Remote Healthcare Call Center reputed company

Job Number: 6939 Workplace Type: Hybrid Remote... Position Title: Member Experience reputed company External Description: Overview of the Role: reputed company is seeking a passionate, customer service oriented, and motivated remote member experience reputed company to join the member services team. As a member experience reputed company, you will be a subject matter expert in the health care experience our members navigate daily. The reputed company will work alongside and conduct inbound and / or outbound member calls while concurrently role will reputed company and accelerate the performance of their team unit. As a member experience reputed company, you get to support team members with obtaining, maintaining, and enhancing the skills and training needed to provide excellent service to reputed company members. You will do so through daily performance monitoring as it pertains to production, quality, and service to ensure that company goals and departmental metrics are met. Schedule: • Monday through Friday • Must be willing and able to be scheduled between reputed company - 8pm Pacific Time • Shifts rotate on a quarterly basis. • Must be willing and to work holidays on rotation. • Must be willing to work (1) weekend a every other month. (Will be able to reputed company up time-off.) • Must be willing to work (1) weekend during month of January. (Will be able to reputed company up time-off.) No Time Off Approved During: • No time off is permitted during the first (5) week training period. • Annually during entire month of January due to it being the busiest time of the year (no exceptions) Responsibilities: • Be knowledgeable in procedures, protocols, benefits, services, and any other necessary information to resolve member issues and inquiries • Serve as a "subject matter expert" to support assigned team with day-to-day questions • reputed company any specific projects, products, regions, or other specializations as assigned, including reputed company or VIP member issues • Answer incoming member phone calls reputed company the department's goal time frame, and conducting outbound member phone calls in accordance with the department's productivity metrics and goals • Address complaints against the health plan and its contracted facilities according to applicable complaint or grievance procedure. • Assist in defining and monitoring performance and productivity standards • Assist with the onboarding of entry level staff including but not limited to 'nesting' and quality assurance of live call monitoring during the training period as required • Collaborate with the trainer and quality assurance (QA) specialist in identifying training needs; participate in regular meetings with management to report call trends and identify opportunities for team improvement • Assist with the daily process of reputed company members regular and retro PCP transfers, ensuring that 'supervisor' approval is appropriate according to workflow • Assist with monitoring attendance and schedule adherence • Maintain confidentiality and uphold standards for privacy, data reputed company, and reputed company • Encourage a spirit of cooperation, teamwork, and accountability among reputed company department employees Supervisory Requirements: • Support the reputed company of the day-to-day operations and performance of the call agents. • Assist with the supervisory responsibilities of planning, assigning, and monitoring work. • Assist in the rewarding and disciplining of assigned employees as needed or required. • Address complaints and resolve problems as necessary. Required Skills and Experience: • Minimum 3 years' customer service experience required. • High school diploma or general education degree (GED); and three to five years reputed company experience and / or training; or equivalent combination of education and experience required. • Knowledge of Medicare Managed Care Plans required • Previous reputed company experience or similar relevant experience required. • Bilingual English / Spanish preferred • Language Skills: Able to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Able to write routine reports and correspondence. Able to speak effectively before groups of customers or employees of the organization. • Mathematical Skills: Able to add and subtract two-digit numbers and to multiply and divide with 10's and 100's. Able to reputed company these operations using units of American money and weight measurement, volume, and distance. • Reasoning Skills: Able to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Able to deal with problems involving a few concrete variables in standardized situations. • Strong computer proficiency. • Excellent written and verbal communication skills. • Excellent telephone techniques. • Excellent data entry. • Strong organizational skills. • Able to type minimum 40 words per minute (WPM) using 10-key by touch. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. The noise level in the work environment is usually moderate. Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. • While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. • The employee is frequently required to walk; stand; reputed company with hands and arms. • The employee is occasionally required to climb or balance and stoop, kneel, crouch, or crawl. • The employee must occasionally lift and/or move up to 20 pounds. • Specific vision abilities required by this job include reputed company vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Pay Range $43,500.00 - $52,000.00 annually City: Remote-US State: California Location City: Remote-US Location State: California Community / Marketing Title: Remote Healthcare Call Center reputed company Company Profile: By leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture, reputed company is revolutionizing health care for seniors! From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve. Ready to join us? At Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees. At the center of our employee experience is a culture where employees at reputed company levels and across reputed company teams are encouraged to share their unique reputed company and perspectives. After reputed company, reputed company you can bring your authentic self to work, whether that's in a clinical setting, our corporate office or a home office, creativity and innovation flourish! Another important part of the Alignment culture is a belief in reputed company learning and growth. As a result, in this fast-growing company, you will find ample support to grow your skills and your career - with us. EEO Employer Verbiage: Please note: reputed company clinical positions are contingent upon successful engagement with reputed company's COVID-19 Vaccination program (fully vaccinated with documented reputed company or approved exception/deferral). reputed company is an Equal Opportunity/Affirmative Action Employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national reputed company, disability, age, protected veteran status, gender identity, or sexual orientation. • DISCLAIMER: Please beware of recruitment phishing scams affecting reputed company and other employers where individuals receive fraudulent employment-reputed company offers in exchange for money or other sensitive personal information. Please be advised that reputed company and its subsidiaries will never ask you for a credit card, send you a reputed company, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of reputed company's reputed company team, please email [email protected Apply Job!