Specialist, Medicare Member Engagement-Bilingual-Spanish(Remote)

Remote Full-time
Job DescriptionJob DescriptionJob SummaryResponsible for continuous quality improvements regarding member engagement and memberretention. Represents Member issues in areas involving member impact and engagement including:New Member Onboarding, member plan benefits education, and the development/maintenanceof Member Materials.Knowledge/Skills/Abilities Conducts direct outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP, and MMP plans. Serves as an advocate to ensure members are well informed about plan benefits, provider options and how to use their new plan benefits. Serve as the member's navigator during the onboarding process and address any plan questions and anticipate any issues that may arise. Determine the nature of the member's needs and interests; inform members of their plan resources and benefits with a focus on the member's area of interest/needs; and follow up with member to ensure needs are met and member is having a positive plan experience. Develop relationship with member to be the go-to person with any future issues or questions. Log all contacts in a database. Participate in Member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed. Participates in regular member benefits training with health plan, including the member advocate/engagement role. Bilngual-SpanishJob QualificationsREQUIRED EDUCATION:High School diploma.REQUIRED EXPERIENCE:2 years experience in customer service, consumer advocacy, and/or health care systems. Experienceconducting intake, interviews, and/or research of consumer or provider issues. Excellent written and verbal communication skills to collaborate internally and externally with members, providers, team members, and manager. Basic understanding of managed healthcare systems and Medicare.PREFERRED EDUCATION:Associate's or Bachelor's Degree in Social Work, Human Services, or related field.PREFERRED EXPERIENCE:Experience with Medicare and Medicare managed plans such as MAPD, DSNP, and MMP.To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Apply tot his job
Apply Now

Similar Opportunities

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote Full-time

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote Full-time

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote Full-time

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote Full-time

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote Full-time

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote Full-time

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote Full-time

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote Full-time

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote Full-time

USPS Office Helper

Remote Full-time

[Remote] Sr. Principal Applied Scientist- AI

Remote Full-time

Remote Elementary Teacher ELA

Remote Full-time

Consumer Services Analytics Summer Internship

Remote Full-time

**Experienced Transportation Logistics Analyst – Data Entry and Operations Support for arenaflex Distribution Center**

Remote Full-time

**Experienced Customer Care Professional – Delivering Exceptional Client Experiences at blithequark**

Remote Full-time

Clinical Quality Assurance Nurse Auditor

Remote Full-time

Data Entry – Evenings 5:30pm – 2:00am – Moran Transportation Corporation – Elk Grove, CA

Remote Full-time

**Experienced Data Entry Specialist – Remote Work Opportunity at arenaflex**

Remote Full-time

IT Analyst - Indirect Tax

Remote Full-time

Blockchain Protocol Architect

Remote Full-time
← Back to Home