Customer Care Specialist

2 weeks 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 a vital part of our Member Services Department. This role is essential in delivering exceptional service to our members and providers.

KEY RESPONSIBILITIES

As a Member Services Representative, you will report to the Member Services Supervisor and be responsible for:

  • Serving as the primary customer service representative within the department, assisting members and providers with their inquiries.
  • Coordinating and facilitating non-medical transportation benefits for our members.

QUALIFICATIONS FOR SUCCESS

To view the complete position description and requirements, please refer to our website.

  • Required Knowledge:
    • Bilingual proficiency in English and Spanish
    • Customer service principles
    • Strong command of grammar, spelling, punctuation, and formatting
    • Proficiency in Windows-based PC systems, including Microsoft Word, Outlook, Excel, and database management
  • Essential Abilities:
    • Comprehend and convey the intricate operations and processes of the organization, particularly those associated with Member Services and Care Management.
    • Translate complex healthcare terminology and processes into clear, understandable language for members and providers.
    • Effectively utilize various computer systems, including the alliance information system and external databases.
    • Exhibit strong organizational skills and meticulous attention to detail.
  • Education and Experience:
    • High school diploma or equivalent required.
    • A minimum of two years of experience in customer service, preferably in member services, healthcare, public assistance, or a 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.

COMPENSATION

The compensation range for this position varies by location, and will be determined based on our compensation philosophy, analysis of 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 available 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 employees committed to our mission of providing accessible, quality healthcare guided by local innovation. Our work impacts the community positively, and we take pride in making a difference.

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. For more information about our organization, please visit our website.

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

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

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