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

There is one position available in our Mariposa service area and will be on-site Monday through Friday in the Mariposa County offices.

  WHAT YOU'LL BE RESPONSIBLE FOR

• Responds to complex member issues and acts as a technical resource for Member Services Representatives

• Acts as a frontline customer service representative within the Member Services Department, providing assistance to members and providers primarily by phone

• Assists with special projects, as assigned

WHAT YOU'LL NEED TO BE SUCCESSFUL

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

• Knowledge of:

• Bilingual (English/Spanish or English/Hmong) preferred for Mariposa County only

• Principles and practices of customer service

• Managed health care in a health plan environment

• Eligibility processes and guidelines associated with one or more of the following: the Medi-Cal program, Social Security programs, foster care, adoption assistance, and/or other public assistance programs

• Conflict resolution techniques

• Windows-based PC systems and Microsoft Word, Outlook and Excel, and database systems

• Ability to:

• Answer telephone calls promptly and minimize delays that may lead to missed calls

• Act as a technical resource for Member Services Representatives

• De-escalate complex situations, including complaints

• Translate healthcare-related terminology and complex processes into simple language and step-by-step instructions when communicating with members and providers

• Gather and evaluate information, ask appropriate questions and utilize active listening and problem-solving skills

• Education and Experience:

• High school diploma or equivalent 

• Four years of customer service experience in member services, health care, public assistance, human services or in a customer service or call center environment which included a minimum of  two years of experience in a health care setting which involved assisting members and/or providers with eligibility processes and guidelines (an Associate’s degree may substitute for one year of the general customer service 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.

Salary and compensation

                                                                                                        No salary data published by company so we estimated salary based on similar jobs related to Education, Microsoft and Senior jobs that are similar:


                                                                                                                                                             $60,000 — $90,000/year

Location

Mariposa, California, United States