Medicare Member Engagement Spc, Remote PST Hours
Job Description
Job Summary
Responsible for continuous quality improvements regarding member engagement and member
retention. Represents Member issues in areas involving member impact and engagement including:
New Member Onboarding, member plan benefits education, and the development/maintenance
of Member Materials.
Knowledge/Skills/Abilities
? Conducts direct outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP, and MMP plans. Serves as an advocate to ensure members are well informed about plan benefits, provider options and how to use their new plan benefits.
? Serve as the member?s navigator during the onboarding process and address any plan questions and anticipate any issues that may arise. Determine the nature of the member's needs and interests; inform members of their plan resources and benefits with a focus on the member?s area of interest/needs; and follow up with member to ensure needs are met and member is having a positive plan experience. Develop relationship with member to be the go-to person with any future issues or questions.
? Log all contacts in a database.
? Participate in Member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed.
? Participates in regular member benefits training with health plan, including the member advocate/engagement role.
Job Qualifications
REQUIRED EDUCATION:
High School diploma.
Required Experience
2 years experience in customer service, consumer advocacy, and/or health care systems. Experience
conducting intake, interviews, and/or research of consumer or provider issues. Excellent written and verbal communication skills to collaborate internally and externally with members, providers, team members, and manager. Basic understanding of managed healthcare systems and Medicare.
Preferred Education
Associate's or Bachelor's Degree in Social Work, Human Services, or related field.
Preferred Experience
Experience with Medicare and Medicare managed plans such as MAPD, DSNP, and MMP.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $20.29 - $34.88 / HOURLY
? Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Similar Remote Jobs
Medicare Member Engagement Spc, Remote PST Hours
Posted on: 26-12-2024 06:11
Remote Data Entry Assistant / Entry Level
Posted on: 26-12-2024 06:11
Executive Assistant - Remote & Flexible Hours
Posted on: 26-12-2024 06:11
Digital Account Representative - No experience needed
Posted on: 26-12-2024 06:11
Senior Accountant/Full Charge Bookkeeper - Remote Working
Posted on: 26-12-2024 06:11
K-12 Teaching Strategies Advisor and Professional Trainer
Posted on: 26-12-2024 06:11
Case Management Utilization Review RN - REMOTE
Posted on: 26-12-2024 06:11
Remote Licensed Dietitian | Virtual Nutrition Specialist
Posted on: 26-12-2024 06:11
Engineering Director - Security Architecture(Remote Or Hybrid)
Posted on: 26-12-2024 06:11
Customer Service - Aetna Answer Team Consultant
Posted on: 26-12-2024 06:11
Customer Experience Agent (Overnight Shift)
Posted on: 16-11-2024 00:00
People and Culture Partner (m/f/d)
Posted on: 22-10-2024 05:25
ERRC Risk and Control Lead
Posted on: 01-07-2024 16:52
HomeKit Software Engineer
Posted on: 17-12-2024 18:01
Senior Security Engineer, RSCI Vector Security
Posted on: 19-02-2025 06:28
Cloud Support Associate (Level 4) GovCloud Support Team, GST
Posted on: 02-01-2025 03:59
ENTRY LEVEL MAINTENANCE TECH UP TO 30 AN HOUR
Posted on: 04-12-2024 05:42
Netflix Data Entry Jobs (Live Chat, Remote) $40/Hour 2024 In Angola
Posted on: 11-07-2024 07:46
Supervisor, Paid Social
Posted on: 02-08-2024 17:49
Online Order Filling Team Associate
Posted on: 08-11-2024 05:09