Member Services Representative

Full Time
Scotts Valley, CA 95066
Posted
Job description

We have an opportunity to join the Alliance as a Member Services Representative in the Member Services Department.


WHAT YOU'LL BE RESPONSIBLE FOR

Reporting to the Member Services Supervisor you will:

  • Act as the frontline customer service representative within the Member Services Department, providing assistance to members and providers
  • Facilitate and coordinate non-medical transportation benefits for members

WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position description, and list of requirements click here.

  • Knowledge of:
    • Bilingual English/Spanish
    • The principles and practices of customer service
    • Proper grammar, spelling, punctuation and formatting
    • Windows-based PC systems and Microsoft Word, Outlook and Excel and database systems
  • Ability to:
    • Understand and communicate the complex operations and processes of the Alliance, particularly those related to Member Services and Care Management
    • Translate healthcare-related terminology and complex processes into simple language and step-by-step instructions when communicating with members and providers
    • Utilize a variety of computer systems, including the Alliance information system and external web sites and databases
    • Demonstrate strong organizational skills and attention to detail
    • Interpret, apply and explain policies, standards, regulatory requirements and guidelines
  • Education and Experience:
    • High school diploma or equivalent
    • Minimum of two years of customer service experience in member services, health care, public assistance or human services or in a customer service or call center environment (an Associate's degree may substitute for one year of the required experience); or an equivalent combination of education and experience may be qualifying.

OTHER DETAILS

  • While this position is connected to one of our Alliance offices, we are in hybrid remote/in-office work environment right now and we anticipate that the interview process will take place remotely.
  • Our Alliance office locations have officially re-opened as of May 2, 2022 and while some employees may work in full-time telecommute schedules, attendance at quarterly company-wide events or department meetings will be expected.
  • Based on the nature of work, this position may require onsite presence, which is dependent on business need. Details about this can be reviewed during the interview process.

COVID-19 Vaccine Requirement: At this time, this position requires vaccination or regular testing upon office entry. Fully vaccinated and boosted is defined as receipt of the second dose in a 2-dose series (ex: Pfizer & Moderna vaccines) OR receipt of a single-dose vaccine (ex: Johnson & Johnson); AND receipt of the booster (if eligible); AND a 2-week period having passed since the administration of the last vaccine dose. If you state that you are vaccinated, proof of vaccination must be submitted at time of hire.

Additionally, all positions at the Alliance are required to meet these minimum qualifications.

OUR BENEFITS

  • Medical, Dental and Vision Plans
  • Ample Paid Time Off
  • 11 Paid Holidays per year
  • 401(a) Retirement Plan
  • 457 Deferred Compensation Plan
  • Robust Health and Wellness Program
  • Onsite EV Charging Stations
  • And many more

ABOUT US

We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.

Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Merced, Monterey and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet.

At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.

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