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, strong interpersonal skills, and familiarity with Medicare, Medi-Cal, and managed health care.What this role involves:

• 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, public assistance, human services, or a call center environment.
• Two years of experience in a health care setting assisting members and/or providers with eligibility processes and guidelines.
• Bilingual (English/Spanish or English/Hmong) is required for positions in all Alliance service area counties, except Mariposa County, and except when assigned to the D-SNP call queue
• Knowledge of customer service principles and practices.
• Working knowledge of managed health care principles and practices.
• Ability to de-escalate complex situations.

What the role offers:

• 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