Member Experience Associate (Part Time, Temporary)
Company: Alignment Healthcare
Location: Orange
Posted on: February 24, 2021
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Job Description:
Job Number: 2120Position Title: Member Experience
AssociateExternal DescriptionAlignment Healthcare was founded with
a mission to revolutionize health care with a serving heart
culture. Through its unique integrated care delivery models, deep
physician partnerships and use of proprietary technologies,
Alignment is committed to transforming health care one person at a
time.By becoming a part of the Alignment Healthcare team, you will
provide members with the quality of care they truly need and
deserve. We believe that great work comes from people who are
inspired to be their best. We have built a team of talented and
experienced people who are passionate about transforming the lives
of the seniors we serve. In this fast-growing company, you will
find ample room for growth and innovation alongside the Alignment
community.Alignment Healthcare is seeking a passionate, highly
motivated, and detail-oriented member experience associate to join
the member experience team in our Orange, CA office. The member
experience associate will assist plan members with their concerns
or complaints and provides the necessary information and education
to resolve concerns.General Duties And Responsibilities(May include
but are not limited to)* Explain plan's procedures, protocols,
benefits, services, and any other necessary information to the
members who call or visit the member experience department.*
Facilitate member requests for changes with network provider
changes, transportation requests, or any other member request for
assistance as appropriate.* Answer all incoming member phone calls
within the department's goal time frame.* Document every incoming
call during the call with pertinent details (i.e., caller name,
contact info, reason for call, action taken, resolution, etc.)*
Respond to complaints against the health plan and its contracted
facilities by utilizing the departments Complaint / Grievance
Policy and Procedure.* Make all attempts to resolve all member
dis-enrollment / cancellation requests, complaint / grievances, and
assist the member with their questions or concerns and following up
as appropriate.* Assist with member outreach programs and
implementations as needed.* Foster good corporate relations by
practicing good customer service principles (i.e., positive
attitude, helpful, etc.)* Perform other duties as assigned by
manager.Minimum RequirementsTo perform this job successfully, an
individual must be able to perform each essential duty
satisfactorily. The requirements listed below are representative of
the knowledge, skill, and / or ability required. Reasonable
accommodations may be made to enable individuals with disabilities
to perform the essential functions.* Minimum Experience:* 1-3
months related experience and/or training; or equivalent
combination of education and experience.* Two years' customer
service/telemarketing experience.* Medical front office
experience.* Direct sales or related experience, preferably in the
Medi-Cal, Commercial, or Medicare Managed Care industry.*
Education/Licensure:* High school diploma or general education
degree (GED); one to three months related experience and/or
training; or equivalent combination of education and experience.*
Associate degree (AA) degree (preferred).* Other:* Knowledge of
Medi-Cal, Commercial, and Medicare Managed Care Plans.* Bilingual
(English / Spanish) preferred.* Language skills: Able to read and
interpret documents such as safety rules, operating and maintenance
instructions and procedure manuals. Able to write routine reports
and correspondence. Able to speak effectively before groups of
customers or employees of the organization.* Mathematical skills:
Able to add and subtract two-digit numbers and to multiply and
divide with 10's and 100's. Able to perform these operations using
units of American money and weight measurement, volume, and
distance.* Reasoning skills: Able to apply common sense
understanding to carry out detailed but un-involved written or
verbal instructions. Able to deal with problems involving a few
concrete variables in standardized situations.* Computer skills:
Strong computer skills.* Work Environment:* * The work environment
characteristics described here are representative of those an
employee encounters while performing the essential functions of
this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential
functions.Essential Physical FunctionsThe physical demands
described here are representative of those that must be met by an
employee to successfully perform the essential functions of this
job. Reasonable accommodations may be made to enable individuals
with disabilities to perform the essential functions.* While
performing the duties of this job, the employee is regularly
required to sit; use hands to finger, handle, or feel and talk or
hear.* The employee is frequently required to walk; stand; reach
with hands and arms.* The employee is occasionally required to
climb or balance and stoop, kneel, crouch, or crawl.* The employee
must occasionally lift and/or move up to 20 pounds.* Specific
vision abilities required by this job include close vision,
distance vision, color vision, peripheral vision, depth perception
and ability to adjust focus.* Reasonable accommodations may be made
to enable individuals with disabilities to perform the essential
functions.* The noise level in the work environment is usually
moderate.Alignment Healthcare, LLC is proud to practice Equal
Employment Opportunity and Affirmative Action. We are looking for
diversity in qualified candidates for employment:
Minority/Female/Disable/Protected Veteran.If you require any
reasonable accommodation under the Americans with Disabilities Act
(ADA) in completing the online application, interviewing,
completing any pre-employment testing or otherwise participating in
the employee selection process, please contact
careers@ahcusa.com.City: OrangeState: CaliforniaLocation City:
OrangeLocation State: CaliforniaCommunity / Marketing Title: Member
Experience Associate (Part Time, Temporary)Company ProfileWho is
Alignment Healthcare?* Socially responsible* Technologically
enabled* Concierge care* Transformation* Servant leadershipWe are
dedicated to transforming the complex and confusing process of
medical treatment in the United States so that every link in the
health care continuum becomes more efficient, productive, and
effective. We built a team of people who want to make a difference.
Come join the team that is changing health care one person at a
time.We believe that great work comes from people who are inspired
to be their best. We invite you to explore our wide variety of
roles based on your unique experience.EEO Employer Verbiage:
Alignment Healthcare, LLC is proud to practice Equal Employment
Opportunity and Affirmative Action. We are looking for diversity in
qualified candidates for employment:
Minority/Female/Disable/Protected Veteran. If you require any
reasonable accommodation under the Americans with Disabilities Act
(ADA) in completing the online application, interviewing,
completing any pre-employment testing or otherwise participating in
the employee selection process, please contact
careers@ahcusa.com.
Keywords: Alignment Healthcare, Orange , Member Experience Associate (Part Time, Temporary), Other , Orange, California
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