Manager of Member Services
2 weeks ago
VillageCareMAX
112 Charles Street, New York, NY 10014
COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGECARE
Under the supervision of Director of Business Operations, Manager of Member Services will oversee the coordination of Member Services staff scheduling, training, and day-to-day work flows to ensure that all requests and inquiries are processed timely. Communicates with Director of Business Operations and AVP of Member Experience and Support Services for any issues or concerns about, but not limited to, Operations. Assist members in accessing services, resolving issues and communicating with other members of the Interdisciplinary Care Team.
Some daily responsibilities will include:
- Responsible for overseeing that all incoming calls are handled appropriately and in a timely manner.
- Ensures that there is appropriate Member Service coverage on the Phone Queue at all times.
- Ensures all shifts are covered with adequate Reps by language (Spanish, Cantonese or Mandarin).
- Oversees all faxes are processed timely to meet compliance.
- Facilitates meetings, coordinates the agenda, reviews and approves new workflows, maintains planning foresight and the work calendar.
- Assists members in arranging appointments with physicians and other health care provider services.
- Facilitates communication between members, subcontractors, providers and Care Managers.
- Communicated effectively with members with special needs by utilization mechanisms such as: interpretation vendor, TTYTele braille, large print/ braille, talking adaptive equipment, etc. Assists members with accessing translation services.
- Provides plan information to new members, family members or other representatives.
- Responds to nonclinical complaints; logs member and subcontractors' complaintsgrievances. Resolves same day complaintsgrievances where possible.
- Supervises hiring, ensuring effective training, ongoing monitoring and Quality Assurance, evaluations and any disciplinary actions of member services representatives. Responsible for assuring all new employees are trained.
- Effectively manages escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow through to closure.
- Oversees all work is completed in accordance with the confidentiality requirement mandated by HIPPA for member information including telephone service standards and turn-around times
- Any other projects assigned by Operations.
Experience:
- This position requires a minimum of 5 years job-related experience in healthcare HMO, Medicaid and Medicare experience is preferred.
- Strong ability to solve problems independently and interact with an integrated team.
- Strong multi-tasking abilities.
- Excellent interpersonal, verbal and written skills.
- Advanced Microsoft Outlook proficient in Microsoft Office such as Outlook, Word and Excel
There are many benefits to working for VillageCare. If you are someone who likes being part of a team, enjoys a highly competitive benefits package from world leading carriers and competitive compensation, than we would love to speak with you
- PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life & Disability, Commuter Benefits, Paid Family Leave, Additional Employee Discounts
VillageCare offers a wide range of at-home and community-based services, as well as managed long-term care options that seek to match each individual's needs to help them attain and maintain the greatest level of independent living possible. We are committed to superior outcomes in quality health care.
VillageCare is an Equal Opportunity Employer.
-
Manager of Member Services
3 weeks ago
New York, United States Village Care Full timeJob DescriptionJob DescriptionManager of Member Services (Hybrid)VillageCareMAX 112 Charles Street, New York, NY 10014COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGECARE!Under the supervision of Director of Business Operations, Manager of Member Services will oversee the coordination of Member Services staff scheduling, training, and...
-
Member Services Representatives
2 weeks ago
New York, United States SVCMCUniformed Services Family Health Plan Full timeAct as liaison and assist members(patients)/providers (doctors) with inquiries related to but not limited to managed health care insurance eligibility, benefits, referrals, authorization claims. Handle inbound and outbound calls within established standards for speed to answer, abandonment rate and documentation. Also known as Customer Service Rep. Previous...
-
Member Services Representative
4 weeks ago
New York, United States MJHS Full timeThe challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life...
-
Member Service Agent
5 days ago
New York, United States Spring Place Full timeCompany DescriptionSpring Place is a private membership club and co-working space, connecting work, leisure, and culture for its community of global influencers, creative entrepreneurs, and industry leaders.Role and ResponsibilitiesGreet members and guests warmly, checking them in and making them feel welcomeAssist members with requests, problems, concerns,...
-
Member Service Agent
6 days ago
New York, United States Spring Place Full timeCompany DescriptionSpring Place is a private membership club and co-working space, connecting work, leisure, and culture for its community of global influencers, creative entrepreneurs, and industry leaders.Role and ResponsibilitiesGreet members and guests warmly, checking them in and making them feel welcomeAssist members with requests, problems, concerns,...
-
Member Service Agent
7 days ago
New York, United States Spring Place Full timeCompany DescriptionSpring Place is a private membership club and co-working space, connecting work, leisure, and culture for its community of global influencers, creative entrepreneurs, and industry leaders.Role and ResponsibilitiesGreet members and guests warmly, checking them in and making them feel welcomeAssist members with requests, problems, concerns,...
