Member Engagement Representative at SOUTHLAND CARE COORDINATION PARTNERS INC

Olympia Fields, Illinois, United States -

Full Time

Start Date

Immediate

Expiry Date

22 May, 26

Salary

17.0

Posted On

21 Feb, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Member Engagement, Verbal Communication, Electronic Correspondence, Outbound Calls, Inbound Calls, Data Management, Health Risk Screening, Documentation, Workflow Efficiency, Time Management, Multitasking, Coachable, Professional Interaction

Industry

Medical Practices

Description

Description Job Title: Member Engagement Representative Program: Health Risk Screening Department: Health Management Services Direct Report: HRS Program Manager Location: On Site Position Type: Full Time; Part Time Job Description: The HRS Member Engagement Representative applies excellent member engagement skills to facilitate health risk screening completion by assigned health plan members. ROLE AND RESPONSIBILITIES Engage Health Plan member and employ professional techniques during verbal communications, electronic correspondence, and text-based interactions with each member. Conduct a large volume of outbound and inbound Member outreach calls in a timely manner. Accurately document all Member outreach calls in our Data Management Solution. Complete Health Risk Screenings on assigned health plan members by asking predefined questions and documenting responses. Proper execution of member referral/concerns/grievances when applicable. Document timely member observations requiring administrative notification of any critical member issues/concerns. Interact with staff and members to optimize workflow efficiency. Follow all Policies and Procedures of SCCP. Comply with Performance Goals / Contract Deliverables. Participate in all SCCP mandatory and CMS regulatory training. Attend all staff meetings – in person or telephone (if unable to attend, responsible for knowledge of content). Abide by all SCCP information security policies, procedures, protocols, and practices. Participate in regular information security management trainings. Develop a comprehensive understanding of SCCP information security policies. Learn to recognize information security risks and report them when they are identified. Comply with SCCP user access policies. Comply with SCCP password policies. Comply with SCCP data protection policies and guidelines. Comply with SCCP internet use policies and guidelines. Abide by SCCP policies and guidelines for protecting personal workspaces from security risks. Abide by SCCP principles and policies related to confidentiality. Demonstrate respect for individual diversity (culture, ethnicity, gender, race, religion, age, economic status). Other duties as assigned by Direct Report. Requirements QUALIFICATIONS AND EDUCATION REQUIREMENTS High School Diploma or Equivalent Required. Minimum of 1 year of Call Center Representative Experience Preferred. Minimum of 1 year in a Customer Service role Preferred. PREFERRED SKILLS Excellent verbal communication skills. Ability to interact with health care professionals in a professional manner. Computer Literate – Word, Google Doc and Excel. Able to multitask, manage time and set priorities. Able to remain coachable and teachable at all times.

Responsibilities

The representative will utilize excellent member engagement skills to facilitate the completion of health risk screenings by assigned health plan members through various communication channels. Key duties include conducting high volumes of outreach calls, accurately documenting interactions, completing screenings by asking predefined questions, and properly executing member referrals or grievance procedures.