Member Engagement Specialist

2 weeks ago


Los Angeles, California, United States MedPOINT Management Full time
Job Overview

Position Summary

The Member Engagement Specialist plays a crucial role in fostering connections with members to facilitate appointments for preventive and chronic care services. This position also involves documenting interactions and generating reports to track scheduling achievements.

Key Responsibilities

1. Utilize member gap analysis to reach out to members, promoting the scheduling of preventive and chronic care services to comply with HEDIS/STARs standards.

2. Collaborate with specialists, primary care providers, and ancillary services to assist members in securing appointments for the aforementioned services.

3. Reach out to members to promote the completion of annual satisfaction surveys.

4. Record both outbound and inbound communications within the sPHERICAL member outreach system.

5. Develop weekly and monthly reports to illustrate scheduling progress.

6. Partner on innovative initiatives aimed at enhancing member engagement and participation.

7. Support HEDIS/STARs quality coordinators with special projects as needed.

8. Collaborate on developing scripts for member outreach communications.

9. Participate in additional projects within the Quality Management department as required.

Essential Qualifications

· High School diploma or GED equivalent.

· Minimum of one year of experience in a call center, preferably within a healthcare setting.

· Flexibility to work varying shifts to enhance patient outreach efforts.

Skills and Competencies

· Strong verbal and written communication abilities along with effective interpersonal skills.

· Capacity to thrive in a dynamic department.

· Ability to maintain focus during phone interactions amidst distractions.

· Bilingual proficiency in Spanish and English is preferred.

· Proficient in Microsoft Office applications, particularly Word and Excel (2013 or newer).

· Familiarity with EZ-CAP is an advantage.



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