-
Member Service Agent
4 days ago
New York, United States Spring Place Full timeCompany Description Spring Place is a private membership club and co-working space, connecting work, leisure, and culture for its community of global influencers, creative entrepreneurs, and industry leaders. Role and Responsibilities Greet members and guests warmly, checking them in and making them feel welcome Assist members with requests, problems,...
-
Member Services Representative
1 day ago
New York, United States Metropolitan Jewish Health System Full timeThe challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life...
-
Member Service Rep
4 weeks ago
New York, United States Lower East Side People's Federal Credit Union Full timeJob DescriptionJob DescriptionMember Service RepresentativeReports to: Member Service ManagerEmployment Status: Non-ExemptSalary: $20 per hour Hours: Saturday and select weekdays Lower East Side People’s Federal Credit Union is a non-profit financial cooperative organized in 1986 that promotes economic justice and opportunity in NYC neighborhoods. We are...
-
Member Service Representative
3 weeks ago
New York, United States Village Care Full timeJob DescriptionJob DescriptionMember Service Representative - Bilingual Polish (Hybrid)VillageCareMAX112 Charles Street, New York, NY 10014COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE!VillageCare is looking for a self-motivated Member Services Representative responsible for handling all calls that come through our call center. The MSR...
-
Member Service Representative
4 weeks ago
New York, United States Village Care Full timeJob DescriptionJob DescriptionMember Service Representative - RussianVillageCareMAX112 Charles Street, New York, NY 10014COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE!VillageCare is looking for a self-motivated Member Services Representative responsible for handling all calls that come through our call center. The MSR serves as the...
-
Member Service Supervisor
7 days ago
New York, United States VillageCare Full timeMember Service Supervisor (Hybrid) VillageCareMAX 112 Charles Street, New York, NY 10014 COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGECARE! VillageCare is seeking a motivated individual for our Supervisor of Member Services position. This role will assist in the coordination of staff scheduling, training, and day-to-day work flows. The...
-
Product Owner
2 days ago
New York, United States Christian Healthcare Ministries (CHM) Full timeThe Product Owner will spearhead strategic development and operational management of our digital platforms, including a member portal, mobile application, and HubSpot integrations. This role demands a collaborative approach with various teams to ensure the delivery of superior digital solutions that cater to user preferences and drive the company's...
-
Member Engagement Manager
5 days ago
New York, United States AIPAC Full timeAIPAC’s mission is to encourage and persuade the U.S. government to enact specific policies that create a strong, enduring, and mutually beneficial relationship with our ally Israel. Our focus is clear; we come to work every day motivated to keep America strong and Israel secure. Member Engagement Managers will make a direct impact on strengthening the...
-
Member Engagement Manager
1 week ago
New York, United States AIPAC Full timeAIPAC’s mission is to encourage and persuade the U.S. government to enact specific policies that create a strong, enduring, and mutually beneficial relationship with our ally Israel. Our focus is clear; we come to work every day motivated to keep America strong and Israel secure. Will make a direct impact on strengthening the U.S.-Israel relationship in...
-
MLTC-Member Service Specialist
2 days ago
Brooklyn, New York, United States RiverSpring Living Full timeOverview: RiverSpring Health Plans, is part of a group of long term care affiliates under the brand name of RiverSpring Living. RiverSpring Living provides a full range of care solutions including nursing home care, managed long term care, assisted living programs, senior housing, rehabilitation services and specialized services such as elder abuse...
-
Member Acquisition Manager
3 weeks ago
New York, United States ISMG - Information Security Media Group Full timeJob DescriptionJob DescriptionAbout UsCollaboration, Intelligence, and LeadershipCyberEdBoard is the premier member’s-only community of executives & thought leaders in the fields of information security, cybersecurity, and information technology. Members have access to a robust platform of resources that promote peer-to-peer networking &...
-
Member Acquisition Manager
2 weeks ago
New York, United States ISMG - Information Security Media Group Full timeAbout Us Collaboration, Intelligence, and Leadership CyberEdBoard is the premier member's-only community of executives & thought leaders in the fields of information security, cybersecurity, and information technology. Members have access to a robust platform of resources that promote peer-to-peer networking & knowledge-sharing, executive-level education, &...
-
Member Service Representative
3 days ago
New York, United States VillageCare Full timeMember Service Representative - Bilingual Polish (Hybrid)VillageCareMAX112 Charles Street, New York, NY 10014COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE!VillageCare is looking for a self-motivated Member Services Representative responsible for handling all calls that come through our call center. The MSR serves as the main point of...
-
Member Service Representative
4 weeks ago
New York, United States Village Care Full timeJob DescriptionJob DescriptionMember Service RepresentativeVillageCareMAX112 Charles Street, New York, NY 10014COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE!VillageCare is looking for a self-motivated Member Services Representative responsible for handling all calls that come through our call center. The MSR serves as the main point of...
