Member Quality & Concierge Coordinator

Emploi pas sur LinkedIn

🕒 il y a 3 jours

🌽 Illinois – Distant

infoinfo

💵 $36 / heure

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

🚫👨‍🎓 Aucun diplôme requis

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of ZING. Enamel Whitening. Toothpaste, but magic.

ZING. Enamel Whitening. Toothpaste, but magic.

1 - 10 employés

Fondée en 2023

💄 Beauté

🛒 Commerce de détail

🧘 Bien-être

Beauty • Retail • Wellness

ZING est une entreprise de dentifrice spécialisée dans le blanchiment de l'émail avec une formulation unique qui promet de dissoudre les taches, de réparer l'émail et de réduire la sensibilité. Fièrement fabriqués au Royaume-Uni, les produits ZING sont véganes, non testés sur les animaux et 100% recyclables. Leur dentifrice est conçu pour être agréable à utiliser tout en assurant un soin dentaire efficace, avec un accent sur les ingrédients naturels et la durabilité.

Description

• Execute outbound member outreach campaigns related to quality, Stars, CAHPS, retention, and engagement initiatives • Contact members regarding Health Risk Assessments, preventive care screenings, medication adherence programs, Annual Wellness Visits, and care gap closure opportunities • Educate members on plan benefits, supplemental benefits, rewards programs, and healthcare resources • Schedule appointments and facilitate connections to providers, pharmacies, transportation resources, care management teams, and internal departments • Identify barriers to care and collaborate with members to facilitate resolution • Maintain follow-up activities supporting completion of member objectives • Resolve member concerns through coordination with operational departments and vendor partners • Escalate concerns requiring additional intervention while maintaining ownership through resolution • Use approved scripts, workflows, and documentation standards to meet quality and compliance requirements • Share member feedback, trends, barriers, and improvement opportunities with leadership • Participate in quality reviews, calibration sessions, coaching, training, team meetings, huddles, and special projects • Document member interactions, outcomes, needs, concerns, appointments, and follow-up activities in applicable systems • Adhere to CMS regulations, Medicare Advantage requirements, HIPAA guidelines, and company policies • Maintain confidentiality and data security standards • Meet productivity, contact, quality, and campaign performance goals • Perform other duties as assigned

🎯 Exigences

• High School Diploma or equivalent • Minimum of 2 years of customer service, healthcare, contact center, member services, or related experience • Strong verbal and written communication skills • Demonstrated ability to build rapport and establish trust with diverse populations • Strong organizational skills with exceptional attention to detail • Ability to manage multiple priorities in a fast-paced environment • Proficiency with Microsoft Office applications and customer management platforms • Ability to work independently while contributing to team objectives • Associate's or Bachelor's degree in a related field preferred • Medicare Advantage, Medicaid, managed care, or healthcare experience preferred • Experience supporting Stars, HEDIS, CAHPS, member engagement, or care gap initiatives preferred • Experience scheduling healthcare appointments or conducting healthcare outreach campaigns preferred • Bilingual English/Spanish preferred • Experience with Salesforce, Genesys, or similar CRM/contact center platforms preferred

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