Regional Health Program Coordinator, Senior

1 day ago


Palmdale, California, United States Blue Shield of California Full time
About Blue Shield of California

At Blue Shield of California, we are committed to transforming the healthcare system to improve the lives of our members. Our team is dedicated to providing exceptional customer service and support to our members and consumers who visit our Community Resource Centers (CRCs). We are seeking a highly skilled and experienced Regional Health Program Coordinator, Senior to join our team.

Salary Range:

The salary range for this role is $25.47 - $35.66 per hour in California. Please note that salaries are based on a variety of factors, including the candidate's experience, location, and current employee salaries for similar roles.

About the Role

In this critical role, you will provide in-person support to Blue Shield of California members and consumers at our CRCs. Your primary responsibilities will include resolving issues and inquiries concerning member eligibility, benefits, provider information, clinical, pharmacy, and other health or social service needs. You will also be responsible for composing routine and non-routine correspondence to answer benefits/provider inquiries in writing.

  • Resolve complex issues and inquiries related to member eligibility, benefits, and provider information.
  • Compose clear and concise written responses to benefits/provider inquiries.
  • Analyze available programs to determine member eligibility and connect them with appropriate resources.
  • Conduct outreach calls and activities to inform members about CRC services and how to access health plan benefits.
  • Verify member participation in outreach or care gap programs and connect them with relevant services.
Requirements
  • Bachelor's degree in a related field or equivalent experience.
  • At least 3 years of professional experience in a related field.
  • Bilingual skills in Spanish, as demonstrated by successful completion of an oral language proficiency test.
  • Experience with Medi-Cal enrollment guidelines, specifically the renewal/redetermination process.
  • Excellent customer service skills and ability to work in a fast-paced environment.


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