(Customer Service) Member Services Specialist

3 weeks ago


Chula Vista, United States Community Health Group Full time

Job DetailsJob LocationCorporate Headquarters - Chula Vista, CASalary Range$26.03 - $29.93 HourlyDescriptionRESPONSIBILITIESEffectively resolve member concerns through a range of strategic actions.Coordinating swift and seamless urgent care access, interpreter services, and transportation arrangements.Facilitating smooth transitions for members, encompassing changes in primary care providers and site discharges.Documenting all interactions meticulously by providing issue statements, steps taken for resolution, and resolution outcomes.Collaborating seamlessly with cross-functional departments to ensure comprehensive member care and provider/vendor support.Engaging with community-based programs to effectively address members' non-medical and social needs.Representing the company in a highly professional manner at various events and forums.Adhering to on-call schedules, established procedures, and consistently seeking opportunities for service enhancement.Playing a vital role in achieving departmental objectives, from exceptional customer service to complaint resolution and member retention.Exhibiting unwavering dedication to delivering superior, culturally sensitive service to team members, providers, and external partners.Initiating and ensuring continuity of care for members eligible for such services.Adhering diligently to state and local guidelines, particularly in collaboration with State and local IPA's (CSSD and CCS).Upholding telephone service standards by actively participating in incoming Member Services telephone lines.Embracing various duties and actively participating in special projects as required, be they short-term or long-term initiatives.QualificationsEDUCATION Bachelor's DegreeEXPERIENCE/ SKILLSTwo years of experience in Member Services (preferably in the health care industry).Strong customer service background.Familiarity with case documentation practices.Experience with and sensitivity to cultural background and linguistic needs of membership.Familiarity and respect for special social needs of Medi-Cal populations.Knowledge of Medi-Cal program eligibility requirements and familiarity with services available through community based ethnic service and advocacy organizations throughout San Diego preferred.Familiarity with foundations and practices of public health, Medical Care Organization and Delivery.Understands Public Health Communications.Bilingual English/Spanish, English/Vietnamese, or English/Arabic.Excellent communication and interpersonal skills.Ability to exercise mature and independent judgment.Typing skillsPHYSICAL REQUIREMENTSProlonged periods of sitting.Extensive use of telephone. Will be required to work evenings and/or weekends.**Must have current authorization to work in the USA**Community Health Group is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment based on any protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, and trainings. Community Health Group makes hiring decisions based solely on qualifications, merit, and business needs at the time. For more information, see Personnel Policy 3101 Equal Employment Opportunity/Affirmative Action.



  • Chula Vista, United States Community Health Group Full time

    Job DescriptionJob DescriptionCommunity Health Group is a locally based non-profit health plan that ensures access to high quality, culturally sensitive health care for underserved communities throughout San Diego County. We treat our 300-member, multi-lingual staff like family, encouraging an atmosphere of collaborative teamwork, continuous learning,...


  • Chula Vista, United States Community Health Group Full time

    Job DescriptionJob DescriptionCommunity Health Group is a locally based non-profit health plan that ensures access to high quality, culturally sensitive health care for underserved communities throughout San Diego County. We treat our 300-member, multi-lingual staff like family, encouraging an atmosphere of collaborative teamwork, continuous learning,...


  • Chula Vista, United States Community Health Group Full time

    Job DetailsJob LocationCorporate Headquarters - Chula Vista, CASalary Range$26.03 - $29.93 HourlyDescriptionPOSITION SUMMARYDrives customer loyalty and provides excellent telephonic customer service to our customers (members and providers). This position will work with other departments in order to respond to customer and provider concerns in a timely and...


  • Chula Vista, United States Community Health Group Full time

    Job DetailsJob LocationCorporate Headquarters - Chula Vista, CASalary Range$26.03 - $29.93 HourlyDescriptionPOSITION SUMMARYDrives customer loyalty and provides excellent telephonic customer service to our customers (members and providers). This position will work with other departments in order to respond to customer and provider concerns in a timely and...


  • Chula Vista, United States Community Health Group Full time

    Job DetailsJob Location Corporate Headquarters - Chula Vista, CA Salary Range $26.03 - $29.93 Hourly DescriptionPOSITION SUMMARY Drives customer loyalty and provides excellent telephonic customer service to our customers (members and providers). This position will work with other departments in order to respond to customer and provider concerns in a timely...


  • Chula Vista, United States Community Health Group Full time

    Job DetailsJob Location Corporate Headquarters - Chula Vista, CA Salary Range $26.03 - $29.93 Hourly DescriptionPOSITION SUMMARY Drives customer loyalty and provides excellent telephonic customer service to our customers (members and providers). This position will work with other departments in order to respond to customer and provider concerns in a timely...


