Retention & Eligibility Advisor

🕒 il y a 25 jours

🦞 Maine – Distant

🦞 Maine – Remote

💵 $28 - $35 / heure

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👻 Score fantôme 3%

Ce que ça veut dire : la probabilité que personne ne recrute vraiment pour cette offre.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Martin's Point Health Care

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501 - 1000 employés

🛡️ Assurance

📦 Logistique

💼 Conseil

Insurance • Logistics • Consulting

Martin's Point Health Care est une organisation de soins de santé engagée à servir ses communautés locales à travers des services de soins primaires et spécialisés de haute qualité. L'organisation met un fort accent sur la création d'une culture de travail positive, la reconnaissance des contributions des employés et la promotion de la diversité de la main-d'œuvre. Martin's Point Health Care offre une gamme d'opportunités de carrière dans divers départements, allant des prestataires de soins de santé aux rôles d'entreprise, et soutient la croissance des employés grâce à une rémunération compétitive, des programmes de développement et des avantages généreux. De plus, l'entreprise est reconnue pour ses efforts d'impact communautaire, levant des fonds significatifs pour des organisations communautaires et encourageant le bénévolat des employés.

Description

• Oversee all aspects of the USFHP member retention program • Communicate with members to support continued enrollment • Identify and track disenrollment reasons and trends • Develop and recommend policies and procedures focused on member satisfaction and retention • Analyze disenrollment reports, complaint and grievance data, and member feedback • Coordinate outreach to pending disenrolling members • Collaborate with the Enrollment Department on member disenrollment issues • Create and present member educational seminars and presentations • Support training and quality initiatives • Conduct disenrollment exit interviews and provide best-practice recommendations to senior management • Present business cases promoting retention strategies and evaluate campaign results • Develop retention strategies based on consumer feedback • Collaborate with the internal growth team on retention campaigns • Coordinate loyalty and retention programs to win back, reward, and retain members • Act as a liaison between members and health plan teams • Collaborate with the member service escalation team to resolve issues quickly • Write and present consumer behavior reports in the CRM database • Conduct fact-finding discussions to determine dissatisfaction reasons and attempt member retention • Process disenrollment requests in the CRM • Follow Department of Defense, Defense Health Agency, and state policies, procedures, laws, and guidelines • Develop and maintain monthly disenrollment and retention reports with BI analysts • Supplement outbound call volume when needed

🎯 Exigences

• Associate’s degree or equivalent combination of education and experience • 3+ years of experience with Tricare or USFHP • Experience working directly with health plan beneficiaries • Deep knowledge of TRICARE benefit preferred • Understanding of managed care concepts • Excellent telephone and interpersonal skills required • Strong commitment to customer service required • Must be able to work efficiently and independently • Must be analytical in research and problem resolution • Strong computer skills, keyboard proficiency, quick data entry, and high accuracy • Able to work cooperatively with other departments • Ability to multitask and prioritize • Well organized with excellent follow-up skills • Ability to handle crisis situations and adapt to change • Ability to design work processes around customer needs and expectations • Ability to establish accountability • Not eligible for immigration sponsorship

🏖️ Avantages

• Medical insurance • Dental insurance • Vision insurance • Retirement savings with employer contributions • Paid time off • Volunteer time off • Pie day • Other employee benefits • Potential additional incentive or commission-based compensation, where applicable

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