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Customer Support Specialist

2 months ago

Merced, California, United States Central California Alliance for Health Full time
Member Services Representative

Location: Various Locations

We are seeking a dedicated Member Services Representative to become part of our Member Services Department. This role is crucial in delivering exceptional support to our members and healthcare providers.

KEY RESPONSIBILITIES

Under the supervision of the Member Services Supervisor, your duties will include:

  • Serving as the primary customer service contact within the Member Services Department, assisting members and providers with inquiries.
  • Coordinating and facilitating non-medical transportation services for members.

ESSENTIAL QUALIFICATIONS

For a comprehensive overview of the position and requirements, please refer to the detailed job description.

  • Required Knowledge:
    • Bilingual proficiency in English and Spanish is essential.
    • Experience in customer service.
    • Strong command of grammar, spelling, punctuation, and formatting.
    • Proficiency in Windows-based PC systems, including Microsoft Word, Outlook, Excel, and database management.
  • Required Skills:
    • Ability to comprehend and articulate the complex operations and processes related to Member Services and Care Management.
    • Capability to simplify healthcare-related terminology and processes for effective communication with members and providers.
    • Proficient in utilizing various computer systems, including the alliance information system and external databases.
    • Exhibit strong organizational skills and meticulous attention to detail.
  • Education and Experience:
    • A high school diploma or equivalent is required.
    • A minimum of two years of experience in customer service within member services, healthcare, public assistance, or human services, or in a customer service or call center environment (an Associate's degree may substitute for one year of the required experience); or an equivalent combination of education and experience that provides the necessary knowledge, skills, and abilities.

ADDITIONAL INFORMATION

  • This position operates in a hybrid work environment, with remote interviews conducted via Microsoft Teams.
  • Attendance at quarterly company-wide events or department meetings may be required.
  • In-office or community presence may be necessary for certain roles based on business needs, which will be discussed during the interview.

COMPENSATION

The compensation range for this position varies by location. The actual salary will be determined based on our compensation philosophy, the selected candidate's qualifications, and other relevant factors.

BENEFITS

Our benefits package is available to all regular employees working more than 30 hours per week, with some benefits offered on a pro-rated basis for part-time employees. Temporary employees are not eligible for these benefits.

  • Medical, Dental, and Vision Plans
  • Generous Paid Time Off
  • 12 Paid Holidays annually
  • 401(a) Retirement Plan
  • 457 Deferred Compensation Plan
  • Comprehensive Health and Wellness Program
  • Onsite EV Charging Stations
ABOUT OUR ORGANIZATION

We are a dedicated team of over 500 professionals committed to our mission of providing accessible, quality healthcare driven by local innovation. Our work has a meaningful impact on the communities we serve.

At Central California Alliance for Health, we foster a culture that values respect, diversity, professionalism, and enjoyment, empowering our employees to excel in their roles. As a regional non-profit health plan, we serve members across multiple counties. To learn more about our organization, please refer to our Fact Sheet.

We are an equal opportunity employer, and qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, veteran status, or disability status. We participate in E-Verify.

Currently, we do not offer sponsorship for employment. Applicants must be authorized to work in the United States on a full-time, ongoing basis.

Apply for Member Services Representative