presentations both in person and virtually • Proficient in Microsoft Office Suite • Excellent communication skills, with an emphasis on grammar and spelling • A working knowledge of contracts • Ability to tactfully question and obtain information • Excellent organizational and interpersonal skills • Demonstrated ability to manage multiple priorities • Ability to handle confidential information in a professional manner • Ability to accomplish duties/tasks with little direct supervision • Ability to prioritize tasks and deadlines • Excellent presentation skills • Ability to problem solve and troubleshoot • Ability to communicate with all levels of employees as well as external customers • Ability to build relationships • Ability to use basic office equipment • Some college, preferred • Ombudsman experience or certification, strongly preferred (CO-OP)

🏖️ Vorteile

• Health and Life Insurance Plans • Dental and Vision Plans • 401(k) with a company match • Paid Time Off and Holiday Pay • Maternity/Paternity Leave • Casual Dress Environment • Tuition Reimbursement • MTM Perks Discount Program • Leadership Mentoring Opportunities

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