Member Quality & Concierge Coordinator

Job not on LinkedIn

🔥 0 minutes ago

🌽 Illinois – Remote

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💵 $36 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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

ZING. Enamel Whitening. Toothpaste, but magic.

1 - 10 employees

Founded 2023

💄 Beauty

🛒 Retail

🧘 Wellness

Beauty • Retail • Wellness

ZING is a toothpaste company that specializes in enamel whitening with a unique formulation that promises to dissolve stains, repair enamel, and reduce sensitivity. Proudly made in the UK, ZING's products are vegan, cruelty-free, and 100% recyclable. Their toothpaste is designed to be enjoyable to use while providing effective dental care, with a focus on natural ingredients and sustainability.

📋 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

🎯 Requirements

• 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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