Customer Service Liaison

3 days ago


Seattle, Washington, United States CareOregon Full time
Job Title: Customer Service Member Liaison

CareOregon is seeking a skilled Customer Service Member Liaison to join our team. As a key member of our customer service team, you will play a vital role in ensuring our members receive exceptional service and support.

Job Summary:

This position supports members through problem-solving and advocacy to improve their customer experience with complex system navigation, Oregon Health Plan (OHP) benefits and eligibility, and provider and health plan assignment issues.

Key Responsibilities:
  • Work collaboratively with providers, partners, OHP, plans, and members to ensure effective customer service and the resolution of member problems.
  • Serve as primary liaison on escalated issues related to member experience.
  • Connect members with appropriate departments at plan partner organizations.
  • Maintain relationships with partners and providers to facilitate positive communication and shared problem-solving.
  • Provide proactive value-added service by identifying and reporting system issues.
  • Attend regional meetings to provide updates to Community Partners.
  • Assist leadership with projects intended to foster integration across CareOregon Departments.
  • Educate members on benefits, rights, and responsibilities.
Requirements:
  • Minimum 2 years' experience working in customer service in a healthcare setting.
  • Experience with Medicare Sales desk experience, DSNP experience, and knowledge of CMS rules and regulations.
  • Ability to learn and apply Oregon Administrative Rules (OARs), federal laws, and other applicable regulations from agencies that relate to the medical health insurance industry.
What We Offer:

CareOregon offers a competitive salary range of $51,800 - $63,320 / year, 5% bonus target, and full benefits. This is a fully remote position, but open to Oregon and Southwest Washington residents.



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