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Customer Service Transitions Professional

Support members through health plan transitions to retain membership and improve experience
Dover, Delaware, United States
Entry Level
$43,000 – 56,200 USD / year
yesterday
Delaware Staffing

Delaware Staffing

A staffing agency specializing in providing employment solutions within the state of Delaware.

226 Similar Jobs at Delaware Staffing

Join Our Caring Community and Put Health First

This team would support mass moves, provider departures, center consolidations/relocations, mergers and acquisitions, and health plan terminations. Their goal would be to reduce membership loss/enable us to retain the highest amount of membership across these experiences. We want a team to be able to help navigate the members we gain from these efforts through changes, questions or concerns and generally provide churn reducing, customer service. We envision this role would not involve any sales, would be the most entry level role in my org and would help to potentially develop a career path into our other existing roles.

Work Schedule

M-F, 8:30am-5:00pm EST

Role Responsibilities

  • Conduct outbound and answer inbound calls related to any attrition mitigation marketing communications
  • PCP Terminations – Help ensure engaged members get their questions answered, understand the situation they are in and get assistance with any clinical connections or assurances during this transitional period
  • Mass Moves – Follow up with patients that we previously acquired to help them get their 2nd appointment scheduled
  • Center Consolidation/Relocation – Assist with directions, rescheduling appointments and any clinical connections or assurances needed during this transitional period
  • Plan Changes – Reach out to newly acquired patients that are on a plan that we don't accept to connect them with a broker
  • Organic patient orientation – Onboard and orient new, engaged patients acquired through traditional sales channels

Required Qualifications

  • 3 years of technical experience
  • Strong critical thinking and problem-solving skills
  • Proficiency in all Microsoft Office Programs including Word, PowerPoint, Excel, Access, etc.
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

  • Previous work from home experience
  • Previous call center or patient outreach experience
  • Bilingual English/Spanish

Additional Information

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Use Your Skills to Make an Impact

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website.

Interview Format – HireVue

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Benefits

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including: Health benefits effective day 1 Paid time off, holidays, volunteer time and jury duty pay Recognition pay 401(k) retirement savings plan with employer match Tuition assistance Scholarships for eligible dependents Parental and caregiver leave Employee charity matching program Network Resource Groups (NRGs) Career development opportunities

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $43,000 - $56,200 per year

About Us

About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.

About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources

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Customer Service Transitions Professional
Dover, Delaware, United States
$43,000 – 56,200 USD / year
Support
About Delaware Staffing
A staffing agency specializing in providing employment solutions within the state of Delaware.