Senior Member Services Representative

Job Description

Central California Alliance for Health is seeking a Senior Member Services Representative. This role involves acting as a frontline customer service representative, responding to complex member issues, and participating in departmental work groups. The ideal candidate will have a passion for providing high-quality customer service and familiarity with Medicare, Medi-Cal, and managed health care.Role responsibilities include:

• Responding to complex member issues
• Acting as a technical resource for Member Services Representatives
• Providing assistance to members and providers primarily by phone
• Participating in departmental work groups and special projects

Requirements:

• High school diploma or equivalent
• Four years of customer service experience in member services, health care, or a call center
• Two years of experience in a health care setting assisting members with eligibility processes
• Knowledge of customer service principles and managed health care
• Ability to de-escalate complex situations and communicate complex information clearly

Benefits include:

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

The role is in a hybrid work environment, requiring some in-office presence.