Member Services Advisor

🕒 il y a 11 jours

🌴 South Carolina – Distant

🌴 South Carolina – Remote

💵 $104 000 - $143 000 / an

⏰ Temps Plein

🟠 Senior

🔴 Expert

🦅 Parrain de Visa H1B

Cette entreprise a parrainé des visas H1B par le passé.

👻 Score fantôme 0%

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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Humana

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10 000+ employés

Fondée en 1961

🏥 Santé

🛡️ Assurance

⚕️ Assurance santé

Healthcare • Insurance • Healthcare Insurance

Humana est une entreprise de soins de santé dédiée à avoir un impact positif sur la santé des individus, des communautés et du système de santé dans son ensemble. En mettant la santé au premier plan, Humana sert une large gamme de populations diverses, y compris les seniors et les militaires, en proposant des plans Medicare Advantage HMO, PPO et PFFS. Humana s'engage à favoriser une culture d'appartenance et de respect mutuel, offrant des avantages compétitifs et flexibles pour assurer la sécurité financière de ses employés et de leurs familles. L'entreprise est fière de créer un environnement de travail inclusif où chacun a l'opportunité de réussir.

Description

• Focus on membership growth, member retention, and enhancing the overall member experience • Leverage NPS insights, root cause analysis, storytelling, call listening, and member experience design • Identify and eliminate friction points • Uncover automation and optimization opportunities • Empower others across the organization to raise concerns and advocate for member experience improvements • Develop and execute strategies to improve member engagement, retention, satisfaction, and overall experience • Maintain direct ownership of key market KPIs and performance metrics • Lead the Member Experience Workgroup • Drive Go365 engagement and utilization • Oversee member benefits, services, and incentives • Serve as the market point of contact for Member/Provider Services, Transformation, Enrollment, and G&A/Critical Inquiry teams • Develop strategies to improve CAHPS survey performance • Provide cross-functional leadership and drive measurable improvements in consumer experience outcomes and contractual performance • Serve as a member advocate and coordinate communications with members • Coordinate issues with appropriate areas within the organization • Resolve member inquiries and problems • Meet standards for resolution, telephone abandonment rates, and telephone hold times • Assist members in accessing culturally competent, high-quality integrated medical and Behavioral Health care • Advise executives on functional strategies concerning significant matters • Report to the Regional VP of Operations

🎯 Exigences

• Must reside in the state of South Carolina • Ability to travel up to 10% to Columbia, South Carolina for business • 8 or more years of consumer operations experience • 2 or more years of people or project leadership experience • Ability to develop functional strategies to improve performance and consumer experience • Experience identifying optimization and automation solutions to develop and launch company initiatives • Experience with analytics, including program evaluation and optimization • Strategic thinking and planning capabilities • Organized and detail-oriented • Bachelor's degree preferred • History of Clinical Program Valuation preferred • Knowledge of Humana's internal policies, procedures and systems

🏖️ Avantages

• Bonus incentive plan based on company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Personal wellness support • Healthcare decision support

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