Centers Plan for Healthy Living

  • Member Satisfaction Coordinator

    Job Locations US-NY-Bronx
    Posted Date 1 week ago(5/15/2018 12:23 PM)
    ID
    2018-1306
    # of Openings
    1
    Category
    Member Services
  • Overview

    Under the direction of the Director of Operations, the Member Satisfaction Coordinator will be responsible for providing support and advocacy for current and future Centers Plan for Healthy Living (MLTC, MAPD and FIDA) members. The Member Satisfaction Coordinator will assist members with inquiries regarding the Centers Plan for Healthy Living programs. The representative will assist with inbound/outbound inquiries, quality application review, outgoing outreach activities, and will coordinate with members to ensure a positive experience with Centers Plan for Healthy Living. The Member Satisfaction Coordinator will also engage in implementing retention strategies to improve the member experience and customer satisfaction.

    Responsibilities

    • Interact with operating departments to research and resolve daily member issues ranging from network, prescriptions, dental, durable medical equipment and / or plan dissatisfaction to improve transition during the first 90 days of enrollment.
    • Conduct periodic member satisfaction calls to measure quality of plan performance.
    • Participate in implementation of retention strategies created by Clinical and Member Services.
    • Document call interactions and develop activity reports.
    • Maintain working knowledge of organizational, compliance and regulatory requirements associated with Centers Plan for Healthy Living various lines of business.
    • Perform other duties as assigned by Management.

    Qualifications

    Education

     

    Required:   High school Diploma required

    Preferred:   

     

     

    Type of Experience                                          

    Required:   

    Preferred:  Customer Service/ retention in Health Care or related experience.

     

     
     

    Physical Requirements:

    The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

     

    The above statements are intended to describe the general nature and level of work performed by individuals assigned to the job classification.  They should not be construed as an exhaustive list of all responsibilities, duties and skills required.

     

     

     

     

     

     

     

     

     

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