Member Engagement Analyst III- Las Vegas-HYBRID

CareSource•Las Vegas, NV

6d•Hybrid

About The Position

Job Summary: The Member Engagement Analyst III is responsible for contributing to the overall support of Member Services programs by coordinating processes and procedures associated with benefits and retention. Essential Functions: Serve as a liaison for Value Added Services/Benefits, member incentives and rewards programs Supports member and community advisory committee meetings, including in rural communities if applicable, and Consumer Council Meetings (external) Supports the implementation and data analysis of member engagement and retention strategies, leveraging data/intel to improve retention and support member growth Serve on internal teams to determine that drive engagement and retention while leveraging incentive/rewards and coordinating with vendors to implement work with various internal groups to share personas (behaviors/attitudes) Facilitate and manage workgroups to collect and document retention initiatives Facilitate/promote problem identification, analysis and resolution of issues associated with data collection and evaluation for retention and incentives Collaborate with business owners to share insights and drive market and product improvement plans; manage and report out to the business quarterly Ensure that contractual requirements are met associated with Member Rights, member communication and retention efforts Monitor all regulatory requirements and policies and procedures Support the implementation of community programs with population health goals and compliance with contractual requirements If assigned to NV market, responsible for administration of the Cultural Competency Program and Plan to ensure care and services to members are delivered in a culturally competent manner Liaises and collaborates external partners and stakeholders, and internal business owners to manage communication and deliverables Evaluate and trend complaint data and recommend and implement solutions to strengthen the program and mitigate member disenrollment Analyze data and identify trends monthly to ensure company and state regulator expectations are met Perform any other job duties as requested

Requirements

Bachelor of Science/Arts in a Business-related field or equivalent years of relevant work experience is required
A minimum of three (3) years of Medicaid health insurance, healthcare and/or managed care experience is required
Experience with and empathy for the low-income demographic is required
Experience working cross-functionally and demonstrated ability to execute initiatives primarily through influencing other stakeholders is required
Advanced knowledge of Microsoft Word, Excel, PowerPoint and Visio
Strong data analysis and trending skills
Strong team and staff development skills
Strong collaboration and conflict resolution skill sets
Ability to build relationships/collaborate and influence at all levels
Strong process and analytical skills with the ability to articulate and define outcome measures that capture key performance metrics
Ability to work in a fast-paced environment
Attention to detail
Ability to develop, prioritize and accomplish goals/time management
Strong decision making and problem-solving skills
Exceptional communication skills (both written and verbal) with the ability to present information in a variety of different formats to all levels
Strong interpersonal skills & high level of professionalism
Ability to work independently and within a team environment
Effective active listening and critical thinking skills
Display a customer service, member-focused orientation
To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified. CareSource adheres to all federal, state, and local regulations.

Responsibilities

Serve as a liaison for Value Added Services/Benefits, member incentives and rewards programs
Supports member and community advisory committee meetings, including in rural communities if applicable, and Consumer Council Meetings (external)
Supports the implementation and data analysis of member engagement and retention strategies, leveraging data/intel to improve retention and support member growth
Serve on internal teams to determine that drive engagement and retention while leveraging incentive/rewards and coordinating with vendors to implement work with various internal groups to share personas (behaviors/attitudes)
Facilitate and manage workgroups to collect and document retention initiatives
Facilitate/promote problem identification, analysis and resolution of issues associated with data collection and evaluation for retention and incentives
Collaborate with business owners to share insights and drive market and product improvement plans; manage and report out to the business quarterly
Ensure that contractual requirements are met associated with Member Rights, member communication and retention efforts
Monitor all regulatory requirements and policies and procedures
Support the implementation of community programs with population health goals and compliance with contractual requirements
If assigned to NV market, responsible for administration of the Cultural Competency Program and Plan to ensure care and services to members are delivered in a culturally competent manner
Liaises and collaborates external partners and stakeholders, and internal business owners to manage communication and deliverables
Evaluate and trend complaint data and recommend and implement solutions to strengthen the program and mitigate member disenrollment
Analyze data and identify trends monthly to ensure company and state regulator expectations are met
Perform any other job duties as requested