  • Chula Vista, United States Community Health Group Full time

    Job DescriptionJob DescriptionPOSITION SUMMARYDrives customer loyalty and provides excellent telephonic customer service to our customers (members and providers). This position will work with other departments in order to respond to customer and provider concerns in a timely and effective manner. COMPLIANCE WITH REGULATIONS:Works closely with all departments...


  • Chula Vista, United States Community Health Group Full time

    Job DescriptionJob DescriptionPOSITION SUMMARYDrives customer loyalty and provides excellent telephonic customer service to our customers (members and providers). This position will work with other departments in order to respond to customer and provider concerns in a timely and effective manner. COMPLIANCE WITH REGULATIONS:Works closely with all departments...

  • Bilingual Team Member

    4 weeks ago


    Chula Vista, United States IMMEDIATE HIRE! Full time

    WE ARE HIRING A BILINGUAL TEAM MEMBER TO JOIN OUR CUSTOMER SERVICE DEPARTMENT! The Bilingual Team Member will report to the Key Account Manager. The primary responsibility of the Bilingual Team Member is to support our customers with orders in both English and Spanish as needed. The Bilingual Team Member role involves all aspects of customer service,...


  • Chula Vista, United States Community Health Group Full time

    *** Supervises the daily activities of Member Services Specialists (MSS) and coordinates daily operations. Acts as liaison between membership, provider, CHG management, and staff on issues related to member representation. Works closely with staff to maintain performance benchmarks within acceptable guidelines. **COMPLIANCE WITH REGULATIONS**: Works...


  • Chula Vista, California, United States Community Health Group Full time

    Job DescriptionJob DescriptionPOSITION SUMMARYSupervises the daily activities of Member Services Specialists (MSS) and coordinates daily operations. Acts as liaison between membership, provider, CHG management, and staff on issues related to member representation. Works closely with staff to maintain performance benchmarks within acceptable guidelines....


  • Chula Vista, United States Community Health Group Full time

    Job DescriptionJob DescriptionPOSITION SUMMARYSupervises the daily activities of Member Services Specialists (MSS) and coordinates daily operations. Acts as liaison between membership, provider, CHG management, and staff on issues related to member representation.  Works closely with staff to maintain performance benchmarks within acceptable...


  • Chula Vista, United States Automobile Club Full time

    Retail Service Specialist We are looking for someone who will thrive in a sales and service environment. We’ll provide the training you need on an array of AAA products and services to interface with members with confidence. This training will help you meet your individual and team cross-selling and upselling goals. You’ll also have the opportunity to...


  • Chula Vista, United States Automobile Club of Southern California Full time

    Retail Service SpecialistWe are looking for someone who will thrive in a sales and service environment. We’ll provide the training you need on an array of AAA products and services to interface with members with confidence. This training will help you meet your individual and team cross-selling and upselling goals. You’ll also have the opportunity to...


  • Chula Vista, United States Automobile Club of Southern California Full time

    Retail Service SpecialistWe are looking for someone who will thrive in a sales and service environment. We’ll provide the training you need on an array of AAA products and services to interface with members with confidence. This training will help you meet your individual and team cross-selling and upselling goals. You’ll also have the opportunity to...


  • Chula Vista, United States Globe Life - Ramirez Organization Full time

    Job DescriptionJob DescriptionRamirez Organization is looking for a sales representative to join our team in our California office. This person will actively seek out and engage prospective customers to sell our product and/or services.The ideal candidate is results-driven, hungry for customer acquisition, and passionate about contributing to top-line...


  • Chula Vista, California, United States Meal Prep Sunday San Diego Full time

    Are you ready to join a rapidly expanding Meal Prep company? We hold the belief that sincere and human connections enhance the quality of people's lives, particularly those who are part of our team. Meal Prep Sunday is the largest Meal Prep Company in Southern California, based in Vista, preparing over 30,000 dishes weekly. You'll have the opportunity to...


  • Chula Vista, United States SoCal Outreach Solutions Full time

    As an emerging front-runner in customer acquisitions, sales and business development, our firm is dedicated to helping our clients establish, build and manage their local market presence for specialized telecommunication products and services. We believe in delivering world-class services to our clients, from executing sales presentations to answering...


  • Chula Vista, United States ASI, inc Full time

    Job DescriptionJob DescriptionAspire emanates with pride over the ability to offer a corporate structure that not only includes the development and training of each individual for their entire career with us; but also the ability to transition and promote each qualified individual into a senior management role.Aspire is seeking an individual that we can...


  • Chula Vista, United States ASI, inc Full time

    Job DescriptionJob DescriptionAspire emanates with pride over the ability to offer a corporate structure that not only includes the development and training of each individual for their entire career with us; but also the ability to transition and promote each qualified individual into a senior management role.Aspire is seeking an individual that we can...