Manager Of Member Services

COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE!

Under the supervision of Director of Business Operations, Manager of Member Services will oversee the coordination of Member Services staff scheduling, training, and day-to-day work flows. Working with the Director of Business Operations and AVP of Member Experience, the Member Services Manager will oversee any issues or concerns about Operations. Assist members in accessing services, resolving issues and communicating with other members of the Interdisciplinary Care Team.

Some of your daily activities will include oversight of all incoming calls, and that they are handled appropriately and in a timely manner. Ensures that there is appropriate Member Service coverage on the Phone Queue at all times. Works to ensure that all shifts are covered with adequate Reps by language (Spanish, Cantonese or Mandarin). Facilitates meetings, coordinates the agenda, reviews and approves new workflows, maintains planning foresight and the work calendar. Assists members in arranging appointments with physicians and other health care provider services. Facilitates communication between members, subcontractors, providers and Care Managers. Provides plan information to new members, family members or other representatives Respond and resolve all nonclinical complaints; logs member and subcontractors' complaints.

We would like to speak to those who have 5+ years job-related experience in healthcare HMO, Medicaid and Medicare. Excellent interpersonal, verbal and written skills. Advanced Microsoft Outlook proficient in Microsoft Office such as Outlook, Word and Excel. Bilingual in Spanish, Russian, Creole, Chinese(Cantonese/Mandarin) is preferred.

There are many benefits to working for VillageCare. If you are someone who likes being part of a team, enjoys highly competitive compensation and benefits package, a 403(b) retirement plan and much more than we would love to speak with you! VillageCare offers a wide range of at-home and community-based services, as well as managed long-term care options that seek to match each individual's needs to help them attain and maintain the greatest level of independent living possible. We are committed to superior outcomes in quality health care.

VillageCare is a Drug-free workplace. Equal Opportunity Employer